OBJECTIVES/HYPOTHESIS: Arterial ligation and embolization are treatment modalities indicated in severe and @entity1415 . The purpose of this study was to examine temporal trends and compare outcomes in treatment of hospitalized @entity1415 @entity1 with ligation or embolization. METHODS: This retrospective cohort analysis utilized the 2008 to 2013 National Inpatient Sample to identify @entity1 admitted with a primary diagnosis of @entity1415 , and an associated procedure code for ligation or embolization. RESULTS: A total of 1,813 cases met the inclusion criteria, with 57.1% undergoing ligation. During the study period, treatment with ligation has trended downward, whereas treatment with embolization has remained constant. Overall, ligated @entity1 were older (64.1 vs. 62.4 years; P = 0.027) and had higher rates of @entity712 (15.1% vs. 9.8%; P = 0.001). No significant differences in rates of chronic @entity358 , @entity1003 , @entity409 , or @entity1884 were observed between cohorts. No differences were observed in rates of blood transfusion, @entity64 , @entity1939 , or in-hospital mortality; however, ligated @entity1 had lower rates of intubation/tracheostomy (2.8% vs. 5.3%; P = 0.009). Ligated @entity1 also experienced shorter hospital stays (3.6 vs. 4.0 days; P = 0.014) and incurred lower hospital charges ( 33,029 vs.  69,304; P < 0.001). CONCLUSION: Compared to embolization, ligation is associated with significantly decreased hospital charges and shorter hospital stay, without an increase in complication rates. Counterintuitively, ligation appears to be trending downward nationally in its use relative to embolization. LEVEL OF EVIDENCE: 2C. Laryngoscope, 2016.

Arterial ligation versus embolization in XXXX management: Counterintuitive national trends.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity1415 :: ('MESH:D004844', 'Disease') :: ['epistaxis', 'refractory epistaxis'] @entity409 :: ('MESH:D008107', 'Disease') :: ['liver disease'] @entity1003 :: ('MESH:D001778', 'Disease') :: ['coagulopathy'] @entity1884 :: ('MESH:D013683', 'Disease') :: ['hereditary hemorrhagic telangiectasia'] @entity1939 :: ('MESH:D001766', 'Disease') :: ['blindness'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary disease']
@entity1415 :: (MESH:D004844,Disease) :: ['epistaxis']
