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

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)125-130
Number of pages6
JournalAmerican Journal of Surgery
Volume224
Issue number1
DOIs
Publication statusPublished - 2022 Jul

Keywords

  • Mortality
  • Resuscitation
  • Resuscitative endovascular balloon occlusion of the aorta
  • Trauma

ASJC Scopus subject areas

  • Surgery

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