Resuscitative endovascular balloon occlusion of the aorta (REBOA) is associated with improved survival in severely injured patients

A propensity score matching analysis

Ryo Yamamoto, Ramon F. Cestero, Masaru Suzuki, Tomohiro Funabiki, Junichi Sasaki

Research output: Contribution to journalArticle

Abstract

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique for temporary control of arterial hemorrhage. However, its effectiveness and clinical outcomes are unclear. Methods: Using a nationwide database (2004–2016) in Japan, trauma patients with survival data were identified. Patients were divided between REBOA and non-REBOA groups, and a propensity score was developed using multivariate logistic regression. Survival to discharge was compared between the groups after propensity score matching. Results: Among 82,371 patients included in this study, 385 were treated with REBOA. After propensity score matching, 117 pairs were selected. Survival to discharge was significantly higher among patients treated with REBOA than among those treated without REBOA (53 [45.3%] vs. 38 [32.5%]; odds ratio = 1.72; 95% CI = 1.01–2.93; p = 0.04). Conclusions: REBOA use was associated with improved survival to discharge and should therefore be considered during the management of severely injured trauma patients.

Original languageEnglish
JournalAmerican Journal of Surgery
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Balloon Occlusion
Propensity Score
Aorta
Survival
Wounds and Injuries
Japan
Logistic Models
Odds Ratio
Databases
Hemorrhage

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is associated with improved survival in severely injured patients : A propensity score matching analysis. / Yamamoto, Ryo; Cestero, Ramon F.; Suzuki, Masaru; Funabiki, Tomohiro; Sasaki, Junichi.

In: American Journal of Surgery, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique for temporary control of arterial hemorrhage. However, its effectiveness and clinical outcomes are unclear. Methods: Using a nationwide database (2004–2016) in Japan, trauma patients with survival data were identified. Patients were divided between REBOA and non-REBOA groups, and a propensity score was developed using multivariate logistic regression. Survival to discharge was compared between the groups after propensity score matching. Results: Among 82,371 patients included in this study, 385 were treated with REBOA. After propensity score matching, 117 pairs were selected. Survival to discharge was significantly higher among patients treated with REBOA than among those treated without REBOA (53 [45.3{\%}] vs. 38 [32.5{\%}]; odds ratio = 1.72; 95{\%} CI = 1.01–2.93; p = 0.04). Conclusions: REBOA use was associated with improved survival to discharge and should therefore be considered during the management of severely injured trauma patients.",
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AU - Sasaki, Junichi

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