What question did this study set out to answer?

To determine whether the time to angiographic embolization exceeds 90 minutes in patients with pelvic fracture hemorrhage at a Level 1 trauma center.

September 3, 2016Journal of Trauma and Acute Care Surgery

Angiographic embolization for hemorrhage following pelvic fracture

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To determine whether the time to angiographic embolization exceeds 90 minutes in patients with pelvic fracture hemorrhage at a Level 1 trauma center.
Conducted a 10-year retrospective review of a trauma registry identifying 4,712 patients admitted with pelvic fractures, of whom 344 underwent pelvic angiography.
Assessed injury severity score, 24-hour transfusion requirements, presence of hemodynamic instability, time to angiography and embolization, and overall mortality.
Among 344 patients undergoing pelvic angiography, the overall median time to angiography was 286 minutes (interquartile range, 210–378 minutes).
Time to angiography was significantly shorter in patients with hemodynamic instability (264 vs. 309 minutes; p = 0.003) and massive transfusion (230 vs. 317 minutes; p < 0.001), yet both exceeded 3.5 hours.
Overall mortality was 18%, with hemorrhage (35.5%) and sepsis or multiple-organ failure (43.5%) serving as the predominant causes of death.

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Implication

Retrospective review reveals substantial delays to angiographic embolization in bleeding pelvic fracture patients, highlighting the need for earlier alternative surgical interventions.

Cite This Study

Tesoriero et al. (2016) studied this question.

synapsesocial.com/papers/6a71e106b27f15817827df99 https://doi.org/10.1097/ta.0000000000001259

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Implication

Retrospective review reveals substantial delays to angiographic embolization in bleeding pelvic fracture patients, highlighting the need for earlier alternative surgical interventions.

Angiographic embolization for hemorrhage following pelvic fracture

Key Points

Discussion

Implication

Cite This Study

Angiographic embolization for hemorrhage following pelvic fracture

Key Points

Discussion

Implication

Cite This Study

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