Early arterial access for resuscitative endovascular balloon occlusion of the aorta is related to survival outcome in trauma

The Journal of Trauma and Acute Care Surgery
Yosuke MatsumuraDIRECT-IABO Investigators

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used in refractory hemorrhagic shock patients. Since the optimal timing of arterial access remains unclear, we evaluated the preocclusion status of patients, and elapsed time from the arrival to the hospital is associated with the survival outcomes in the REBOA patients. From August 2011 to December 2016, The Diagnostic and Interventional Radiology in Emergency, Critical care and Trauma-Intra-Aortic Balloon Occlusion (DIRECT-IABO) investigators registered refractory hemorrhagic shock patients undergoing REBOA from 23 hospitals in Japan. Patient characteristics, mechanism of injury, Injury Severity Score (ISS), preocclusion and postocclusion systolic blood pressure, duration of aortic occlusion, clinical time course, and survival outcome were recorded and analyzed. Binary logistic regression analysis was used with mortality and Kaplan-Meier survival analysis was conducted to demonstrate the difference between early and delayed access groups. Among the enrolled 207 cases, the following patients were excluded from the analysis: five since they were younger than 18 years, nine due to failed attempts at REBOA, 51 nontrauma patients, and 33 who received resusc...Continue Reading

References

Jul 4, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·E B Lerner, R M Moscati
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Megan BrennerThomas Scalea
Jan 28, 2016·The Journal of Trauma and Acute Care Surgery·Jonathan James MorrisonJonathan L Eliason
Sep 8, 2016·The Journal of Trauma and Acute Care Surgery·Ronald Brian TesorieroThomas M Scalea
Sep 2, 2017·Emergency Medicine Journal : EMJ·Yosuke MatsumuraUNKNOWN DIRECT-IABO Investigators
Oct 11, 2017·The Journal of Trauma and Acute Care Surgery·Anders J DavidsonUNKNOWN BEST Study Group
Dec 1, 2017·The Journal of Trauma and Acute Care Surgery·Anna RomagnoliMegan Brenner
Dec 22, 2017·The Journal of Trauma and Acute Care Surgery·Anders J DavidsonUNKNOWN BEST Study Group

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Citations

Mar 23, 2019·Trauma Surgery & Acute Care Open·Kaori ItoTakashi Fujita
Nov 18, 2018·The Journal of Trauma and Acute Care Surgery·Scott A ZakaluznyMegan Brenner
Dec 5, 2019·Trauma Surgery & Acute Care Open·Michael A VellaUNKNOWN AAST AORTA Study Group
Feb 14, 2019·Langenbeck's Archives of Surgery·Gurkirat SinghJaswinder S Samra
Aug 9, 2019·Trauma Surgery & Acute Care Open·Jack P VernamontiForest Raymond Sheppard
Aug 3, 2020·The Journal of Trauma and Acute Care Surgery·Brian Scott KnippJoseph Jeremy DuBose
Dec 19, 2019·The New England Journal of Medicine·David R KingHaytham M A Kaafarani
Jul 10, 2019·Patient Safety in Surgery·Orkun ÖzkurtulJohannes Karl Maria Fakler
Jan 8, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Marianne A ThrailkillAndriy I Batchinsky
Jan 26, 2021·Trauma Surgery & Acute Care Open·Adam PowerLaura Moore
Feb 20, 2021·The American Surgeon·Kyle KinslowAdel Elkbuli
May 28, 2021·Open Access Emergency Medicine : OAEM·Panu TeeratakulpisarnNarongchai Wongkonkitsin
Apr 3, 2021·The Journal of Trauma and Acute Care Surgery·Sarah C StokesRachel M Russo
Sep 26, 2021·The Journal of Trauma and Acute Care Surgery·Christina M TheodorouRachel M Russo

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