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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Quantifying the need for pediatric REBOA: a gap analysis
Journal of pediatric surgery, v 56(8), pp 1395-1400
01 Aug 2021
PMID: 33046222
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Trauma is the leading cause of death in children. Resuscitative endovascular balloon occlusion of the aorta (REBOA) provides temporary hemorrhage control, but its potential benefit has not been assessed in children. We hypothesized that there are pediatric patients who may benefit from REBOA.
Trauma patients <18 years old at a level 1 pediatric trauma center between 2009 and 2019 were queried for deaths, pre-hospital cardiac arrest, massive transfusion protocol activation, transfusion requirement, or hemorrhage control surgery. These patients defined the cohort of severely injured patients. From this cohort, patients with intraabdominal injuries for which REBOA may provide temporary hemorrhage control were identified, including solid organ injury necessitating intervention, vascular injury, or pelvic hemorrhage.
There were 239 severely injured patients out of 6538 pediatric traumas. Of these, 38 had REBOA-amenable injuries (15.9%) with 34.2% mortality, accounting for 10.2% of all pediatric trauma deaths at one center. Eleven patients with REBOA-amenable injuries had TBI (28.9%). Patients with REBOA-amenable injuries represented 0.6% of all pediatric traumas.
Nearly 20% of severely injured pediatric patients could potentially benefit from REBOA. The overall proportion of pediatric patients with REBOA-amenable injuries is similar to adult studies.
Retrospective comparative study.
Level III.
Metrics
Details
- Title
- Quantifying the need for pediatric REBOA: a gap analysis
- Creators
- Christina M Theodorou - University of California Davis Medical CenterA Francois Trappey - The University of Texas Health Science Center at HoustonCarl A Beyer - University of California Davis Medical CenterKaeli J Yamashiro - University of California Davis Medical CenterShinjiro Hirose - University of California Davis Medical CenterJoseph M Galante - University of California Davis Medical CenterAlana L Beres - University of California Davis Medical CenterJacob T Stephenson - Uniformed Services University of the Health Sciences
- Publication Details
- Journal of pediatric surgery, v 56(8), pp 1395-1400
- Publisher
- Elsevier
- Grant note
- UL1 TR001860 / NCATS NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000685044000028
- Scopus ID
- 2-s2.0-85092395071
- Other Identifier
- 991021969474104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Surgery