Comparative outcomes of transcatheter arterial embolization versus open surgery for blunt abdominal solid organ injury with concurrent traumatic brain injury.

ABSTRACT: This retrospective observational study compared the outcomes of transcatheter arterial embolization (TAE) versus open surgery in patients with blunt abdominal solid organ injury (liver, spleen, or kidney; abdominal Abbreviated Injury Scale [AIS] ≥ 3) with traumatic brain injury (TBI) (head AIS ≥ 3), using data from the Japan Trauma Data Bank (2004-2019). Patient characteristics were adjusted using propensity score matching. The primary endpoint was in-hospital mortality; secondary endpoints included 48-h mortality, transfusion requirements, and complications. After matching, 135 patients per group were analyzed. In-hospital mortality was significantly lower in the TAE group (25/135 [18.5%] vs. 42/135 [31.1%], adjusted odds ratio [AOR] 0.247, 95% confidence interval 0.101-0.605, p = 0.002).

SUBMITTER: Suzuki T 

PROVIDER: S-EPMC12749015 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature