Clinical Profiles of Patients who Undergone Emergency Angiographic Embolization at Emergency Department
Journal of the Korean Society of Traumatology
;
: 248-253, 2009.
Article
in Korean
| WPRIM
| ID: wpr-155427
ABSTRACT
PURPOSE:
Hemodynamically unstable pelvic fractures represent therapeutic challenges for the trauma team. The authors of this article have studied the clinical profiles of the angiographic intervention population at the emergency department during four years (2005~2009) to develop clinical guidelines for preventing deaths due to multiple trauma and for predicting the prognosis during initial evaluation.METHODS:
We performed a retrospective review of 34 patients who had undergone angiographic interventions at the emergency department and compared the differences in clinical variables between survivors and non-survivors.RESULTS:
Representative values were compared between survivors and non-survivors RTS (revised trauma score) 7.006 (6.376~7.841) vs. 6.128 (4.298~6.494), PRC (packed red cell) units 5.5 (2.0~11.0) vs. 15 (8.0~18.5), and lactate (mmol/L) 3.0 (1.0~7.0) vs. 8.5 (3.5~10.5). RTS (p<0.01) and PRC units before angiographic interventions (p=0.01) and lactate (p=0.02) had correlations to the final outcomes.CONCLUSION:
The availability of an angiographic suite and persistent hypotension after adequate fluid resuscitation for pelvic trauma are good indications of angiographic intervention for pelvic hemorrhage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Resuscitation
/
Multiple Trauma
/
Retrospective Studies
/
Survivors
/
Lactic Acid
/
Emergencies
/
Hemorrhage
/
Hypotension
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Traumatology
Year:
2009
Type:
Article
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