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Table 1 Comparison between the operative management and transcatheter arterial embolization group

From: Transcatheter arterial embolization for severe blunt liver injury in hemodynamically unstable patients: a 15-year retrospective study

 

OM(n = 8)

TAE(n = 54)

P value

All (n = 62)

Mean age (IQR)

35 (20–41)

28.5 (20–55)

1.00

29.5 (20–54)

Sex, (M/F)

7/1

42/12

0.51

49/13

Mechanism, n(%)

  

0.02

 

 trafic accident

4 (50%)

46 (85%)

 

50 (81%)

 fall

4 (50%)

5 (9%)

 

9 (14%)

 compression

0 (0%)

3 (6%)

 

3 (5%)

AAST grade of liber injury, n(%)

 

0.21

 

 gradeIII

3 (38%)

33 (61%)

 

36 (58%)

 grade IV

3 (38%)

18 (33%)

 

21 (34%)

 grade V

2 (25%)

3 (6%)

 

5 (8%)

sBP on arrival (mean)

98.3 ± 30.2

125.9 ± 26.7

0.01

122.7 ± 28.2

sBP on IR/Op room (mean)

106.4 ± 10.8

134.8 ± 3.9

0.02

131.5 ± 29.7

RR on arrival (meanl)

27.5 ± 4.4

25.2 ± 6.3

0.33

25.5 ± 6.1

GCS on arrival (median, IQR)

9.5 (6–15)

15 (14–15)

0.04

15 (13–15)

Base Excess on arrical (mean)

−7.8 ± 4.4

−2.6 ± 3.6

< 0.01

−3.1 ± 4.0

Fibrinogen on arrival (mean)

215.3 ± 105.1

106.9 ± 14.7

0.47

241.1 ± 106.3

ISS (mean)

37.5 ± 16.9

24.9 ± 12.3

0.01

26.6 ± 13.5

TRISS (median, IQR)

0.78 (0.21–0.97)

0.96 (0.86–0.99)

0.05

0.95 (0.85–0.98)

Time from Door to start OM/TAE

120.0 ± 109.4

76.1 ± 34.9

0.02

81.8 ± 51.7

Time for OM/TAE

146.5 ± 73.9

52.5 ± 5.2

< 0.01

65.0 ± 49.4

Hemodynamically unstablea

7 (88%)

15 (28%)

< 0.01

22 (35%)

In-hospital mortality

1 (13%)

3 (6%)

0.50

4 (6%)

Duration of ICU (median, IQR)

20.5 (10–35)

5 (3–9)

0.01

5.5 (3–12)

Length of stay (median, IQR)

62 (27–128)

23 (15–35)

0.03

26.5 (16–43)

Transfusion within first24h

 Units RBC (median, IQR)

11 (7–42)

0 (0–4.5)

< 0.01

0 (0–10)

 Units FFP (median, IQR)

24 (10.5–43)

0 (0–10.5)

< 0.01

0 (0–14)

 Units Plt (median, IQR)

0 (0–46)

0 (0–0)

0.10

0 (0–0)

Massive transfusionb

6 (75%)

12 (22%)

< 0.01

18 (29%)

Overall complication

4

30

0.45

34

Biloma

1 (13%)

12 (22%)

0.51

13 (21%)

Hepatic ischemia

0 (0%)

7 (13%)

0.15

7 (11%)

Psuedoaneurysm

0 (0%)

3 (6%)

0.36

3 (5%)

Gallbladder necrosis

1 (13%)

1 (2%)

0.19

2 (3%)

AP shunt

1 (13%)

5 (10%)

0.78

6 (10%

Rebleeding

0 (0%)

1 (2%)

0.60

1 (2%)

Clinical failure

1 (13%)

1 (2%)

0.19

2 (3%)

  1. aHemodynamically unstable: A shock index > 1, despite initial infusion therapy, was defined as hemodynamic instability
  2. bMassive transfusion: ≥ 10 units of red blood cells