Hemorrhage control and resuscitation | All patients (n = 26) | Resuscitative thoracotomy (n = 13) | REBOA (n = 13) | p |
---|---|---|---|---|
Initial aortic occlusion in ED | 13 (50%) | 11 (85%) | 2 (15%) | < 0.001 |
Initial aortic occlusion in OR | 13 (50%) | 2 (15%) | 11 (85%) | < 0.001 |
Other hemorrhage control procedures | ||||
Heart laceration repair | 2 (8%) | 2(15%) | 0 (0%) | 0.480 |
Pulmonary resection | 1 (4%) | 1 (8%) | 0 (0%) | > 0.999 |
Lung laceration repair | 3 (12%) | 2 (15%) | 1 (8%) | > 0.999 |
Solid organ resection | 8 (31%) | 2 (15%) | 6 (46%) | 0.202 |
Solid organ repair | 5 (19%) | 2 (15%) | 3 (23%) | > 0.999 |
Vascular bypass | 1 (4%) | 1 (8%) | 0 (0%) | > 0.999 |
Primary repair of a named vessel | 6 (23%) | 2 (15%) | 4 (31%) | 0.645 |
Ligation of a named vessel | 4 (15%) | 1 (8%) | 3 (23%) | 0.593 |
Therapeutic angiographya | 4 (15%) | 0 (0%) | 4 (31%) | 0.096 |
Other adjunctive procedures | ||||
Hollow viscous resection | 2 (8%) | 0 (0%) | 2 (15%) | 0.480 |
Hollow viscous repair | 2 (8%) | 1 (8%) | 1 (8%) | > 0.999 |
Diaphragm repair | 1 (4%) | 0 (0%) | 1 (8%) | > 0.999 |
CT or vascular surgery consultation | 1 (4%) | 1 (8%) | 0 (0%) | > 0.999 |
Interventional radiology consultation | 4 (15%) | 0 (0%) | 4 (31%) | 0.096 |
Obtained hemorrhage control in ORb | 11 (42%) | 1 (8%) | 10 (77%) | 0.001 |
Arrival to hemorrhage control (min) | 111 [62–154] | 62 | 112 [93–157] | 0.343 |
OR start to hemorrhage control (min) | 58 [32–91] | 32 | 60 [33–103] | 0.342 |
TXA administered 0–4 h after arrival | 9 (35%) | 5 (38%) | 4 (31%) | > 0.999 |
RBC transfusions 0–4 h after arrival | 7.0 [4.0–14.8] | 7.0 [5.5–13.5] | 5.0 [4.0–17.5] | 0.680 |
Plasma transfusions 0–4 h after arrival | 6.0 [3.8–15.0] | 7.0 [4.0–15.0] | 4.0 [3.5–15.0] | 0.718 |
RBC transfusions 4–24 h after arrival | 2.0 [0.0–5.0] | 0.0 [0.0–5.5] | 2.0 [0.5–5.0] | 0.397 |
Plasma transfusions 4–24 h after arrival | 1.5 [0.0–5.0] | 0.0 [0.0–4.5] | 2.0 [0.0–5.5] | 0.465 |