Prediction of arterial extravasation in pelvic fracture patients with stable hemodynamics using coagulation biomarkers.

ABSTRACT: Background:Determining the presence of an active arterial hemorrhage in the acute phase is important as a treatment strategy in patients with pelvic fracture. The purpose of this study was to evaluate whether coagulation biomarkers could predict arterial extravasation, especially in pelvic fracture patients with stable hemodynamics. Methods:We studied patients with a pelvic fracture who had a systolic blood pressure above 90 mmHg and lactate level less than 5.0 mmol/L on hospital arrival. Patients were divided into two groups: those with arterial extravasation on enhanced computed tomography (CT) or angiography (extravasation [+] group) and those without arterial extravasation (extravasation [-] group). Coagulation biomarkers measured on arrival were statistically compared between the two

SUBMITTER: Aoki M 

PROVIDER: S-EPMC6425576 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature