Clinical Profiles of Patients who Undergone Emergency Angiographic Embolization at Emergency Department
Journal of the Korean Society of Traumatology
;
: 248-253, 2009.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Ressuscitação
/
Traumatismo Múltiplo
/
Estudos Retrospectivos
/
Sobreviventes
/
Ácido Láctico
/
Emergências
/
Hemorragia
/
Hipotensão
Tipo de estudo:
Guia de Prática Clínica
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Traumatology
Ano de publicação:
2009
Tipo de documento:
Artigo
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