Highlights
REBOA in isolated severe pelvic fractures:
- •Worse mortality
- •Higher venous thromboembolic complications
- •More acute kidney injuries
Abstract
Background
Severe pelvic fracture is the most common indication for resuscitative endovascular
balloon occlusion of the aorta (REBOA). This matched cohort study investigated outcomes
with or without REBOA use in isolated severe pelvic fractures.
Methods
Trauma Quality Improvement Program database study, included patients with isolated
severe pelvic fracture (AIS≥3), excluded associated injuries with AIS >3 for any region
other than lower extremity. REBOA patients were propensity score matched to similar
patients without REBOA. Outcomes were mortality and complications.
Results
93 REBOA patients were matched with 279 without. REBOA patients had higher rates of
in-hospital mortality (32.3% vs 19%, p = 0.008), higher rates of venous thromboembolism
(14% vs 6.5%, p = 0.023) and DVT (11.8% vs 5.4%, p = 0.035). In multivariate analysis,
REBOA use was independently associated with increased mortality and venous thromboembolism.
Conclusions
REBOA in severe pelvic fractures is associated with higher rates of mortality, venous
thromboembolism.
Graphical abstract
Graphical Abstract
Keywords
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Article info
Publication history
Published online: October 09, 2022
Accepted:
September 28,
2022
Received in revised form:
September 25,
2022
Received:
August 20,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.
