Resuscitative Endovascular Balloon Occlusion of the Aorta in Haemorrhagic Shock

Study Overview
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Brief Summary
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Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a procedure that has the goal to stabilize trauma patients with non-compressible torso hemorrhage by temporarily occluding the aorta with a ballon catheter to increase central perfusion and stop uncontrollable bleeding from the diaphragm downwards. The investigators are planning to evaluate all patients who had a REBOA catheter placed at their clinic or in the pre-clinical setting from the start of 2019 to the 31.12.2022 who were transferred to their clinic, with basic demographic and clinical data, the procedural specifics, and their potential complications.

Detailed Description
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Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a procedure that has the goal stabilize trauma patients with non-compressible torso hemorrhage by temporarily occluding the aorta with a ballon catheter to increase central perfusion and stop uncontrollable bleeding from the diaphragm downwards. The investigators plan to evaluate all patients who had a REBOA catheter placed at their clinic or in the pre-clinical setting from the start of 2019 to the 31.12.2022 who were transferred to their clinic, with basic demographic and clinical data, the procedural specifics, and their potential complications. Investigators will search for patients who had a REBOA catheter placed in the study period in the clinical documentation system (openMEDOCS) and the database of the German trauma registry. Documentation will include hemodynamic parameters, transfused blood products, complications, basic demographics and mortality up to thirty days after REBOA placement. The investigators will then try to find patients with similar trauma mechanism and severity of trauma in the German trauma registry and match them with their REBOA patients.

Official Title
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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in Patients With Major Trauma and Uncontrolled Haemorrhagic Shock: a Retrospective Analysis

Conditions
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Non-compressible Torso Hemorrhage, Trauma Injury

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient with non-compressible torso hemorrhage following major trauma with REBOA placement age>18 years REBOA placement during the initial resuscitation Exclusion Criteria: age<18 years missing data

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mortality | all cause mortality | 30 days | 
| Occurrence of complications | Complications due to ballon occlusion of the aorta | 30 days | 
| Blood products | Used blood products | initial resuscitation phase (day one after admission) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| hemodynamic improvement (blood pressure) | hemodynamic improvement after ballon occlusion of the aorta (blood pressure) | initial resuscitation phase (day one after admission) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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trauma, uncontrollable hemorrhage, ballon occlusion of the aorta