Shokei Matsumoto1,2, Kei Hayashida3, Taku Akashi4, Kyoungwon Jung5, Kazuhiko Sekine6, Tomohiro Funabiki4, Takashi Moriya7. 1. Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama-Shi, Kanagawa, 230-0012, Japan. m-shokei@feel.ocn.ne.jp. 2. Department of Emergency and Critical Care Medicine, Saitama Medical Center, Jichi Medical University, Saitama City, Japan. m-shokei@feel.ocn.ne.jp. 3. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, USA. 4. Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, 3-6-1 Shimosueyoshi, Tsurumi-ku, Yokohama-Shi, Kanagawa, 230-0012, Japan. 5. Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, South Korea. 6. Department of Emergency Medicine, Saiseikai Central Hospital, Tokyo, Japan. 7. Department of Emergency and Critical Care Medicine, Saitama Medical Center, Jichi Medical University, Saitama City, Japan.
Abstract
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has the potential to be an alternative to open aortic cross-clamping (ACC). However, its practical indication remains unknown. We examined the usage trend of REBOA and ACC in Japan for severe torso trauma and investigated whether these procedures were associated with the time of death distribution based on a large database from the Japan Trauma Data Bank (JTDB). METHODS: The JTDB from 2004 to 2014 was reviewed. Eligible patients were restricted to those with severe torso trauma, which was defined as an abbreviated injury scale score of ≥4. Patients were classified into groups according to the aortic occlusion procedures. The primary outcomes were the rates of REBOA and ACC use according to the clinical situation. We also evaluated whether the time of death distribution for the first 8 h differed based on these procedures. RESULTS: During the study period, a total of 21,533 patients met our inclusion criteria. Overall, REBOA was more commonly used than ACC for patients with severe torso trauma (2.8% vs 1.5%). However, ACC was more frequently used in cases of thoracic injury and cardiac arrest. Regarding the time of death distribution, the cumulative curve for death in REBOA cases was elevated much more slowly and mostly flat for the first 100 min. CONCLUSIONS: REBOA is more commonly used compared to ACC for patients with severe torso trauma in Japan. Moreover, it appears that REBOA influences the time of death distribution in the hyperacute phase.
BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has the potential to be an alternative to open aortic cross-clamping (ACC). However, its practical indication remains unknown. We examined the usage trend of REBOA and ACC in Japan for severe torso trauma and investigated whether these procedures were associated with the time of death distribution based on a large database from the Japan Trauma Data Bank (JTDB). METHODS: The JTDB from 2004 to 2014 was reviewed. Eligible patients were restricted to those with severe torso trauma, which was defined as an abbreviated injury scale score of ≥4. Patients were classified into groups according to the aortic occlusion procedures. The primary outcomes were the rates of REBOA and ACC use according to the clinical situation. We also evaluated whether the time of death distribution for the first 8 h differed based on these procedures. RESULTS: During the study period, a total of 21,533 patients met our inclusion criteria. Overall, REBOA was more commonly used than ACC for patients with severe torso trauma (2.8% vs 1.5%). However, ACC was more frequently used in cases of thoracic injury and cardiac arrest. Regarding the time of death distribution, the cumulative curve for death in REBOA cases was elevated much more slowly and mostly flat for the first 100 min. CONCLUSIONS: REBOA is more commonly used compared to ACC for patients with severe torso trauma in Japan. Moreover, it appears that REBOA influences the time of death distribution in the hyperacute phase.
Authors: Joseph M White; Jeremy W Cannon; Adam Stannard; Nickolay P Markov; Jerry R Spencer; Todd E Rasmussen Journal: Surgery Date: 2011-09 Impact factor: 3.982
Authors: Jonathan J Morrison; James D Ross; Robert Houston; J Devin B Watson; Kyle K Sokol; Todd E Rasmussen Journal: Shock Date: 2014-02 Impact factor: 3.454
Authors: Rachel M Russo; Lucas P Neff; Christopher M Lamb; Jeremy W Cannon; Joseph M Galante; Nathan F Clement; J Kevin Grayson; Timothy K Williams Journal: J Am Coll Surg Date: 2016-04-29 Impact factor: 6.113
Authors: Megan Brenner; William Teeter; Melanie Hoehn; Jason Pasley; Peter Hu; Shiming Yang; Anna Romagnoli; Jose Diaz; Deborah Stein; Thomas Scalea Journal: JAMA Surg Date: 2018-02-01 Impact factor: 14.766
Authors: Daniel J Scott; Jonathan L Eliason; Carole Villamaria; Jonathan J Morrison; Robert Houston; Jerry R Spencer; Todd E Rasmussen Journal: J Trauma Acute Care Surg Date: 2013-07 Impact factor: 3.313
Authors: Jamie B Hadley; Julia R Coleman; Ernest E Moore; Ryan Lawless; Clay C Burlew; Barry Platnick; Fredric M Pieracci; Melanie R Hoehn; Jamie J Coleman; Eric M Campion; Mitchell J Cohen; Alexis Cralley; Andrew P Eitel; Matthew Bartley; Navin Vigneshwar; Angela Sauaia; Charles J Fox Journal: J Trauma Acute Care Surg Date: 2021-08-01 Impact factor: 3.697