Katelyn Gill, Hector Ferral, Alexandra H Fairchild, Bahri Üstünsöz, Dan F Laney Iv, John Hunt, Jonathan E Schoen, Alan Marr, Patrick Greiffenstein, Lance Stuke, Alison A Smith
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引用次数: 0
Abstract
Purpose: This study aimed to compare the effect of establishing an inferior vena cava filter (IVCF) retrieval program (IVCFRP) on the IVCF retrieval rates in trauma and non-trauma patients.
Methods: This was an institutional review board-approved retrospective study. IVCF retrieval in trauma and non-trauma patients was compared before and after the establishment of an IVCFRP in a single Level I Trauma Center. The IVCFRP at our institution was established in April 2020. All patients who underwent IVCF placement between January 2016 and March 2020 were compared with patients who had an IVCF placed between April 2020 and June 2024. A medical record review included the collection of demographic information, indication for IVCF insertion and retrieval, date of IVCF insertion and retrieval, IVCF retrieval rate, clinical outcomes, and complications. The patients were stratified into trauma and non-trauma groups. Univariate analyses were performed with a P value of <0.05 considered statistically significant.
Results: A total of 164 patients underwent IVCF placement between January 2016 and June 2024. Fifty-two IVCFs were implanted before and 112 after the establishment of the IVCFRP. The overall rate of IVCF retrieval was significantly higher following the establishment of an IVCFRP (33.3% vs. 51%, P = 0.047). In non-trauma patients, the retrieval rate was significantly higher after the establishment of an IVCFRP (37.5% vs. 61.3%, P = 0.03). The retrieval rate in trauma patients (22.2% vs. 21.4%) was not significantly changed by the establishment of an IVCFRP. Clinical outcomes and complications were similar between groups.
Conclusion: IVCF retrieval rates significantly improved after the establishment of an IVCFRP. This increase in IVCF retrieval rate was driven by an increase in filter retrievals in the non-trauma patient population. The rate of IVCF retrieval in trauma patients was not affected by the implementation of an IVCFRP. Special considerations and changes in practice may need to be established to improve IVCF retrieval rates in trauma patients.
Clinical significance: Implementation of a structured IVCFRP significantly improved retrieval rates in non-trauma patients but did not yield similar results in trauma patients, highlighting the need for alternative strategies in this population.
目的:本研究旨在比较建立下腔静脉过滤器(IVCF)检索程序(IVCFRP)对创伤和非创伤患者IVCF检索率的影响。方法:这是一项机构审查委员会批准的回顾性研究。比较单一一级创伤中心建立IVCFRP前后创伤患者和非创伤患者的IVCF回收情况。我院IVCFRP于2020年4月成立。将2016年1月至2020年3月期间所有接受IVCF放置的患者与2020年4月至2024年6月期间接受IVCF放置的患者进行比较。医疗记录回顾包括收集的人口统计信息、IVCF插入和取出的指征、IVCF插入和取出的日期、IVCF取出率、临床结果和并发症。将患者分为创伤组和非创伤组。进行单因素分析,P值为结果:2016年1月至2024年6月期间,共有164例患者接受了IVCF植入。在IVCFRP建立前植入52例,在IVCFRP建立后植入112例。建立IVCFRP后,IVCF的总检索率显著提高(33.3% vs. 51%, P = 0.047)。在非创伤患者中,IVCFRP建立后的检索率明显更高(37.5% vs. 61.3%, P = 0.03)。创伤患者的检索率(22.2% vs. 21.4%)未因建立IVCFRP而发生显著变化。两组临床结局及并发症相似。结论:IVCF建立后,IVCF检索率明显提高。IVCF取出率的增加是由非创伤患者中过滤器取出率的增加所驱动的。创伤患者IVCF恢复率不受IVCFRP实施的影响。可能需要在实践中做出特殊的考虑和改变,以提高创伤患者IVCF的恢复率。临床意义:结构化IVCFRP的实施显著提高了非创伤患者的检索率,但在创伤患者中没有产生类似的结果,强调了在这一人群中需要替代策略。
期刊介绍:
Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English.
The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.