Abdominal angiography is associated with reduced in-hospital mortality among pediatric patients with blunt splenic and hepatic injury: A propensity-score-matching study from the national trauma registry in Japan
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Aug 2020 · 1 min read
In brief
In brief
Retrospective study of 639 pediatric blunt trauma patients in Japan found that abdominal angiography was associated with significantly lower in-hospital mortality (4.9% vs 11.2%) in splenic or hepatic injuries after propensity-score matching. Results support early angiographic intervention in pediatric solid organ trauma management.
Written by the GCMD Library team from the article.
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