J Korean Soc Traumatol.  2009 Dec;22(2):248-253.

Clinical Profiles of Patients who Undergone Emergency Angiographic Embolization at Emergency Department

• Sun JH
• Kim JK
• Lim YS
• Kim JJ
• Jo JS
• Hyun SY
• Jeong HS
• Yang HJ
• Lee G
• Kim JH

Abstract

PURPOSE
Hemodynamically unstable pelvic fractures represent therapeutic challenges for the trauma team. The authors of this article have studied the clinical profiles of the angiographic intervention population at the emergency department during four years (2005~2009) to develop clinical guidelines for preventing deaths due to multiple trauma and for predicting the prognosis during initial evaluation.
METHODS
We performed a retrospective review of 34 patients who had undergone angiographic interventions at the emergency department and compared the differences in clinical variables between survivors and non-survivors.
RESULTS
Representative values were compared between survivors and non-survivors : RTS (revised trauma score) 7.006 (6.376~7.841) vs. 6.128 (4.298~6.494), PRC (packed red cell) units 5.5 (2.0~11.0) vs. 15 (8.0~18.5), and lactate (mmol/L) 3.0 (1.0~7.0) vs. 8.5 (3.5~10.5). RTS (p<0.01) and PRC units before angiographic interventions (p=0.01) and lactate (p=0.02) had correlations to the final outcomes.
CONCLUSION
The availability of an angiographic suite and persistent hypotension after adequate fluid resuscitation for pelvic trauma are good indications of angiographic intervention for pelvic hemorrhage.

Keyword

Angiographic embolization; Pelvic bone fracture; Trauma

MeSH Terms

Emergencies
Hemorrhage
Humans
Hypotension
Lactic Acid
Multiple Trauma
Prognosis
Resuscitation
Retrospective Studies
Survivors
Lactic Acid