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

Ryo Yamamoto; Abdul Alarhayem; Mark T. Muir; Donald H. Jenkins; Brian J. Eastridge; Mark L. Shapiro; Ramon F. Cestero

doi:10.1016/j.amjsurg.2022.03.056

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

Ryo Yamamoto, Abdul Alarhayem, Mark T. Muir, Donald H. Jenkins, Brian J. Eastridge, Mark L. Shapiro, Ramon F. Cestero

Department of Emergency and Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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. 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.

Original language	English
Pages (from-to)	125-130
Number of pages	6
Journal	American Journal of Surgery
Volume	224
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2022.03.056
Publication status	Published - 2022 Jul

Keywords

Mortality
Resuscitation
Resuscitative endovascular balloon occlusion of the aorta
Trauma

ASJC Scopus subject areas

Surgery

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Yamamoto, R., Alarhayem, A., Muir, M. T., Jenkins, D. H., Eastridge, B. J., Shapiro, M. L., & Cestero, R. F. (2022). Gaining or wasting time? Influence of time to operating room on mortality after temporary hemostasis using resuscitative endovascular balloon occlusion of the aorta. American Journal of Surgery, 224(1), 125-130. https://doi.org/10.1016/j.amjsurg.2022.03.056

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

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. 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.",

keywords = "Mortality, Resuscitation, Resuscitative endovascular balloon occlusion of the aorta, Trauma",

author = "Ryo Yamamoto and Abdul Alarhayem and Muir, {Mark T.} and Jenkins, {Donald H.} and Eastridge, {Brian J.} and Shapiro, {Mark L.} and Cestero, {Ramon F.}",

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doi = "10.1016/j.amjsurg.2022.03.056",

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AU - Muir, Mark T.

AU - Jenkins, Donald H.

AU - Eastridge, Brian J.

AU - Shapiro, Mark L.

AU - Cestero, Ramon F.

PY - 2022/7

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N2 - 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.

AB - 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.

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KW - Resuscitation

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KW - Trauma

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

Abstract

Keywords

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