International registry on aortic balloon occlusion in major trauma: Partial inflation does not improve outcomes in abdominal trauma

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dc.contributor.authorParan Mayaen_ZA
dc.contributor.authorMcGreevy, Daviden_ZA
dc.contributor.authorHorer. Tal Men_ZA
dc.contributor.authorKhan, Mansooren_ZA
dc.contributor.authorDudkiewicz, Mickeyen_ZA
dc.contributor.authorKessel, Borisen_ZA
dc.contributor.authorthe ABO Trauma Registry research groupen_ZA
dc.date.accessioned2025-04-02T06:47:07Z
dc.date.available2025-04-02T06:47:07Z
dc.date.issued2023-08-30en_ZA
dc.descriptionThe original publication is available at: https://www.sciencedirect.comen_ZA
dc.description.abstractBackground Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a method for temporary hemorrhage control used in haemodynamically unwell patients with severe bleeding. In haemodynamically unwell abdominal trauma patients, laparotomy remains the initial procedure of choice. Using REBOA in patients as a bridge to laparotomy is a novel option whose feasibility and efficacy remain unclear. We aimed to assess the clinical outcome in patients with abdominal injury who underwent both REBOA placement and laparotomy. Methods This is a retrospective study, including trauma patients with an isolated abdominal injury who underwent both REBOA placement and laparotomy, during the period 2011–2019. All data were collected via the Aortic Balloon Occlusion Trauma Registry database. Results One hundred and three patients were included in this study. The main mechanism of trauma was blunt injury (62.1%) and the median injury severity score (ISS) was 33 (14–74). Renal failure and multi-organ dysfunction syndrome (MODS) occurred in 15.5% and 35% of patients, respectively. Overall, 30-day mortality was 50.5%. Post balloon inflation systolic blood pressure (SBP) >80 mmHg was associated with lower 24-h mortality (p = 0.007). No differences in mortality were found among patients who underwent partial occlusion vs. total occlusion of the aorta. Conclusions Our results support the feasibility of REBOA use in patients with isolated abdominal injury, with survival rates similar to previous reports for haemodynamically unstable abdominal trauma patients. Post-balloon inflation SBP >80 mmHg was associated with a significant reduction in 24-h mortality rates, but not 30-day mortality. Total aortic occlusion was not associated with increased mortality, MODS, and complication rates compared with partial occlusion.en_ZA
dc.description.urihttps://www.sciencedirect.com/science/article/pii/S1479666X23000872?via%3Dihuben_ZA
dc.description.versionPublisher’s versionen_ZA
dc.format.extent37 pagesen_ZA
dc.identifier.citationPara, M. et al. 2025. International registry on aortic balloon occlusion in major trauma: Partial inflation does not improve outcomes in abdominal trauma. The Surgeon 22(1):37 pages. doi.10.1016/j.surge.2023.08.001en_ZA
dc.identifier.doi10.1016/j.surge.2023.08.001en_ZA
dc.identifier.issn1479-666X (online)en_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/131835
dc.language.isoen
dc.publisherElsevieren_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.titleInternational registry on aortic balloon occlusion in major trauma: Partial inflation does not improve outcomes in abdominal traumaen_ZA
dc.typeArticleen_ZA
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