PMID- 31540683
OWN - NLM
STAT- MEDLINE
DCOM- 20200309
LR  - 20200309
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 218
IP  - 6
DP  - 2019 Dec
TI  - Resuscitative endovascular balloon occlusion of the aorta (REBOA) is associated 
      with improved survival in severely injured patients: A propensity score matching 
      analysis.
PG  - 1162-1168
LID - S0002-9610(19)30349-6 [pii]
LID - 10.1016/j.amjsurg.2019.09.007 [doi]
AB  - 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.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Yamamoto, Ryo
AU  - Yamamoto R
AD  - Trauma Service/Department of Emergency and Critical Care Medicine, Keio 
      University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan; 
      Department of Surgery, UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, 
      TX, 78229-3900, USA. Electronic address: ryo.yamamoto@gmail.com.
FAU - Cestero, Ramon F
AU  - Cestero RF
AD  - Department of Surgery, UT Health San Antonio, 7703 Floyd Curl Drive, San Antonio, 
      TX, 78229-3900, USA.
FAU - Suzuki, Masaru
AU  - Suzuki M
AD  - Department of Emergency Medicine, Tokyo Dental College, Ichikawa General 
      Hospital, 5-11-13 Sugano, Ichikawa, Chiba, 272-8513, Japan.
FAU - Funabiki, Tomohiro
AU  - Funabiki T
AD  - Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, 
      3-6-1 Shimosueyoshi, Tsurumiku, Yokohama, Kanagawa, 230-8765, Japan.
FAU - Sasaki, Junichi
AU  - Sasaki J
AD  - Trauma Service/Department of Emergency and Critical Care Medicine, Keio 
      University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190913
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Aorta/*surgery
MH  - Balloon Occlusion/*methods
MH  - Endovascular Procedures/*methods
MH  - Female
MH  - Hemorrhage/*prevention & control
MH  - Humans
MH  - Injury Severity Score
MH  - Japan
MH  - Male
MH  - Middle Aged
MH  - Propensity Score
MH  - Registries
MH  - Retrospective Studies
MH  - Survival Rate
MH  - Wounds and Injuries/*mortality/*therapy
OTO - NOTNLM
OT  - Resuscitation
OT  - Resuscitative endovascular balloon occlusion of the aorta
OT  - Trauma
EDAT- 2019/09/22 06:00
MHDA- 2020/03/10 06:00
CRDT- 2019/09/22 06:00
PHST- 2019/03/08 00:00 [received]
PHST- 2019/05/14 00:00 [revised]
PHST- 2019/09/10 00:00 [accepted]
PHST- 2019/09/22 06:00 [pubmed]
PHST- 2020/03/10 06:00 [medline]
PHST- 2019/09/22 06:00 [entrez]
AID - S0002-9610(19)30349-6 [pii]
AID - 10.1016/j.amjsurg.2019.09.007 [doi]
PST - ppublish
SO  - Am J Surg. 2019 Dec;218(6):1162-1168. doi: 10.1016/j.amjsurg.2019.09.007. Epub 
      2019 Sep 13.