Factors associated with prolonged procedure time of embolization for trauma patients
Aim Limited information exists on the factors associated with prolonged procedural time in embolization for trauma patients. We clarified the clinical application of embolization in trauma patients and factors associated with a prolonged procedure time. Methods Medical records of 162 trauma patients...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.743 |
| _version_ | 1797976119240032256 |
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| author | Makoto Aoki Shokei Matsumoto Yukitoshi Toyoda Satomi Senoo Yukio Inoue Masaki Yamada Takuya Fukada Tomohiro Funabiki |
| author_facet | Makoto Aoki Shokei Matsumoto Yukitoshi Toyoda Satomi Senoo Yukio Inoue Masaki Yamada Takuya Fukada Tomohiro Funabiki |
| author_sort | Makoto Aoki |
| collection | DOAJ |
| description | Aim Limited information exists on the factors associated with prolonged procedural time in embolization for trauma patients. We clarified the clinical application of embolization in trauma patients and factors associated with a prolonged procedure time. Methods Medical records of 162 trauma patients who underwent embolization between January 2007 and December 2020 at a regional trauma care center were reviewed retrospectively. Patients were divided into four embolized body regions: chest, abdomen, pelvis, and other. Patient demographics, trauma mechanism, physiology, trauma severity, embolization procedures, and 30‐day mortality were examined. The outcomes were identifying an embolized body region, embolized arteries, and procedure time. Multiple regression model was created to investigate the factors associated with prolonged procedural time in embolization. Results Embolization was mainly undertaken in pelvic fractures (n = 96, 59%) and abdominal organ injuries (n = 57, 35%) and extended to the chest (n = 17, 10%), and other (n = 20, 12%). Approximately 13% (n = 21) of patients underwent embolization in two or more regions. Embolization was more strictly performed in minor artery injuries, for example, external iliac (n = 15, 16%) and lumbar artery (n = 22, 23%) branches in pelvic fractures, and inferior phrenic artery (n = 2, 3.5%) branches in liver injuries. Multiple regression model indicated that the number of embolized arteries (P = 0.021) and number of embolized regions (P < 0.001) were associated with prolonged procedural time in embolization. Conclusions Embolization for trauma patients extended to various trauma regions. In time‐sensitive embolization, emergency interventional radiologists showed superior knowledge of expected embolizing arteries and factors associated with procedure time. |
| first_indexed | 2024-04-11T04:46:17Z |
| format | Article |
| id | doaj.art-1358f908ebfc402da3ff845cc7a55d31 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:46:17Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-1358f908ebfc402da3ff845cc7a55d312022-12-27T12:22:50ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.743Factors associated with prolonged procedure time of embolization for trauma patientsMakoto Aoki0Shokei Matsumoto1Yukitoshi Toyoda2Satomi Senoo3Yukio Inoue4Masaki Yamada5Takuya Fukada6Tomohiro Funabiki7Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Radiology Saiseikai Yokohamashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanDepartment of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital Yokohama JapanAim Limited information exists on the factors associated with prolonged procedural time in embolization for trauma patients. We clarified the clinical application of embolization in trauma patients and factors associated with a prolonged procedure time. Methods Medical records of 162 trauma patients who underwent embolization between January 2007 and December 2020 at a regional trauma care center were reviewed retrospectively. Patients were divided into four embolized body regions: chest, abdomen, pelvis, and other. Patient demographics, trauma mechanism, physiology, trauma severity, embolization procedures, and 30‐day mortality were examined. The outcomes were identifying an embolized body region, embolized arteries, and procedure time. Multiple regression model was created to investigate the factors associated with prolonged procedural time in embolization. Results Embolization was mainly undertaken in pelvic fractures (n = 96, 59%) and abdominal organ injuries (n = 57, 35%) and extended to the chest (n = 17, 10%), and other (n = 20, 12%). Approximately 13% (n = 21) of patients underwent embolization in two or more regions. Embolization was more strictly performed in minor artery injuries, for example, external iliac (n = 15, 16%) and lumbar artery (n = 22, 23%) branches in pelvic fractures, and inferior phrenic artery (n = 2, 3.5%) branches in liver injuries. Multiple regression model indicated that the number of embolized arteries (P = 0.021) and number of embolized regions (P < 0.001) were associated with prolonged procedural time in embolization. Conclusions Embolization for trauma patients extended to various trauma regions. In time‐sensitive embolization, emergency interventional radiologists showed superior knowledge of expected embolizing arteries and factors associated with procedure time.https://doi.org/10.1002/ams2.743embolizationmultiple regression analysisprocedure timetime to hemostasistrauma |
| spellingShingle | Makoto Aoki Shokei Matsumoto Yukitoshi Toyoda Satomi Senoo Yukio Inoue Masaki Yamada Takuya Fukada Tomohiro Funabiki Factors associated with prolonged procedure time of embolization for trauma patients Acute Medicine & Surgery embolization multiple regression analysis procedure time time to hemostasis trauma |
| title | Factors associated with prolonged procedure time of embolization for trauma patients |
| title_full | Factors associated with prolonged procedure time of embolization for trauma patients |
| title_fullStr | Factors associated with prolonged procedure time of embolization for trauma patients |
| title_full_unstemmed | Factors associated with prolonged procedure time of embolization for trauma patients |
| title_short | Factors associated with prolonged procedure time of embolization for trauma patients |
| title_sort | factors associated with prolonged procedure time of embolization for trauma patients |
| topic | embolization multiple regression analysis procedure time time to hemostasis trauma |
| url | https://doi.org/10.1002/ams2.743 |
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