Acute and Critical Care

Original Article

Trauma
Traumatic Liver Injury: Factors Associated with Mortality: Youn Suk Chai, Jae Kwang Lee, Seok Jin Heo, Yeong Ki Lee, Yong Woo Lee, Young Hwa Jo, Seong Soo Park, Hyun Jin Kim, In Gu Kang; Korean J Crit Care Med. 2014;29(4):320-327. Published online November 30, 2014; DOI: https://doi.org/10.4266/kjccm.2014.29.4.320

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Abstract PDF: BACKGROUND
We postulate that a delay in the implementation of hepatic arterial embolization for traumatic liver injury patients will negatively affect patient prognosis. Our work also seeks to identify factors related to the mortality rate among traumatic liver injury patients.
METHODS
From January 2008 to April 2014, patients who had been admitted to the emergency room, were subsequently diagnosed with traumatic liver injury, and later underwent hepatic arterial embolization were included in this retrospective study.
RESULTS
Of the 149 patients that underwent hepatic arterial embolization, 86 had the procedure due to traumatic liver injury. Excluding the 3 patients that were admitted to the hospital before procedure, the remaining 83 patients were used as subjects for the study. The average time between emergency room arrival and incidence of procedure was 164 min for the survival group and 132 min for the non-survival group; this was not statistically significant (p = 0.170). The average time to intervention was 182 min for the hemodynamically stable group, and 149 min for the hemodynamically unstable group, the latter having a significantly shorter wait time (p = 0.047). Of the factors related to the mortality rate, the odds ratio of the Glasgow Coma Score (GCS) was 18.48 (p < 0.001), and that of albumin level was 0.368 (p = 0.006).
CONCLUSIONS
In analyzing the correlation between mortality rate and the time from patient admission to arrival for hepatic arterial embolization, there was no statistical significance observed. Of the factors related to the mortality rate, GCS and albumin level may be used as prognostic factors in traumatic liver injury.

Case Report

Emergency/Liver
Liver Laceration with Hemoperitoneum after Cardiopulmonary Resuscitation: Jin Wi, Dongho Shin; Korean J Crit Care Med. 2014;29(2):141-143. Published online May 31, 2014; DOI: https://doi.org/10.4266/kjccm.2014.29.2.141

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3 Crossref

It is well known that external chest compression during cardiopulmonary resuscitation is frequently associated with various complications. These complications predominantly involve trauma to the heart, lungs, and chest wall, whereas cases involving intra-abdominal injury are much less frequent. The present report describes a rare case of a female patient with severe hemoperitoneum associated with liver injury after cardiopulmonary resuscitation. Although emergent angiography and embolization of the hepatic artery were performed and transfusion of various kinds of blood products was done continuously, the patient expired the next day.

Citations

Citations to this article as recorded by

Major liver trauma post-mechanical cardiopulmonary resuscitation—the first reported case of survival with normal cardiovascular and neurological outcome
P Sharma, C Hernandez-Caballero
Oxford Medical Case Reports.2020;[Epub] CrossRef
Subcapsular Hepatic Hematoma after Cardiopulmonary Resuscitation
Song-I Lee
Kosin Medical Journal.2020; 35(2): 156. CrossRef
ICD lead extraction: Not a benign procedure. External chest compression: Not a benign manoeuvre
Federico Sertic, Paolo Bosco, Antonella Ferrara, Patrick Heck, Yasir Abu-Omar
JRSM Cardiovascular Disease.2017; 6: 204800401773104. CrossRef

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