{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:09:09Z","timestamp":1790791749355,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Traumatic inferior vena cava (IVC) injuries are uncommon, but the mortality rate remains high at 38\u201370%. To date, most studies on traumatic IVC injuries have evaluated blunt rather than penetrating injuries. We aimed to identify the clinical features and risk factors that affect the prognosis of patients with blunt IVC injuries to improve treatment strategies for these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed patients diagnosed with blunt IVC injury over 8 years at a single trauma center. Clinical and biochemical parameters; transfusion, surgical, and resuscitation methods; associated injuries; intensive care unit stay; and complications data were compared between survival and death groups to identify clinical features and risk factors of blunt IVC injury\u2010related mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight patients with blunt IVC injury were included during the study periods. Twenty\u2010five (89%) patients underwent surgical treatment, and the mortality was 54%. The mortality rate according to the IVC injury location was the lowest for supra\u2010hepatic IVC injury (25%, n\u2009=\u20092\/8), whereas it was the highest for retrohepatic IVC injury (80%, n\u2009=\u20094\/5). In the logistic regression analysis, Glasgow Coma Scale (GCS) (odds ratio [OR]\u2009=\u20090.566, 95% confidence interval [CI] [0.322\u20130.993], <jats:italic>p<\/jats:italic>\u2009=\u20090.047) and red blood cell (RBC) transfusion for 24 h (OR\u2009=\u20091.132, 95% CI [0.996\u20131.287], <jats:italic>p<\/jats:italic>\u2009=\u20090.058) were independent predictors for mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low GCS score and high\u2010volume packed RBC transfusion requirements for 24 h were significant predictors of mortality in patients with blunt IVC injuries. Unlike IVC injuries caused by penetrating trauma, supra\u2010hepatic IVC injuries caused by blunt trauma have a good prognosis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07110-5","type":"journal-article","created":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T22:01:26Z","timestamp":1688940086000},"page":"2347-2355","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Risk Factors and Management of Blunt Inferior Vena Cava Injury: A Retrospective Study"],"prefix":"10.1002","volume":"47","author":[{"given":"Donghwan","family":"Choi","sequence":"first","affiliation":[{"name":"Division of Trauma Surgery Department of Surgery Ajou University School of Medicine 164 World Cup\u2010ro, Yeongtong\u2010gu 16499 Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Hee","family":"Kang","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery Department of Surgery Ajou University School of Medicine 164 World Cup\u2010ro, Yeongtong\u2010gu 16499 Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoungwon","family":"Jung","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery Department of Surgery Ajou University School of Medicine 164 World Cup\u2010ro, Yeongtong\u2010gu 16499 Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang\u2010Hyun","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Ajou University School of Medicine Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonghwan","family":"Moon","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery Department of Surgery Ajou University School of Medicine 164 World Cup\u2010ro, Yeongtong\u2010gu 16499 Suwon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2021.05.012"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313480607200402"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198906000\u201000007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000520"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313489906500909"},{"key":"e_1_2_8_7_1","first-page":"178","article-title":"Predictors of survival after inferior vena cava injuries","volume":"63","author":"Ombrellaro MP","year":"1997","journal-title":"Am Surg"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(00)00519\u20105"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(96)00231\u20100"},{"key":"e_1_2_8_10_1","first-page":"1393","article-title":"Intraabdominal vascular injury: are we getting any better?","volume":"69","author":"Paul JS","year":"2010","journal-title":"J Trauma"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106109(01)80016\u20105"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.15.15870"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.02.032"},{"key":"e_1_2_8_14_1","first-page":"622","article-title":"Mortality and morbidity of abdominal inferior vena\u2010caval injuries","volume":"14","author":"Jan WA","year":"2004","journal-title":"J Coll Phys Surg Pak"},{"key":"e_1_2_8_15_1","first-page":"9","article-title":"Injuries of the inferior vena cava","volume":"52","author":"Stewart MT","year":"1986","journal-title":"Am Surg"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.016"},{"key":"e_1_2_8_17_1","first-page":"138","article-title":"Factors related to mortality in inferior vena cava injuries. 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