An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study
Purpose This retrospective multicenter study analyzed trauma patients who underwent resuscitative endovascular balloon occlusion of the aorta (REBOA) in the Republic of Korea. Methods This study was conducted from February 2017 to May 2018 at three regional trauma centers in the Republic of Korea. T...
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Korean Society of Traumatology
2020-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0051.pdf |
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| author | Joonhyeon Park Sung Woo Jang Byungchul Yu Gil Jae Lee Sung Wook Chang Dong Hun Kim Ye Rim Chang Pil Young Jung |
| author_facet | Joonhyeon Park Sung Woo Jang Byungchul Yu Gil Jae Lee Sung Wook Chang Dong Hun Kim Ye Rim Chang Pil Young Jung |
| author_sort | Joonhyeon Park |
| collection | DOAJ |
| description | Purpose This retrospective multicenter study analyzed trauma patients who underwent resuscitative endovascular balloon occlusion of the aorta (REBOA) in the Republic of Korea. Methods This study was conducted from February 2017 to May 2018 at three regional trauma centers in the Republic of Korea. The patients were divided into two groups (cardiopulmonary resuscitation [CPR] and No-CPR) for comparative analysis based on two criteria (complication and mortality) for logistic regression analysis (LRA). Results There were significant differences between the CPR and No-CPR groups in mortality (p=0.003) and treatment administered (p=0.016). By LRA for complications, total occlusion has significantly lesser risk than intermittent or partial occlusion in both univariate (odds ratio [OR] 0.06, 95% confidence interval [CI] 0.00-0.36, p=0.01) and multivariate (OR 0.05, 95% CI 0.00-0.38, p=0.01) analyses. The Rescue had a higher risk than the Coda or Reliant in univariate analysis (OR 4.91, 95% CI 1.14-34.25, p=0.05); however, it was not statistically significant in multivariate analysis (OR 6.98, 95% CI 1.03-74.52, p=0.07). By LRA for mortality, the CPR group was the only variable that had a significantly higher risk of mortality than the No-CPR group in both univariate (OR 17.59, 95% CI 3.05-335.25, p=0.01), and multivariate (OR 24.92, 95% CI 3.77-520.51, p=0.01) analyses. Conclusions This study was conducted in the early stages of REBOA implementation in the Republic of Korea and showed conflicting results from studies conducted by multiple institutions. Therefore, additional research with more accumulated data is needed. |
| format | Article |
| id | doaj-art-82737a86ec4c465691020af0a3509899 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Traumatology |
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| series | Journal of Trauma and Injury |
| spelling | doaj-art-82737a86ec4c465691020af0a35098992025-01-08T08:08:31ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-09-0133314415210.20408/jti.2020.00511028An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter StudyJoonhyeon Park0Sung Woo Jang1Byungchul Yu2Gil Jae Lee3Sung Wook Chang4Dong Hun Kim5Ye Rim Chang6Pil Young Jung7 Department of Surgery, Trauma Center, Yonsei University Wonju Severance Christian Hospital, Wonju, Korea Department of Surgery, Trauma Center, Yonsei University Wonju Severance Christian Hospital, Wonju, Korea Department of Surgery, Trauma Center, Gachon University Gil Medical Center, Incheon, Korea Department of Surgery, Trauma Center, Gachon University Gil Medical Center, Incheon, Korea Department of Thoracic and Cardiovascular Surgery, Trauma Center, Dank University Hospital, Cheonan, Korea Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Surgery, Trauma Center, Yonsei University Wonju Severance Christian Hospital, Wonju, KoreaPurpose This retrospective multicenter study analyzed trauma patients who underwent resuscitative endovascular balloon occlusion of the aorta (REBOA) in the Republic of Korea. Methods This study was conducted from February 2017 to May 2018 at three regional trauma centers in the Republic of Korea. The patients were divided into two groups (cardiopulmonary resuscitation [CPR] and No-CPR) for comparative analysis based on two criteria (complication and mortality) for logistic regression analysis (LRA). Results There were significant differences between the CPR and No-CPR groups in mortality (p=0.003) and treatment administered (p=0.016). By LRA for complications, total occlusion has significantly lesser risk than intermittent or partial occlusion in both univariate (odds ratio [OR] 0.06, 95% confidence interval [CI] 0.00-0.36, p=0.01) and multivariate (OR 0.05, 95% CI 0.00-0.38, p=0.01) analyses. The Rescue had a higher risk than the Coda or Reliant in univariate analysis (OR 4.91, 95% CI 1.14-34.25, p=0.05); however, it was not statistically significant in multivariate analysis (OR 6.98, 95% CI 1.03-74.52, p=0.07). By LRA for mortality, the CPR group was the only variable that had a significantly higher risk of mortality than the No-CPR group in both univariate (OR 17.59, 95% CI 3.05-335.25, p=0.01), and multivariate (OR 24.92, 95% CI 3.77-520.51, p=0.01) analyses. Conclusions This study was conducted in the early stages of REBOA implementation in the Republic of Korea and showed conflicting results from studies conducted by multiple institutions. Therefore, additional research with more accumulated data is needed.http://www.jtraumainj.org/upload/pdf/jti-2020-0051.pdfballoon occlusionaortarepublic of koreatrauma centers |
| spellingShingle | Joonhyeon Park Sung Woo Jang Byungchul Yu Gil Jae Lee Sung Wook Chang Dong Hun Kim Ye Rim Chang Pil Young Jung An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study Journal of Trauma and Injury balloon occlusion aorta republic of korea trauma centers |
| title | An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study |
| title_full | An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study |
| title_fullStr | An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study |
| title_full_unstemmed | An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study |
| title_short | An Early Experience of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Republic of Korea: A Retrospective Multicenter Study |
| title_sort | early experience of resuscitative endovascular balloon occlusion of the aorta reboa in the republic of korea a retrospective multicenter study |
| topic | balloon occlusion aorta republic of korea trauma centers |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0051.pdf |
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