TY - JOUR PY - 2022// TI - Relationship between in-hospital mortality and abdominal angiography among patients with blunt liver injuries: a propensity score-matching from a nationwide trauma registry of Japan JO - Acute medicine and surgery A1 - Ishida, Kenichiro A1 - Katayama, Yusuke A1 - Kitamura, Tetsuhisa A1 - Hirose, Tomoya A1 - Ojima, Masahiro A1 - Nakao, Shunichiro A1 - Tachino, Jotaro A1 - Umemura, Yutaka A1 - Kiguchi, Takeyuki A1 - Matsuyama, Tasuku A1 - Noda, Tomohiro A1 - Kiyohara, Kosuke A1 - Shimazu, Takeshi A1 - Ohnishi, Mitsuo SP - e725 EP - e725 VL - 9 IS - 1 N2 - AIM: To assess relationships between abdominal angiography and outcomes in adults with blunt liver injuries.

METHODS: A retrospective observational study carried out from January 2004 to December 2018. Adult blunt-trauma patients with AAST grade Ⅲ-Ⅴ were analyzed with in-hospital mortality as the primary outcome using propensity-score-(PS) matching to seek associations with abdominal angiography findings.

RESULTS: A total of 1,821 patients were included, of which 854 had available abdominal angiography data (AA+) and 967 did not (AA-). From these, 562 patients were selected from each group by propensity score matching. In-hospital mortality was found to be lower in the AA+ than in the AA- group (15.1% [87/562] versus 25.4% [143/562]; odds ratio 0.544, 95% confidence interval 0.398-0.739).

CONCLUSION: Abdominal angiography is shown to be of benefit for adult patients with blunt liver injury in terms of their lower in-hospital mortality.

Language: en

LA - en SN - 2052-8817 UR - http://dx.doi.org/10.1002/ams2.725 ID - ref1 ER -