Survival benefits of interventional radiology and surgical teams collaboration during primary trauma surveys: a single-centre retrospective cohort study

A team approach is essential for effective trauma management. Close collaboration between interventional radiologists and surgeons during the initial management of trauma patients is important for prompt and accurate trauma care. This study aimed to determine whether trauma patients benefit from clo...

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Published in:BMC emergency medicine 2024-04, Vol.24 (1), p.65-65, Article 65
Main Authors: Okada, Ichiro, Hifumi, Toru, Yoneyama, Hisashi, Inoue, Kazushige, Seki, Satoshi, Jimbo, Ippei, Takada, Hiroaki, Nagasawa, Koichi, Kohara, Saiko, Hishikawa, Tsuyoshi, Shiojima, Hiroki, Hasegawa, Eiju, Morimoto, Kohei, Ichinose, Yoshiaki, Sato, Fumie, Kiriu, Nobuaki, Matsumoto, Junichi, Yokobori, Shoji
Format: Article
Language:English
Subjects:
Adult
Aged
Cohort analysis
Collaboration
Comparative analysis
Damage control interventional radiology
Damage control surgery
Embolization
Embolization, Therapeutic - methods
Female
Hospitals
Humans
Injuries
Injury Severity Score
Intensive care
Male
Medical imaging
Medical research
Medicine, Experimental
Middle Aged
Observational studies
Patients
Radiology
Radiology, Interventional
Radiology, Medical
Retrospective Studies
Surgeons
Surgery
Surveys
Survival
Teams
Time process
Transcatheter arterial embolization
Trauma
Treatment selection
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container_end_page 65
container_issue 1
container_start_page 65
container_title BMC emergency medicine
container_volume 24
creator Okada, Ichiro
Hifumi, Toru
Yoneyama, Hisashi
Inoue, Kazushige
Seki, Satoshi
Jimbo, Ippei
Takada, Hiroaki
Nagasawa, Koichi
Kohara, Saiko
Hishikawa, Tsuyoshi
Shiojima, Hiroki
Hasegawa, Eiju
Morimoto, Kohei
Ichinose, Yoshiaki
Sato, Fumie
Kiriu, Nobuaki
Matsumoto, Junichi
Yokobori, Shoji
description A team approach is essential for effective trauma management. Close collaboration between interventional radiologists and surgeons during the initial management of trauma patients is important for prompt and accurate trauma care. This study aimed to determine whether trauma patients benefit from close collaboration between interventional radiology (IR) and surgical teams during the primary trauma survey. A retrospective observational study was conducted between 2014 and 2021 at a single institution. Patients were assigned to an embolization group (EG), a surgery group (SG), or a combination group (CG) according to their treatment. The primary and secondary outcomes were survival at hospital discharge compared with the probability of survival (Ps) and the time course of treatment. The analysis included 197 patients, consisting of 135 men and 62 women, with a median age of 56 [IQR, 38-72] years and an injury severity score of 20 [10-29]. The EG, SG, and CG included 114, 48, and 35 patients, respectively. Differences in organ injury patterns were observed between the three groups. In-hospital survival rates in all three groups were higher than the Ps. In particular, the survival rate in the CG was 15.5% higher than the Ps (95% CI: 7.5-23.6%; p 
doi_str_mv 10.1186/s12873-024-00977-0
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Close collaboration between interventional radiologists and surgeons during the initial management of trauma patients is important for prompt and accurate trauma care. This study aimed to determine whether trauma patients benefit from close collaboration between interventional radiology (IR) and surgical teams during the primary trauma survey. A retrospective observational study was conducted between 2014 and 2021 at a single institution. Patients were assigned to an embolization group (EG), a surgery group (SG), or a combination group (CG) according to their treatment. The primary and secondary outcomes were survival at hospital discharge compared with the probability of survival (Ps) and the time course of treatment. The analysis included 197 patients, consisting of 135 men and 62 women, with a median age of 56 [IQR, 38-72] years and an injury severity score of 20 [10-29]. The EG, SG, and CG included 114, 48, and 35 patients, respectively. Differences in organ injury patterns were observed between the three groups. In-hospital survival rates in all three groups were higher than the Ps. In particular, the survival rate in the CG was 15.5% higher than the Ps (95% CI: 7.5-23.6%; p &lt; 0.001). In the CG, the median time for starting the initial procedure was 53 [37-79] min and the procedure times for IR and surgery were 48 [29-72] min and 63 [35-94] min, respectively. Those times were significantly shorter among three groups. 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Differences in organ injury patterns were observed between the three groups. In-hospital survival rates in all three groups were higher than the Ps. In particular, the survival rate in the CG was 15.5% higher than the Ps (95% CI: 7.5-23.6%; p &lt; 0.001). In the CG, the median time for starting the initial procedure was 53 [37-79] min and the procedure times for IR and surgery were 48 [29-72] min and 63 [35-94] min, respectively. Those times were significantly shorter among three groups. Close collaboration between IR and surgical teams, including the primary survey, improves the survival of severe trauma patients who require both IR procedures and surgeries by improving appropriate treatment selection and reducing the time process.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38627690</pmid><doi>10.1186/s12873-024-00977-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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ispartof BMC emergency medicine, 2024-04, Vol.24 (1), p.65-65, Article 65
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subjects Adult
Aged
Cohort analysis
Collaboration
Comparative analysis
Damage control interventional radiology
Damage control surgery
Embolization
Embolization, Therapeutic - methods
Female
Hospitals
Humans
Injuries
Injury Severity Score
Intensive care
Male
Medical imaging
Medical research
Medicine, Experimental
Middle Aged
Observational studies
Patients
Radiology
Radiology, Interventional
Radiology, Medical
Retrospective Studies
Surgeons
Surgery
Surveys
Survival
Teams
Time process
Transcatheter arterial embolization
Trauma
Treatment selection
title Survival benefits of interventional radiology and surgical teams collaboration during primary trauma surveys: a single-centre retrospective cohort study
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