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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Angiointervention: An independent predictor of survival in high-grade blunt liver injuries
American Journal of Surgery, Volume 209, No. 4, Year 2015
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Description
Background The role of angiointervention (ANGIO) in the management of high-grade liver injuries is not clear and there are concerns about increased complications. Methods National Trauma Data Bank study, isolated grade IV and V blunt liver injuries. Patients with major associated intra-abdominal or extra-abdominal injuries were excluded. Logistic regression analysis was performed to identify independent predictors of mortality and complications. Results Six thousand four hundred two patients met the criteria for inclusion. Laparotomy was performed in 32% of the patients and nonoperative management in 68%. Overall, 11% of the patients underwent ANGIO. Patients in the ANGIO group were significantly more likely to be older than 55 years than non-ANGIO patients and more likely to have Injury Severity Scores greater than 25. After stepwise logistic regression, ANGIO was an independent predictor of survival (P <.001). In the group of patients managed operatively, it was independently associated with a lower mortality (P <.001). Similarly, in the nonoperative group, it was independently associated with a lower mortality (5.4% vs 9.5%, P =.008). ANGIO was associated with increased systemic complications. Conclusions ANGIO in blunt, severe liver injuries is associated with reduced mortality and increased complications, in both operative and nonoperative management. © 2015 Elsevier Inc.
Authors & Co-Authors
Sivrikoz, Emre
United States, Los Angeles
Los Angeles County Usc Medical Center
Resnick, Shelby
United States, Los Angeles
Los Angeles County Usc Medical Center
Inaba, Kenji
United States, Los Angeles
Los Angeles County Usc Medical Center
Talving, Peep
United States, Los Angeles
Los Angeles County Usc Medical Center
Demetriades, Demetrios G.
United States, Los Angeles
Los Angeles County Usc Medical Center
Statistics
Citations: 24
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1016/j.amjsurg.2014.06.024
ISSN:
00029610
Research Areas
Violence And Injury
Study Approach
Quantitative