Kenichiro Ishida1, Yusuke Katayama2, Tetsuhisa Kitamura3, Tomoya Hirose2, Shunichiro Nakao2, Jotaro Tachino2, Yutaka Umemura4, Takeyuki Kiguchi5, Tasuku Matsuyama6, Kosuke Kiyohara7, Takeshi Shimazu2, Mitsuo Ohnishi8. 1. Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization, Osaka, Japan. Electronic address: kenichiro1224@gmail.com. 2. Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan. 3. Environmental Medicine, Graduate School of Medicine, Osaka University, Suita, Japan. 4. Department of Emergency and Critical Care, Osaka General Medical Center, Osaka, Japan. 5. Kyoto University Health Service, Kyoto, Japan. 6. Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan. 7. Department of Food Science, Faculty of Home Economics, Otsuma Women's University, Tokyo, Japan. 8. Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization, Osaka, Japan.
Abstract
PURPOSE: The aim of this study was to assess the association between the implementation of abdominal angiography and outcome among pediatric patients with blunt splenic or hepatic injury. METHODS: This was a retrospective observational study, with a study period of 14 years, from January 2004 to December 2017. Blunt-trauma patients with splenic or hepatic injury who were less than 19 years old were included in this study. We used propensity-score-(PS) matching analysis to assess the relationship between abdominal angiography and in-hospital mortality. RESULTS: In total, 639 patients were eligible for analysis, with 257 patients included in the abdominal-angiography group and 382 patients in the no-abdominal-angiography group. After PS matching, 224 patients from each group were selected. In the PS matched patients, in-hospital mortality was lower in the abdominal-angiography group than in the no-abdominal-angiography group (4.9% vs. 11.2%, odds ratio 0.416, 95% confidence interval 0.177-0.903). CONCLUSION: In this population, the implementation of abdominal angiography was significantly associated with lower in-hospital mortality among pediatric patients with blunt splenic or hepatic injury compared with nonimplementation of abdominal angiography. TYPE OF STUDY: Prognosis study. LEVEL OF EVIDENCE: III.
PURPOSE: The aim of this study was to assess the association between the implementation of abdominal angiography and outcome among pediatric patients with blunt splenic or hepatic injury. METHODS: This was a retrospective observational study, with a study period of 14 years, from January 2004 to December 2017. Blunt-traumapatients with splenic or hepatic injury who were less than 19 years old were included in this study. We used propensity-score-(PS) matching analysis to assess the relationship between abdominal angiography and in-hospital mortality. RESULTS: In total, 639 patients were eligible for analysis, with 257 patients included in the abdominal-angiography group and 382 patients in the no-abdominal-angiography group. After PS matching, 224 patients from each group were selected. In the PS matched patients, in-hospital mortality was lower in the abdominal-angiography group than in the no-abdominal-angiography group (4.9% vs. 11.2%, odds ratio 0.416, 95% confidence interval 0.177-0.903). CONCLUSION: In this population, the implementation of abdominal angiography was significantly associated with lower in-hospital mortality among pediatric patients with blunt splenic or hepatic injury compared with nonimplementation of abdominal angiography. TYPE OF STUDY: Prognosis study. LEVEL OF EVIDENCE: III.