Evidence map›Paper›PMID 35307763›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) in traumatic abdominal and pelvic exsanguination: a systematic review and meta-analysis.

Stefano Granieri, Simone Frassini, Stefania Cimbanassi, Alessandro Bonomi, Sissi Paleino, Laura Lomaglio, Andrea Chierici, Federica Bruno, Raoul Biondi, Salomone Di Saverio and 2 more

Abstract readMeta-AnalysisSystematic Review
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In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

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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

12 authors at 7 institutions in 3 countries.

Stefano GranieriGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy. stefano.granieri@asst-brianza.it.ORCID http://orcid.org/0000-0001-9167-3400
Simone FrassiniUniversity of Pavia, Corso Str. Nuova, 65, 27100, Pavia, Italy.
Stefania CimbanassiEmergency and Trauma Surgery, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162, Milan, Italy.
Alessandro BonomiUniversity of Milan, Via Festa del Perdono, 7, 20122, Milan, Italy.
Sissi PaleinoGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.
Laura LomaglioGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.
Andrea ChiericiGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.
Federica BrunoGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.
Raoul BiondiDepartment of Cardiac Surgery, Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France.
Salomone Di SaverioDepartment of General Surgery, University of Insubria, ASST Sette Laghi, Viale Luigi Borri, 57, 21100, Varese, Italy.
Mansoor KhanDepartment of Surgery, Brighton and Sussex University Hospitals NHS Trust, Kemptown, Brighton, BN2 1DH, UK.
Christian CotsoglouGeneral Surgery Unit, ASST Brianza, Vimercate Hospital, Via Santi Cosma e Damiano, 10, 20871, Vimercate, Italy.
Azienda Ospedaliera di Desio e Vimercate · ITUniversity of Milan · ITInstitute Mutualiste Montsouris · FROspedale Maggiore · ITUniversity Hospitals Sussex NHS Foundation Trust · GBUniversity of Insubria · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeResuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) represents a minimally invasive technique of aortic occlusion (AO). It has been demonstrated to be safe and effective with appropriate training in traumatic hemorrhage with hemodynamic instability; however, its indications are still debated. The aim of this systematic review and meta-analysis is to assess the impact of REBOA on mortality in torso trauma patient with severe non-compressible hemorrhage compared to other temporizing hemostatic techniques. STUDY

designThe primary outcome is represented by 24-h, and in-hospital mortality. Secondary outcomes are post-procedural hemodynamic improvement (systolic blood pressure-SBP), mean injury severity score (ISS) differences, treatment-related morbidity, transfusional requirements and identification of prognostic factors.

resultsA significant survival benefit at 24 h (RR 0.46; 95% CI 0.27-0.79; I

conclusionsREBOA may represent a valid tool in the initial treatment of multiple sites subdiaphragmatic hemorrhage with refractory hemodynamic instability. However, due to several important limitations of the present study, our findings should be interpreted with caution. LEVEL OF EVIDENCE: Level III according to ELIS (SR/MA with up to two negative criteria).

Indexed as

Balloon OcclusionEndovascular ProceduresShock, HemorrhagicAortaExsanguinationHemorrhageHumansInjury Severity ScoreResuscitationAortic cross-clampingExtraperitoneal pelvic packingMeta-analysisREBOATraumatic torso hemorrhage

Identifiers

PMID35307763
OpenAlexW4220875716

What OpenQuestion holds

Textmetadata
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.