ArticleJournal of the American College of Surgeons2021
Clinical Impact of a Dedicated Trauma Hybrid Operating Room.
Article in Journal of the American College of Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Efficacy of direct-to-operating room trauma resuscitation: a systematic review.World journal of emergency surgery : WJES · 2024Pooled it
- Systematic review of the efficacy of a hybrid operating theatre in the management of severe trauma.World journal of emergency surgery : WJES · 2021Pooled it
- Designing a hybrid surgical ICU to avoid intrahospital transport in selected critically Ill patients: the CUHK-SZ institutional concept.World journal of emergency surgery : WJES · 2026Article
- Implementing a Trauma Hybrid Operating Room from an Interventional Radiology Perspective.Cardiovascular and interventional radiology · 2026Article
- Abdominal gunshot wounds: evaluating the role of computed tomography in surgical timing and decision-making.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Hospital setting of endovascular repair influences procedural outcomes in blunt traumatic aortic injury.Journal of vascular surgery · 2025Observational
- Solid Organ Injuries: To Irradiate or Operate?Seminars in interventional radiology · 2025Review
- Rapid Response to Traumatic Vascular Injury: An Institutional Code Angio Protocol.Seminars in interventional radiology · 2025Review
- Damage Control Interventional Radiology: The bridge between non-operative management and damage control surgery.CVIR endovascular · 2024Review
- Interdisciplinary Management of Traumatic Injuries to the Kidneys and Urinary Tract Caused by Blunt Abdominopelvic Trauma.Journal of clinical medicine · 2024Review
- The difficulties and solutions in operationalising a hybrid operating room.The Journal of international medical research · 2024Review
- Smart Operating Room in Digestive Surgery: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- What trauma patients need: the European dilemma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma.Journal of personalized medicine · 2024Review
- Survival benefits of interventional radiology and surgical teams collaboration during primary trauma surveys: a single-centre retrospective cohort study.BMC emergency medicine · 2024Observational
- Epidemiological profile of patients undergoing non-operative management of solid organ injury and associated factors with mortality.Revista do Colegio Brasileiro de Cirurgioes · 2024Article
- Achieving good neurological outcome by combining decompressive craniectomy for acute subdural hematoma and transarterial embolization of intraperitoneal injured arteries for multiple severe trauma: a case report.Nagoya journal of medical science · 2022Article
- Effects of Seamless Operating Room Nursing Combined with Multistyle Health Education on the Psychological State, Rehabilitation Quality, and Nursing Satisfaction in Patients with Internal Fixation of Femoral Fracture.Journal of healthcare engineering · 2022Article
- Perioperative Management of Polytrauma Patients with Severe Traumatic Brain Injury Undergoing Emergency Extracranial Surgery: A Narrative Review.Journal of clinical medicine · 2021Review
- Severe liver injury with traumatic cardiac arrest successfully treated by damage control surgery and transcatheter arterial embolization in the hybrid operating room: a case report.Surgical case reports · 2021Article
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8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundEarly hemorrhage control is essential to optimal trauma care. Hybrid operating rooms offer early, concomitant performance of advanced angiographic and operative hemostasis techniques, but their clinical impact is unclear. Herein, we present our initial experience with a dedicated, trauma hybrid operating room. STUDY
designThis retrospective cohort analysis of 292 adult trauma patients undergoing immediate surgery at a Level I trauma center compared patients managed after implementation of a dedicated, trauma hybrid operating room (n = 186) with historic controls (n = 106). The primary outcomes were time to hemorrhage control (systolic blood pressure ≥ 100 mmHg without ongoing vasopressor or transfusion requirements), early blood product administration, and complication.
resultsPatient characteristics were similar between cohorts (age 41 years, 25% female, 38% penetrating trauma). The hybrid cohort had lower initial hemoglobin (10.2 vs 11.1 g/dL, p = 0.001) and a greater proportion of patients undergoing resuscitative endovascular balloon occlusion of the aorta (9% vs 1%, p = 0.007). Cohorts had similar case mixes and intraoperative consultation with cardiothoracic or vascular surgery (13%). Twenty-one percent of all hybrid cases included angiography. The interval between operating room arrival and hemorrhage control was shorter in the hybrid cohort (49 vs 60 minutes, p = 0.005). From 4 to 24 hours after arrival, the hybrid cohort had fewer red cell (0.0 vs 1.0, p = 0.001) and plasma transfusions (0.0 vs 1.0, p < 0.001). The hybrid cohort had fewer infectious complications (15% vs 27%, p = 0.009) and ventilator days (2.0 vs 3.0, p = 0.011), and similar in-hospital mortality (13% vs 10%, p = 0.579).
conclusionsImplementation of a dedicated, trauma hybrid operating room was associated with earlier hemorrhage control and fewer early blood transfusions, infectious complications, and ventilator days.
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Registered trials
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.