{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:03:30Z","timestamp":1789016610833,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Trauma to the pelvic ring and associated haemorrhage represent a management challenge for the multidisciplinary trauma team. In up to 10% of patients, bleeding can be the result of an arterial injury and mortality is reported as high as\u00a089% in this cohort. We aimed to assess the mortality rate after pelvic trauma embolisation and whether earlier embolisation improved mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study at single tertiary trauma and referral centre, between 1 January 2009 and 30 June 2022. All adult patients who received embolisation following pelvic trauma were included. Patients were excluded if angiography was performed but no embolisation performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the 13.5\u2010year time period, 175 patients underwent angiography and 28 were excluded, leaving 147 patients in the study. The all\u2010cause mortality rate at 30\u2010days was 11.6% (17 patients). The median time from injury to embolisation was 6.3\u2009h (range 2.8\u2013418.4). On regression analysis, time from injury to embolisation was not associated with mortality (OR 1.01, 95% CI 0.952\u20131.061). Increasing age (OR 1.20, 95% CI 1.084\u20131.333) and increasing injury severity score (OR 1.14, 95% CI 1.049\u20131.247) were positively associated with all\u2010cause 30\u2010day mortality, while non\u2010selective embolisation (OR 0.11, 95% CI 0.013\u20130.893) was negatively associated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The all\u2010cause mortality rate at 30\u2010days in or cohort was very low. In addition, earlier time from injury to embolisation was not positively associated with all\u2010cause 30\u2010day mortality. Nevertheless, minimising this remains a fundamental principle of the management of bleeding in pelvic trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.13623","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T07:38:06Z","timestamp":1706686686000},"page":"185-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A retrospective observational study assessing mortality after pelvic trauma embolisation"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1859-5850","authenticated-orcid":false,"given":"Warren","family":"Clements","sequence":"first","affiliation":[{"name":"Department of Radiology Alfred Health  Melbourne Victoria Australia"},{"name":"Department of Surgery Monash University  Melbourne Victoria Australia"},{"name":"National Trauma Research Institute, Central Clinical School Monash University  Melbourne Victoria 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