Timely angiography and embolization is effective emergency treatment for severe post-traumatic pelvic fractures.

Bingze DuanMu, Xuyang Du, Jiaan Sun, Tengjing Dong, Hongya Guan, Yanan Wu, Hongkai Lian

Abstract read

In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

CT-derived adrenal-to-spleen ratio as a predictor of massive transfusion and mortality in emergency transcatheter arterial embolization of active bleeding.Emergency radiology · 2026
Article
Analysis of the effect of arterial embolization combined with external fixation in the treatment of unstable pelvic fracture with hemorrhagic shock.Scientific reports · 2025
Article
Impact of Computed Tomography-to-Angiography Interval Time on Outcomes of Transarterial Embolization in Post-Traumatic Bleeding: A Retrospective Observational Study.Journal of personalized medicine · 2025
Article
In the shadow of stability lies ruin: Occult vascular injuries in geriatric pelvic trauma.World journal of clinical cases · 2025
Article

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5 · Who and what money

Authors and funding

7 authors.

Bingze DuanMu *Institute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China.

Xuyang Du *Institute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China.

Jiaan Sun *Research of Trauma Center, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China.

Tengjing DongInstitute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China.

Hongya GuanInstitute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China.

Yanan WuInstitute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China. yanan_wu@zzu.edu.cn.

Hongkai LianInstitute of Trauma and Metabolism, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, 450007, China. lhklzdavid716@zzu.edu.cn.

Funding

the Key Research and Development Program of Henan Province 231111311500

6 · The paper itself

Abstract

Hemorrhage is a leading cause of death in patients with severe pelvic fractures, and angiography and embolization (AE) is a crucial intervention for controlling arterial bleeding associated with these injuries. However, there is a paucity of data regarding the impact of the time from injury to AE treatment (TIAE) on patient outcomes. This study investigates TIAE on outcomes in 161 patients with severe pelvic fractures, retrospectively analyzed from January 2019 to November 2024. Nonsurvivors exhibited a longer TIAE (19.9 ± 20.0 h) and higher Injury Severity Scores (ISSs) (39.4 ± 12.2) compared to survivors (11.1 ± 14.9 h and 28.4 ± 9.0, respectively). Age was not identified as a significant predictor of mortality (p = 0.795). Multivariate logistic regression confirmed ISS as an independent risk factor for mortality, while linear regression demonstrated a positive correlation between TIAE and both hospital and ICU stays, as well as transfusion volume. A significant reduction in the shock index was observed post-AE, particularly among patients receiving early AE, who also experienced lower mortality rates. This research underscores the importance of minimizing TIAE to enhance survival and improve clinical outcomes, highlighting the necessity for prompt AE in the emergency management of severe pelvic fractures.

Indexed as

AngiographyEmbolization, TherapeuticFractures, BoneHemorrhagePelvic BonesAdultAgedFemaleHumansInjury Severity ScoreMaleMiddle AgedRetrospective StudiesTreatment OutcomeAngiography and embolizationClinical outcomesEmergency carePelvic fracturesShock index

Identifiers

PMID40216837

DOI10.1038/s41598-025-88322-8

PMCPMC11992048

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.