Evidence map›Paper›PMID 32311580›Full record

ArticleThe Journal of surgical research2020

Practice, Practice, Practice! Effect of Resuscitative Endovascular Balloon Occlusion of the Aorta Volume on Outcomes: Data From the AAST AORTA Registry.

Christina M Theodorou, Jamie E Anderson, Megan Brenner, Thomas M Scalea, Kenji Inaba, Jeremy Cannon, Mark Seamon, M Chance Spalding, Charles J Fox, Ernest E Moore and 3 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Transport and destination hospital for patients with suspected multiple and/or severe injuries - a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Resuscitative endovascular balloon occlusion of the aorta in trauma patients: Past, present, and future.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026
    Review
  6. Review
  7. Article
  8. Early experience with resuscitative endovascular balloon occlusion of the aorta for unstable pelvic fractures in the Republic of Korea: a multi-institutional study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  9. The role of REBOA in patients in traumatic cardiac arrest subsequent to hemorrhagic shock: a scoping review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  10. Article
  11. 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

13 authors at 8 institutions in 1 country.

Christina M TheodorouDivision of Trauma, University of California Davis Medical Center, Acute Care, and General Surgery Sacramento, CA. Electronic address: ctheodorou@ucdavis.edu.
Jamie E AndersonDivision of Trauma, University of California Davis Medical Center, Acute Care, and General Surgery Sacramento, CA.
Megan BrennerDepartment of Surgery, University of California Riverside School of Medicine Riverside, CA.
Thomas M ScaleaDepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Kenji InabaDivision of Surgical Critical Care and Trauma, Los Angeles County + University of Southern California Hospital, Los Angeles, CA.
Jeremy CannonDivision of Traumatology, University of Pennsylvania, Surgical Critical Care & Emergency Surgery, Philadelphia, PA.
Mark SeamonDivision of Traumatology, University of Pennsylvania, Surgical Critical Care & Emergency Surgery, Philadelphia, PA.
M Chance SpaldingDivision of Trauma and Acute Care Surgery, Grant Medical Center, Columbus, OH.
Charles J FoxDepartment of Surgery, Denver Health Medical Center, Denver, CO.
Ernest E MooreDepartment of Surgery, Denver Health Medical Center, Denver, CO.
Joseph J DuBoseDepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD.
Joseph M GalanteDivision of Trauma, University of California Davis Medical Center, Acute Care, and General Surgery Sacramento, CA.
AAST AORTA Study Group
University of California Davis Medical Center · USUniversity of Maryland, Baltimore · USUniversity of Pennsylvania · USDenver Health Medical Center · USGrant Medical Center · USUniversity of California, Riverside · USUniversity of Colorado Denver · USUniversity of Southern California · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

backgroundResuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular adjunct to hemorrhage control. Success relies on institutional support and focused training in arterial access. We hypothesized that hospitals with higher REBOA volumes will be more successful than low-volume hospitals at aortic occlusion with REBOA.

methodsThis is a retrospective study from the American Association for the Surgery of Trauma Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery Registry from November 2013 to January 2018. Patients aged ≥18 y who underwent REBOA were included. Successful placement of REBOA catheters (defined as hemodynamic improvement with balloon inflation) was compared between high-volume (≥80 cases; two hospitals), mid-volume (10-20 cases; four hospitals), and low-volume (<10 cases; 14 hospitals) hospitals, adjusting for patient factors.

resultsOf 271 patients from 20 hospitals, 210 patients (77.5%) had successful REBOA placement. Most patients were male (76.0%) and sustained blunt trauma (78.1%). cardiopulmonary resuscitation (CPR) was ongoing at the time of REBOA placement in 34.5% of patients. Inpatient mortality was 67.4%, unchanged by hospital volume. Multivariable logistic regression found increased odds of successful REBOA placement at high-volume versus low-volume hospitals (odds ratio [OR], 7.50; 95% confidence interval [CI], 2.10-27.29; P = 0.002) and mid-volume versus low-volume hospitals (OR, 7.82; 95% CI, 1.52-40.31; P = 0.014) and decreased odds among patients undergoing CPR during REBOA placement (OR, 0.10; 95% CI, 0.03-0.34; P < 0.001) when adjusting for age, sex, mechanism of injury, prehospital CPR, CPR on admission, transfer status, hospital location of REBOA placement, Glasgow Coma Scale ≤ 13, and injury severity.

conclusionsHospitals with higher REBOA volumes were more likely to achieve hemodynamic improvement with REBOA inflation. However, mortality and complication rates were unchanged. Independent of hospital volume, ongoing CPR is associated with a decreased odds of successful REBOA placement.

Indexed as

AdultAortaBalloon OcclusionCardiopulmonary ResuscitationEducation, Medical, ContinuingEndovascular ProceduresFemaleHemorrhageHospitals, High-VolumeHospitals, Low-VolumeHumansMaleMiddle AgedPostoperative ComplicationsRegistriesRetrospective StudiesMortalityREBOATraumaVolume

Identifiers

PMID32311580
PMCPMC7384927
OpenAlexW3017320283

What OpenQuestion holds

Textmetadata
LicenceTDM
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.