Evidence map›Paper›PMID 28725258›Full record

SynthesisWorld journal of emergency surgery : WJES2017

A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients.

Ramiro Manzano Nunez, Maria Paula Naranjo, Esteban Foianini, Paula Ferrada, Erika Rincon, Herney Andrés García-Perdomo, Paola Burbano, Juan Pablo Herrera, Alberto F García, Carlos A Ordoñez

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of emergency surgery : WJES, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Liver trauma: WSES 2020 guidelines.World journal of emergency surgery : WJES · 2020
    Guideline
  5. Outcomes following resuscitative thoracotomy for abdominal exsanguination, a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Pooled it
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Concomitant vascular and orthopedic trauma: 10 points to consider.Journal of clinical orthopaedics and trauma · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Ramiro Manzano NunezClinical Research Center, Fundación Valle del Lili, Cali, Colombia.
Maria Paula NaranjoClinical Research Center, Fundación Valle del Lili, Cali, Colombia.
Esteban FoianiniClinical Foianini, Santa Cruz de La Sierra, Bolivia.ORCID 0000-0002-2832-1848
Paula FerradaVirginia Commonwealth University, Richmon, VA USA.
Erika RinconClinical Research Center, Fundación Valle del Lili, Cali, Colombia.
Herney Andrés García-PerdomoUniversidad del Valle, Cali, Colombia.
Paola BurbanoSchool of Medicine, Universidad Javeriana Cali, Cali, Valle del Cauca Colombia.
Juan Pablo HerreraDepartment of Surgery, Brigham and Women's Hospital, Boston, MA USA.
Alberto F GarcíaUniversidad del Valle, Cali, Colombia.
Carlos A OrdoñezUniversidad del Valle, Cali, Colombia.
Fundación Valle del Lili · COUniversidad del Valle · COBrigham and Women's Hospital · USUniversidad Privada de Santa Cruz de la Sierra · BOVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this systematic review and meta-analysis was to determine the effect of REBOA, compared to resuscitative thoracotomy, on mortality and among non-compressible torso hemorrhage trauma patients.

methodsRelevant articles were identified by a literature search in MEDLINE and EMBASE. We included studies involving trauma patients suffering non-compressible torso hemorrhage. Studies were eligible if they evaluated REBOA and compared it to resuscitative thoracotomy. Two investigators independently assessed articles for inclusion and exclusion criteria and selected studies for final analysis. We conducted meta-analysis using random effect models.

resultsWe included three studies in our systematic review. These studies included a total of 1276 patients. An initial analysis found that although lower in REBOA-treated patients, the odds of mortality did not differ between the compared groups (OR 0.42; 95% CI 0.17-1.03). Sensitivity analysis showed that the risk of mortality was significantly lower among patients who underwent REBOA, compared to those who underwent resuscitative thoracotomy (RT) (RR 0.81; 95% CI 0.68-0.97).

conclusionOur meta-analysis, mainly from observational data, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients. However, these results deserve further investigation.

Indexed as

AortaBalloon OcclusionConstrictionEndovascular ProceduresHumansResuscitationShock, HemorrhagicSurvival AnalysisThoracic InjuriesEndovascular proceduresInjuriesNon-compressible torso hemorrhageREBOAResuscitation strategiesTraumatic shock

Identifiers

PMID28725258
PMCPMC5512749
OpenAlexW2735875866

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.