Gaining or wasting time? Influence of time to operating room on mortality after temporary hemostasis using resuscitative endovascular balloon occlusion of the aorta - 20/06/22
, Abdul Alarhayem c, Mark T. Muir b, Donald H. Jenkins b, Brian J. Eastridge b, Mark L. Shapiro d, Ramon F. Cestero bAbstract |
Background |
The optimal candidates for resuscitative endovascular balloon occlusion of the aorta (REBOA) remains unclear. We hypothesized patients with delayed transfer to operating room (OR) would benefit from REBOA.
Methods |
Using the 2016–2017 ACS-TQIP database, patients were divided based on the transfer time to OR: ≤1 h (early) and >1 h (delayed). In each group, patients who underwent REBOA in emergency department (ED-REBOA) were matched with those without REBOA (non-REBOA) using propensity scores, and survival to discharge was compared.
Results |
Among 163,453 patients, 114 and 138 patients (38 and 46 ED-REBOA) were included in the early and delayed groups, respectively. Survival to discharge was comparable between ED-REBOA and non-REBOA patients in the early group (39.5% vs. 48.7%, p = 0.35), whereas it was higher in ED-REBOA patients in the delayed group (39.1% vs. 12.0%, p < 0.01).
Conclusions |
Patients with delayed transfer to OR >1 h benefited from REBOA.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Patients transferred to the OR within 1 h after arrival did not benefit from REBOA. |
• | Patients with delays in transfer to the OR >1 h benefited from REBOA at the ED. |
• | REBOA was associated with increased survival to discharge when transfer was delayed. |
Keywords : Resuscitative endovascular balloon occlusion of the aorta, Trauma, Resuscitation, Mortality
Plan
Vol 224 - N° 1PA
P. 125-130 - juillet 2022 Retour au numéro
Article précédent
- Evaluating the change in patterns of traumatic injury in the setting of pandemic and social distancing restrictions: An analysis of a level 1 trauma center
- Grace Ng, Christian M. Castro, Marah Hamdan, Humberto Salazar, Sharon Joseph, Bhaskar Thakur, Stephanie Nemir, Alan Tyroch
- An analysis of missed injuries at a level 1 trauma center with a tertiary survey protocol
- Ashley Wilbers, Christian A. DeHoet, R. Joseph Sliter, Adrianne Noland, Karson R. Quinn, Kelly Lightwine, Stephen D. Helmer, James M. Haan
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?