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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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  • 114 Download
AbstractAbstract 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.
Effect of Admission Time to the Medical Intensive Care Unit on Acute Critical Patient Outcomes
Taejin Park, Sang Bum Hong, Chae Man Lim, Younsuck Koh
Korean J Crit Care Med. 2010;25(2):71-75.
DOI: https://doi.org/10.4266/kjccm.2010.25.2.71
  • 2,584 View
  • 23 Download
  • 3 Crossref
AbstractAbstract PDF
BACKGROUND
The initial management of acute critical patients is important. However, not all hospital facilities and staff are available during off-duty time. We determined the effects of intensive care unit (ICU) admission time on patient outcomes.
METHODS
This retrospective cohort study was conducted in a 28-bed medical ICU in 1 tertiary university hospital. Patients who were admitted between 1 March 2009 and 31 August 2009 were divided according to the time of admission into the "duty time group" (9 AM-5 PM on weekdays) and the "off-duty time group" (5 PM-9 AM on weekdays and at any time on weekends). The baseline characteristics and clinical outcomes were compared between these two groups. The primary endpoint of this study was hospital mortality; the secondary endpoints were ICU mortality and length of ICU stay, hospital length of stay, and mechanical ventilation time.
RESULTS
Two hundred eight (64.8%) of 321 enrolled patients were admitted during off-duty time. The baseline characteristics between the 2 groups were not significantly different. Hospital mortality was 37 (32.7%) in the "duty time group" and 82 (38.4%) in the "off-duty time group" (p = 0.237). There were no significant differences in secondary endpoints between the two groups.
CONCLUSIONS
Off-duty time admission to the ICU had no effect on hospital and ICU mortality, length of hospital and ICU stay, and mechanical ventilation time compared to duty time admission.

Citations

Citations to this article as recorded by  
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    Mi-Kyeong Jeon, Jung-Won Ahn, Yeon-Hwan Park, Mi-Kyoung Lee
    Journal of Korean Critical Care Nursing.2019; 12(2): 1.     CrossRef
  • Analysis of Risk Factors to Predict Intensive Care Unit Transfer in Medical in-Patients
    Ju Ry Lee, Hye Ran Choi
    Journal of Korean Biological Nursing Science.2014; 16(4): 259.     CrossRef
  • Usefulness of Screening Criteria System Used by Medical Alert Team in a General Hospital
    Hyejin Joo, So Hee Park, Sang-Bum Hong, Chae-Man Lim, Younsuck Koh, Young Seok Lee, Jin Won Huh
    Korean Journal of Critical Care Medicine.2012; 27(3): 151.     CrossRef

ACC : Acute and Critical Care