Comparative outcomes of transcatheter arterial embolization versus open surgery for blunt abdominal solid organ injury with concurrent traumatic brain injury.

Tensei Suzuki, Mitsuaki Kojima, Atsushi Shiraishi, Koji Morishita

Abstract readComparative StudyObservational Study

In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Tensei SuzukiTrauma and Acute Critical Care Center, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.

Mitsuaki KojimaTrauma and Acute Critical Care Center, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan. kojiaccm@tmd.ac.jp.

Atsushi ShiraishiEmergency and Trauma Center, Kameda Medical Center, Chiba, Japan.

Koji MorishitaTrauma and Acute Critical Care Center, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective observational study compared the outcomes of transcatheter arterial embolization (TAE) versus open surgery in patients with blunt abdominal solid organ injury (liver, spleen, or kidney; abdominal Abbreviated Injury Scale [AIS] ≥ 3) with traumatic brain injury (TBI) (head AIS ≥ 3), using data from the Japan Trauma Data Bank (2004-2019). Patient characteristics were adjusted using propensity score matching. The primary endpoint was in-hospital mortality; secondary endpoints included 48-h mortality, transfusion requirements, and complications. After matching, 135 patients per group were analyzed. In-hospital mortality was significantly lower in the TAE group (25/135 [18.5%] vs. 42/135 [31.1%], adjusted odds ratio [AOR] 0.247, 95% confidence interval 0.101-0.605, p = 0.002). TAE also showed lower 48-h mortality (10/135 [7.4%] vs. 22/135 [16.3%], AOR 0.306, p = 0.008) and transfusion rates. Complication rates were similar. Subgroup analysis showed that TAE was associated with lower mortality in non-shock (AOR 0.392, p = 0.032), elderly (AOR 0.293, p = 0.044), and focal TBI patients (AOR 0.301, p = 0.004) but not in patients with diffuse TBI. TAE may be a feasible treatment option for selected patients with blunt abdominal solid organ injury complicated by TBI, particularly in hemodynamically stable, elderly, and focal TBI patients. These findings require prospective validation.

Indexed as

Abdominal InjuriesBrain Injuries, TraumaticEmbolization, TherapeuticWounds, NonpenetratingAdultAgedFemaleHospital MortalityHumansMaleMiddle AgedRetrospective StudiesSpleenTreatment OutcomeAbbreviated injury scaleAbdominal injuriesHospital mortalityPropensity score matchingTranscatheter arterial embolizationTraumatic brain injuries

Identifiers

PMID41461808

DOI10.1111/j.1582-4934.2010.01164.x

PMCPMC12749015

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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.