Evidence map›Paper›PMID 41080295›Full record

ReviewCureus2025

Use of Damage Control Surgery and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Penetrating Torso Trauma: A Systematic Review.

Mohamed K Abouelsadat, Mahetab Shehata, Abdelrahman Ibrahim, Ahmed Soliman, Mohammad Hussien, Shenouda Shehata Abdelmesih, Mohammed Jibreel Mohammed, Anwar Al-Kassar, Sharmila Venkatachalapathi, Mawada Taha and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

11 authors.

Mohamed K AbouelsadatVascular Surgery, Royal Free Hospital, London, GBR.
Mahetab ShehataVascular Surgery, Royal Free Hospital, London, GBR.
Abdelrahman IbrahimTrauma and Orthopaedics, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, GBR.
Ahmed SolimanVascular Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, Scarborough, GBR.
Mohammad HussienVascular Surgery, York and Scarborough Teaching Hospitals NHS Foundation Trust, Scarborough, GBR.
Shenouda Shehata AbdelmesihOrthopaedics and Traumatology, Khoula Hospital, Muscat, OMN.
Mohammed Jibreel MohammedVascular Surgery, Norfolk and Norwich University Hospital, Norwich, GBR.
Anwar Al-KassarVascular Surgery, Countess of Chester Hospital, Chester, GBR.
Sharmila VenkatachalapathiInternal Medicine, Government Periyar Hospital, Mayiladuthurai, Mayiladuthurai, IND.
Mawada TahaGeneral Surgery, National Ribat University, Khartoum, SDN.
Nadia MalikMedicine, National Medical Center, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Penetrating torso trauma, often complicated by non-compressible torso hemorrhage (NCTH), is a leading cause of preventable death. Damage control surgery (DCS) is standard care, with resuscitative endovascular balloon occlusion of the aorta (REBOA) emerging as a minimally invasive adjunct for temporary hemorrhage control. This Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided systematic review included six studies with a total of 2,705 patients, comparing combined DCS and REBOA with DCS alone or alternative strategies. Several studies indicated improved survival and faster hemorrhage control, while others reported higher control rates compared to resuscitative thoracotomy. Conversely, some data suggested increased mortality and complications in penetrating abdominal vascular injuries. Pooled findings suggested a potential survival benefit, but heterogeneity and confounding limited certainty. Reported risks included ischemia-reperfusion injury, limb ischemia, and increased transfusion requirements. REBOA may improve outcomes in selected patients, but its benefit appears context-dependent, warranting prospective trials to refine indications and timing.

Indexed as

damage control surgeryhemorrhagic shockpenetrating torso traumaresuscitative endovascular balloon occlusion of the aorta (reboa)systematic review

Identifiers

PMID41080295
PMCPMC12515073

What OpenQuestion holds

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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.