Findings
Background
Materials and methods
Patient population
Setting
Data collection
Statistical analysis
Results
Baseline characteristics
Characteristic | IVR-CT protocol (n = 21) | Conventional CT protocol (n = 27) | P-value |
---|---|---|---|
Patient characteristics | |||
Age, yrs | 44 (35–56) | 48 (33–57) | 0.795 |
Male sex | 15 (71) | 18 (67) | 0.764 |
Severity of trauma | |||
SBP, mmHg | 115 (102–134) | 122 (97–140) | 0.875 |
Heart rate, bpm | 105 (80–125) | 104 (82–130) | 0.976 |
RTS | 7.8 (6.0-7.8) | 7.6 (6.9-7.8) | 0.664 |
Hemoglobin, g/dl | 12.4 (11.4-14) | 12.4 (11.2-13.4) | 0.260 |
Prothrombin time, % | 54 (44.7-71) | 51.7 (46.7-71.6) | 0.547 |
ISS | 38 (26–44) | 34 (26–43) | 0.573 |
TRISS | 13.1 (3.7-57.2) | 12.2 (4.9-21.3) | 0.662 |
Therapeutic interventions | |||
Blood transfusion within 24 hrs, unit | 10 (2–16) | 14 (8–24) | 0.335 |
Bleeding control site | |||
Chest | 6 (29) | 2 (7) | 0.115 |
Abdomen | 9 (43) | 14 (52) | 0.573 |
Pelvic | 14 (67) | 12 (44) | 0.153 |
Bleeding control procedure | |||
TAE | 14 (67) | 2 (10) | 1.000 |
Thoracotomy | 5 (24) | 18 (67) | 0.574 |
Laparotomy | 1 (4) | 8 (30) | 0.750 |
Diagnostic and therapeutic procedures
IVR-CT protocol (n = 21) | Conventional CT protocol (n = 27) | P-value | |
---|---|---|---|
Time to CT initiation, min | 10 (5–17) | 29 (25–39) | <0.001 |
Time to CT end, min | 16 (12–23) | 38 (33–48) | <0.001 |
Time to definitive therapy, min | |||
Thoracotomy/laparotomya | 45 (37–65) | 108 (81–129) | 0.004 |
Transcatheter arterial embolizationb | 54 (42–66) | 75 (58–105) | 0.007 |
28-day mortality, % | 5 (24) | 5 (19) | 0.729 |