Evidence map›Paper›PMID 41396248›Full record

SynthesisAnnals of the Royal College of Surgeons of England2026

Foley catheter balloon tamponade for actively bleeding wounds following penetrating neck injury: a systematic review and meta-analysis.

Ltp Tan, Cyj Lim, C X Li, V Kong, D Lee, J Ahn, D Wineberg, R Crawford, N Laher, G Oosthuizen and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2026. 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.

Ltp TanUniversity of Auckland, New Zealand.
Cyj LimUniversity of Auckland, New Zealand.
C X LiUniversity of Auckland, New Zealand.
V KongUniversity of Auckland, New Zealand.
D LeeUniversity of Auckland, New Zealand.
J AhnUniversity of Auckland, New Zealand.
D WinebergChris Hani Baragwanath Hospital, Johannesburg, South Africa.
R CrawfordChris Hani Baragwanath Hospital, Johannesburg, South Africa.
N LaherChris Hani Baragwanath Hospital, Johannesburg, South Africa.
G OosthuizenTygerberg Hospital, Cape Town, South Africa.
D ClarkeUniversity of the Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study evaluated the efficacy and safety of Foley catheter balloon tamponade (FCBT) for actively bleeding penetrating neck injuries (PNI), focusing on rates of haemostatic success, subsequent surgical exploration, morbidity and mortality associated with FCBT in PNI.

methodsA systematic search of Medline/PubMed, Embase, CINAHL and the Cochrane Library was conducted to 29 May 2025. Observational studies reporting FCBT outcomes in actively bleeding PNI were included. Pooled proportions were calculated with random effects models using Freeman-Tukey double-arcsine transformation; heterogeneity was explored with subgroup analysis and meta-regression. Study quality was assessed using the ROBINS-I tool.

findingsNine studies (1,658 participants) were included. FCBT was deployed in 236 cases, yielding a pooled rate of use of 27.85% (95% confidence interval [CI] 2.27 to 64.60,

conclusionsFCBT is a simple, rapid technique that achieves temporary haemorrhage control in PNI, providing a bridge to definitive surgical control, and may be effective as definitive treatment in selected venous injuries. However, pooled data are limited by heterogeneity in catheter size, balloon inflation and dwell time, restricting interpretability. Standardised multicentre prospective studies are needed to refine indications, optimise technique, and quantify complications.

Indexed as

Balloon OcclusionHemorrhageNeck InjuriesWounds, PenetratingHumansTreatment OutcomeBalloon tamponadeFoley catheterPenetrating neck injuryTrauma

Identifiers

PMID41396248
PMCPMC13038366

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.