| Literature DB >> 27184378 |
Junya Tsurukiri1, Itsurou Akamine2, Takao Sato2, Masatsugu Sakurai2, Eitaro Okumura2, Mariko Moriya2, Hiroshi Yamanaka2, Shoichi Ohta3.
Abstract
Entities:
Year: 2016 PMID: 27184378 PMCID: PMC4869315 DOI: 10.1186/s13049-016-0264-x
Source DB: PubMed Journal: Scand J Trauma Resusc Emerg Med ISSN: 1757-7241 Impact factor: 2.953
Demographics and clinical characteristics of patients
| Variables | Trauma ( | Non-trauma ( | Total ( |
|---|---|---|---|
| Age (y), median (IQR) | 72 (39–82) | 69 (63–72) | 69 (45–80) |
| Male, n (%) | 6 (38) | 9 (100)* | 15 (75) |
| Shock index, median (IQR) | 1.4 (1.1 − 1.5) | 1.6 (1.0 - 2.1) | 1.4 (1.1 − 1.6) |
| Injury severity score, median (IQR) | 41 (33–49) | − | − |
| Glasgow-Blatchford score, median (IQR) | − | 12 (11–14) | − |
| Systolic blood pressure before REBOA (mmHg), median (IQR) | 78 (67–87) | 64 (61–77) | 71 (62–87) |
| Base excess (mmol/L), median (IQR) | −9.0 (−18.7 − -6.3) | −11.5 (−14.6 − -9.2) | −9.4 (−15.1 − -6.4) |
| pH, median (IQR) | 7.33 (7.25 − 7.41) | 7.30 (7.23 − 7.38) | 7.32 (7.23 − 7.39) |
| Lactate (mg/dL), median (IQR) | 4.3 (3.2 − 9.0) | 6.3 (5.6 − 11.0) | 5.7 (3.7 − 11.0) |
| Prothrombin time (%), median (IQR) | 64.5 (46.5 − 79.5) | 67.0 (51.0 − 73.0) | 67.0 (48.0 − 77.0) |
| Activated partial thromboplastin time (sec), median (IQR) | 56.3 (41.4 − 75.9) | 39.3 (35.3 − 64.5) | 53.4 (38.2 − 75.7) |
| Insertion at the ER, n (%) | 16 (100) | 6 (67) | 22 (88) |
| Failed REBOA, n (%) | 3 (19) | 0 | 3 (12) |
| Total occlusion time of REBOA (min), median (IQR) | 65 (57–99) | 55 (50–95) | 61 (51–98) |
| PRBC transfusion within 24 h (mL), median (IQR) | 1540 (840–2590) | 1960 (1400–2800) | − |
| FFP transfusion within 24 h (mL), median (IQR) Outcomes, n (%) | 720 (360–1440) | 900 (720–1440) | − |
| Died at the ER | 5 (31) | 0 | 5 (20) |
| Died within 24 h | 4 (25) | 1 (11) | 5 (20) |
| Died within 2 months | 1 (6) | 2 (22) | 3 (12) |
ER emergency room, FFP fresh frozen plasma, 1QR interquartile range, PRBC packed red blood cells and REBOA resuscitative endovascular balloon occlusion of the aorta; * p < 0.05 vs. trauma group
Characteristics of non-trauma patients
| No. | Age | Sex | SI | Glasgow- Blatchford score | Clinical Rock all score | Diagnosis | Treatment | Sheath insertion | Position (Zone) | CPA during procedure | Intervals for REBOA (miri) | REBOA-related complications | Outcome | Cause of death | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ER | 24 h> | 3monts> | ||||||||||||||
| 17 | 69 | M | 1.6 | 13 | 3 | Gastric ulcer | Surgery | Success | I | No | 46 | None | Alive | .Alive | .Alive | - |
| IS | 50 | M | 1.0 | 12 | 2 | Duodenal ulcer Pseudo - aneurysm | AE (failed endoscopy) | Success | I | No | 50 | None | Alive | Alive | Alive | - |
| 19 | 64 | M | 2.1 | 11 | 3 | by pancreatic fistula | AE | Success | I | Yes | 54 | None | Alive | Alive | Alive | - |
| 20 | S3 | M | 2.1 | 19 | 4 | Duodenal ticer | Endoscopy | Success | I | No | 140 | None | Alive | Alive | Alive | - |
| 21 | 36 | M | 0.7 | 7 | 3 | Gastric ulcer | Endoscopy | Success | I | No | 20 | None | Alive | Alive | Alive | - |
| 22 | 69 | M | 2.S | 17 | 3 | Gastric ulcer | Endoscopy | Success | I | No | 57 | None | Alive | Alive | Alive | - |
| 23 | 72 | M | 1.2 | 9 | 3 | Gastric ulcer/ Cerebral infarction | AE (failed endoscopy) | Success | I | Yes | 55 | None | Alive | Alive | Dead | Exsanguination |
| 24 | 69 | M | 1.7 | 12 | 3 | Duodenal ulcer | AE (failed endoscopy) | Success | I | Yes | 95 | None | Alive | .Alive | Dead | Ischemic encephalopathy |
| 25 | 78 | M | O.S | 14 | 5 | Duodenal ulcer | AE (failed endoscopy) | Success | I | No | 145 | None | Alive | Dead | - | Exsanguination |
SI shock index, CPA cardiopulm onary arrest, REBOA resuscitative endovascular balloon occlusion of the aorta, ER emergencyroom, AE angioembolizatoin