Resuscitative Endovascular Balloon Occlusion Of The Aorta (reboa): A Population Based Gap Analysis Of Trauma Patients In England And Wales

dc.creatorBarnard
dc.creatorEdward Benjamin Graham; Morrison
dc.creatorJonathan James; Madureira
dc.creatorRicardo Mondoni; Lendrum
dc.creatorRobbie; Fragoso-Iniguez
dc.creatorMarisol; Edwards
dc.creatorAntoinette; Lecky
dc.creatorFiona; Bouamra
dc.creatorOmar; Lawrence
dc.creatorThomas; Jansen
dc.creatorJan Olaf
dc.date2015-DEC
dc.date2016-06-07T13:35:05Z
dc.date2016-06-07T13:35:05Z
dc.date.accessioned2018-03-29T01:50:38Z
dc.date.available2018-03-29T01:50:38Z
dc.identifier
dc.identifierResuscitative Endovascular Balloon Occlusion Of The Aorta (reboa): A Population Based Gap Analysis Of Trauma Patients In England And Wales. Bmj Publishing Group, v. 32, p. 926-932 DEC-2015.
dc.identifier1472-0205
dc.identifierWOS:000367459900007
dc.identifier10.1136/emermed-2015-205217
dc.identifierhttp://emj.bmj.com/content/32/12/926.full
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/244047
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1307745
dc.descriptionIntroduction Non-compressible torso haemorrhage (NCTH) carries a high mortality in trauma as many patients exsanguinate prior to definitive haemorrhage control. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an adjunct that has the potential to bridge patients to definitive haemostasis. However, the proportion of trauma patients in whom REBOA may be utilised is unknown. Methods We conducted a population based analysis of 2012-2013 Trauma Audit and Research Network (TARN) data. We identified the number of patients in whom REBOA may have been utilised, defined by an Abbreviated Injury Scale score 3 to abdominal solid organs, abdominal or pelvic vasculature, pelvic fracture with ring disruption or proximal traumatic lower limb amputation, together with a systolic blood pressure <90mmHg. Patients with non-compressible haemorrhage in the mediastinum, axilla, face or neck were excluded. Results During 2012-2013, 72677 adult trauma patients admitted to hospitals in England and Wales were identified. 397 patients had an indication(s) and no contraindications for REBOA with evidence of haemorrhagic shock: 69% men, median age 43years and median Injury Severity Score 32. Overall mortality was 32%. Major trauma centres (MTCs) received the highest concentration of potential REBOA patients, and would be anticipated to receive a patient in whom REBOA may be utilised every 95days, increasing to every 46days in the 10 MTCs with the highest attendance of this injury type. Conclusions This TARN database analysis has identified a small group of severely injured, resource intensive patients with a highly lethal injury that is theoretically amenable to REBOA. The highest density of these patients is seen at MTCs, and as such a planned evaluation of REBOA should be further considered in these hospitals.
dc.description32
dc.description12
dc.description
dc.description926
dc.description932
dc.descriptionNHS Research Scotland (NRS) fellowship - Chief Scientist Office
dc.descriptionChief Scientist Office of the Scottish Government Health Directorate
dc.descriptionChief Scientist Office of the Scottish Government Social Care Directorate
dc.descriptionPryor Medical Inc (Arvada, CO, USA)
dc.description
dc.description
dc.description
dc.languageen
dc.publisherBMJ PUBLISHING GROUP
dc.publisher
dc.publisherLONDON
dc.relationEMERGENCY MEDICINE JOURNAL
dc.rightsfechado
dc.sourceWOS
dc.subjectNoncompressible Torso Hemorrhage
dc.subjectUk Combat Casualties
dc.subjectModel
dc.subjectDeaths
dc.subjectShock
dc.subjectCare
dc.subjectMortality
dc.subjectSurvival
dc.subjectSkills
dc.titleResuscitative Endovascular Balloon Occlusion Of The Aorta (reboa): A Population Based Gap Analysis Of Trauma Patients In England And Wales
dc.typeArtículos de revistas


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