Evidence map›Paper›PMID 32300850›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients.

Alberto F García, Ramiro Manzano-Nunez, Claudia P Orlas, Juan Ruiz-Yucuma, Alejandra Londoño, Camilo Salazar, Juan Melendez, Álvaro I Sánchez, Juan Carlos Puyana, Carlos A Ordoñez

Abstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Damage control surgery in lung trauma.Colombia medica (Cali, Colombia) · 2021
    Review
  11. Review
  12. Damage control surgery: a constant evolution.Colombia medica (Cali, Colombia) · 2020
    Article
  13. Observational
  14. Review
  15. Article
  16. Review
  17. Damage control in abdominal vascular trauma.Colombia medica (Cali, Colombia)
    Review
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 2 countries.

Alberto F GarcíaFundacion Valle del Lili University Hospital, Clinical Research Center, Cali, Colombia.
Ramiro Manzano-NunezFundacion Valle del Lili University Hospital, Clinical Research Center, Cali, Colombia. Ramiro.manzano@fvl.org.co.
Claudia P OrlasBrigham and Women's Hospital, Department of Surgery, Center for Surgery and Public Health, Boston, MA, USA.
Juan Ruiz-YucumaSchool of Medicine, Universidad ICESI, Cali, Colombia.
Alejandra LondoñoSchool of Medicine, Universidad ICESI, Cali, Colombia.
Camilo SalazarSchool of Medicine, Universidad ICESI, Cali, Colombia.
Juan MelendezDepartment of Surgery, Universidad del Valle, Cali, Colombia.
Álvaro I SánchezFundacion Valle del Lili University Hospital, Clinical Research Center, Cali, Colombia.
Juan Carlos PuyanaDepartment of Surgery, University of Pittsburg, Pittsburgh, PA, USA.
Carlos A OrdoñezFundacion Valle del Lili University Hospital, Clinical Research Center, Cali, Colombia.
Icesi University · COFundación Valle del Lili · COUniversidad del Valle · COBrigham and Women's Hospital · USPittsburg State University · US

Funding

Trauma and Injury Excellence in Education on Research (TralnEER) ProgramD43TW007560 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PUYANA, JUAN CARLOS · 2006 to 2010
$745k
FIC NIH HHS D43 TW007560
6 · The paper itself

Abstract

purposeThe purpose of this study was to examine the association of REBOA and mortality in a group of patients with penetrating trauma to the torso, treated in a level-I trauma center from Colombia.

methodsIn a retrospective cohort study, patients with penetrating trauma, requiring emergency surgery, and treated between 2014 and 2018, were included. The decision to use or not use REBOA during emergent surgery was based on individual surgeon's opinion. A propensity score (PS) was calculated after adjusting for age, clinical signs on admission (systolic blood pressure, cardiac rate, Glasgow coma scale), severe trauma in thorax and abdomen, and the presence of non-compressive torso hemorrhage. Subsequently, logistic regression for mortality was adjusted for the number of red blood cells (RBC) transfused within the first six hours after admission, injury severity score (ISS), and quintiles of PS.

resultsWe included 345 patients; 28 of them (8.1%) were treated with REBOA. Crude mortality rates were 17.9% (5 patients) in REBOA group and 15.3% (48 patients) in control group (p = 0.7). After controlling for RBC transfused, ISS, and the PS, the odds of death in REBOA group was 78% lower than that in the control group (odds ratio [OR] 0.20, 95% confidence interval [95%CI] 0.05-0.77, p = 0.01).

conclusionWe found that, when compared to no REBOA use, patients treated with REBOA had lower risk-adjusted odds of mortality. These findings should be interpreted with caution and confirmed in future comparative studies, if possible.

Indexed as

Balloon OcclusionEndovascular ProceduresAortaHumansInjury Severity ScoreResuscitationRetrospective StudiesEndovascular proceduresPenetrating traumaREBOAWounds and injuries

Identifiers

PMID32300850
OpenAlexW3016564051

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.