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Table 2 Comparison between unstable and stable patients who underwent transcatheter arterial embolization

From: Transcatheter arterial embolization for severe blunt liver injury in hemodynamically unstable patients: a 15-year retrospective study

 

Stable (n = 39)

Unstablea (n = 15)

P value

Mean age (IQR)

35 (20–56)

24 (17–32)

0.08

Sex, (M/F)

30/9

12/3

0.81

Mechanism, n(%)

  

0.34

 trafic accident

34 (87%)

12 (80%)

 

 fall

4 (10%)

1 (7%)

 

 compression

1 (3%)

2 (13%)

 

AAST grade of liber injury, n(%)

 

0.05

 gradeIII

27 (69%)

6 (40%)

 

 grade IV

11 (28%)

7 (47%)

 

 grade V

1 (3%)

2 (13%)

 

sBP on arrival (mean)

133.0 ± 3.9

107.3 ± 6.3

< 0.01

sBP on IR/Op room (mean)

143.6 ± 4.0

111.9 ± 6.4

< 0.01

RR on arrival (meanl)

24.8 ± 1.0

26.4 ± 1.6

0.4

GCS on arrival (median, IQR)

15 (14–15)

14 (9–15)

0.11

Base Excess on arrical (mean)

−1.6 ± 0.5

−4.9 ± 0.9

< 0.01

Fibrinogen on arrival (mean)

257.9 ± 16.9

209.1 ± 28.3

0.14

ISS (mean)

21.5 ± 1.8

33.9 ± 2.8

< 0.01

TRISS (median, IQR)

0.98 (0.9–0.99)

0.91 (0.78–0.98)

0.02

Time from Door to start TAE

44.1 ± 4.7

53.3 ± 7.8

0.32

Time for TAE

53.8 ± 4.7

48.7 ± 8.2

0.6

In-hospital mortality

2 (5%)

1 (7%)

0.83

Duration of ICU (median, IQR)

4 (3–7)

8 (5–21)

< 0.01

Length of stay (median, IQR)

21 (14–31)

42 (31–67)

< 0.01

Transfusion within first24h

 Units RBC (median, IQR)

0 (0–0)

10 (0–12)

< 0.01

 Units FFP (median, IQR)

0 (0–6)

12 (2–21)

< 0.01

 Units Plt (median, IQR)

0 (0–0)

0 (0–20)

0.19

Massive transfusionb

4 (10%)

8 (53%)

< 0.01

Overall complication

21

8

0.83

Biloma

7 (18%)

5 (33%)

0.24

Hepatic ischemia

7 (18%)

0 (0%)

0.03

Psuedoaneurysm

2 (5%)

1 (7%)

0.83

Gallbladder necrosis

0 (0%)

1 (7%)

0.11

AP shunt

5 (13%)

0 (0%)

0.06

Rebleeding

0 (0%)

1 (7%)

0.11

Clinical failure

0 (0%)

1 (7%)

0.11

  1. aUnstable: A shock index > 1, despite initial infusion therapy, was defined as hemodynamic instability
  2. bMassive transfusion: ≥ 10 units of red blood cells