Gaining or wasting time? Influence of time to operating room on mortality after temporary hemostasis using resuscitative endovascular balloon occlusion of the aorta.

Authors :: Yamamoto R
Alarhayem A
Muir MT
Jenkins DH
Eastridge BJ
Shapiro ML
Cestero RF
Source :: American journal of surgery [Am J Surg] 2022 Jul; Vol. 224 (1 Pt A), pp. 125-130. Date of Electronic Publication: 2022 Apr 07.
Publication Year :: 2022
Abstract: 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.<br />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.<br />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).<br />Conclusions: Patients with delayed transfer to OR >1 h benefited from REBOA.<br /> (Copyright © 2022 Elsevier Inc. All rights reserved.)

Subjects :: Aorta surgery
Hemostasis
Humans
Injury Severity Score
Operating Rooms
Resuscitation
Retrospective Studies
Balloon Occlusion
Endovascular Procedures
Shock, Hemorrhagic therapy

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