Resuscitative endovascular balloon occlusion of the aorta associated with improved survival in hemorrhagic shock.

ABSTRACT:

Background

Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is controversial as a hemorrhage control adjunct due to lack of data with a suitable control group. We aimed to determine outcomes of trauma patients in shock undergoing REBOA versus no-REBOA.

Methods

This single-center, retrospective, matched cohort study analyzed patients ≥16 years in hemorrhagic shock without cardiac arrest (2000-2019). REBOA (R; 2015-2019) patients were propensity matched 2:1 to historic (H; 2000-2012) and contemporary (C; 2013-2019) groups. In-hospital mortality and 30-day survival were analyzed using chi-squared and log rank testing, respectively.

Results

A total of 102,481 patients were included (R = 57, C = 88,545, H = 13,879). Propensity scores were assigned using ag

SUBMITTER: Harfouche MN 

PROVIDER: S-EPMC8947416 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature