Ilio-psoas hematoma in the intensive care unit: a multicentric study

Annals of Intensive Care
J F LlitjosJean-Paul Mira

Abstract

Clinical features and outcomes of patients with spontaneous ilio-psoas hematoma (IPH) in intensive care units (ICUs) are poorly documented. The objectives of this study were to determine epidemiological, clinical, biological and management characteristics of ICU patients with IPH. We conducted a retrospective multicentric study in three French ICUs from January 2006 to December 2014. We included IPH diagnosed both at admission and during ICU stay. Surgery and embolization were available 24 h a day for each center, and therapeutic decisions were undertaken after pluridisciplinary discussion. All IPHs were diagnosed using CT scan. During this period, we identified 3.01 cases/1000 admissions. The mortality rate of the 77 included patients was 30 %. In multivariate analysis, we observed that mortality was independently associated with SAPS II (OR 1.1, 95 % CI [1.013-1.195], p = 0.02) and with the presence of hemorrhagic shock (OR 67.1, 95 % CI [2.6-1691], p = 0.01). We found IPH was related to anticoagulation therapy in 56 cases (72 %), with guideline-concordant reversal performed in 33 % of patients. We did not found any association between anticoagulant therapy type and outcome. We found IPH is an infrequent disease, with a high ...Continue Reading

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Citations

Oct 18, 2018·Cardiovascular and Interventional Radiology·Lahoud ToumaAnthony Dohan
Mar 21, 2017·Case Reports in Hematology·Nobuhiro AkuzawaMasahiko Kurabayashi
Jan 26, 2021·Annals of Medicine·Alessandra VergoriUNKNOWN ReCOVeRI Study Group
Apr 9, 2021·International Journal of Emergency Medicine·Lotfolah AbediniMohammad Javad Yavari Barhaghtalab
Apr 3, 2018·The American Journal of Emergency Medicine·Vincenzo G MendittoArmando Gabrielli
Jun 29, 2021·Academic Radiology·Josua A DeckerChristian Scheurig-Münkler

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