Angioembolization within 60 minutes for exsanguinating trauma patients: A meaningful metric with a definition gap

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-04-08 DOI:10.1016/j.amjsurg.2025.116338

Zihan Gao , Nam Yong Cho , Aricia Shen , Nicholas Siena , Troy N. Coaston , Amulya Vadlakonda , Peyman Benharash , Galinos Barmparas , the Academic Trauma Research Consortium (ATRIUM)

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引用次数: 0

Abstract

Background

Standards on the time from the decision to deploy interventional radiology (IR) to its initiation was recently changed from 30 to 60 min, though supporting evidence remains unclear. We aimed to identify the association of IR timing standard compliance with outcomes among trauma patients.

Methods

This study examined adult trauma patients (≥16 years) requiring angioembolization, stratified by IR initiation within 60 min of emergency department discharge (IR60) and beyond. Multivariable regressions were used to evaluate associations of IR timing with clinical and financial outcomes. Variation attributable to hospital-level factors was also determined using multi-level models.

Results

The study included 2793 patients, of which 38.3 % were IR60. All risk-adjusted outcomes were similar between the two cohorts. Additionally, notable variation in the proportion of IR60 was attributable to hospital-level factors.

Conclusion

Similar clinical outcomes between IR60 and non-IR60 question the validity of the current timing requirement for angioembolization in trauma patients.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.