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Table 1 Characteristic of critical patients with trauma who had either REBOA or ACC

From: Resuscitative endovascular balloon occlusion of the aorta versus aortic cross clamping among patients with critical trauma: a nationwide cohort study in Japan

 

REBOA (n = 636)

ACC (n = 267)

P value

Missing

Age (years)

52.5 ± 21.2

56.7 ± 21.1

0.007

0

Gender (male)

417/636 (66%)

194/267 (73%)

0.043

0

Onset year

   

0

 2004–2008

218/636 (34%)

70/267 (26%)

  

 2009–2013

418/636 (66%)

197/267 (74%)

  

Mechanism of injury (blunt vs. penetrating)

591/630 (94%)

247/265 (93%)

0.765

8

Cause of injury

0.754

31

 Accident

429/618 (69%)

187/254 (74%)

  

 Suicide

127/618 (21%)

44/254 (17%)

  

 Assault

20/618 (32%)

6/254 (2.4%)

  

 Workplace injuries

39/618 (6.3%)

16/254 (6.3%)

  

 Other

1/618 (0.2%)

1/254 (0.4%)

  

Transport type

0.008

27

 Ambulance

514/617 (83%)

194/259(75%)

  

 Ambulance with physician

26/617 (4.2%)

24/259 (9.3%)

  

 Helicopter with physician

73/617 (12%)

40/259 (15%)

  

 Other

4/617 (0.6%)

1/259 (0.4%)

  

Vital signs at prehospital

 SBP

101 (42)

105 (40)

0.42

358

 HR

97 (37)

100 (43)

0.76

163

 RR

24 (10)

25 (10)

0.445

232

Vital signs at emergency department

 GCS value

10(12)

5(8)

<0.001

21

 SBP

89 (46)

87 (45)

<0.001

0

 HR

102 (36)

106 (52)

0.181

14

 RR

25 (10)

24 (15)

<0.001

99

RTS

5.2 ± 2.0

4.2 ± 2.2

<0.001

107

AIS

 

0

 Head (n = 382)

3.6 ± 1.2

3.3 ± 1.1

0.101

 

 Face (n = 167)

1.6 ± 0.7

1.8 ± 1.3

0.274

 

 Neck (n = 14)

2.4 ± 1.3

1.5 ± 0.8

0.178

 

 Thorax (n = 593)

3.8 ± 0.9

4.3 ± 1.1

<0.001

 

 Abdomen and pelvis (n = 580)

3.6 ± 1.1

3.8 ± 1.5

0.143

 

 Spine (n = 187)

2.5 ± 1.1

2.6 ± 0.9

0.959

 

 Upper extremity (n = 209)

2.0 ± 0.6

2.1 ± 0.6

0.284

 

 Lower extremity (n = 558)

3.7 ± 1.3

3.7 ± 1.2

0.702

 

 Others (n = 39)

1.1 ± 0.4

1.2 ± 0.4

0.701

 

ISS

34 (25)

34 (20)

<0.001

0

TRISS (probability of survival)

0.43 ± 0.36

0.27 ± 0.30

<0.001

12

Prehospital treatment

 

 Airway protection maneuver

53/636 (8.3%)

41/267 (15%)

0.003

0

 Intubation

44/636 (6.9%)

35/267 (13%)

0.004

0

 Intravenous fluid

55/636 (8.6%)

25/267 (9.3%)

0.703

0

FAST

0.013

29

 Positive

359/614 (59%)

133/260(51%)

  

 Negative

233/614 (38%)

107/260 (41%)

  

 Not conducted

22/614 (3.6%)

20/260 (7.7%)

  

Blood transfusion

542/636 (85%)

197/267 (74%)

<0.001

0

CPR

    

 ERT with CPR

71/636 (11%)

216/267 (81%)

<0.001

0

 Closed CPR

141/636 (22%)

92/267 (35%)

<0.001

0

Operation at initial evaluation

 Craniotomy

19/636 (3.0%)

1/267 (0.4%)

0.012

0

 Craterization

17/636 (2.7%)

3/267 (1.2%)

0.215

0

 Thoracotomy

70/636 (11%)

160/267 (60%)

<0.001

0

 Laparotomy

301/636 (47%)

99/267 (37%)

0.005

0

Angiography

 Chest

29/636 (4.6%)

7/267 (2.6%)

0.196

0

 Abdomen

156/636 (25%)

15/267 (5.6%)

<0.001

0

 Pelvis

151/636 (24%)

22/267 (8.2%)

<0.001

0

TAE (all)

153/636 (24%)

18/267 (6.7%)

<0.001

0

  1. All categorical variables are shown as n (%); continuous variables are shown as mean ± standard deviation or median (interquartile)
  2. ACC aortic cross-clamping, AIS Abbreviated Injury Score, CPR cardiopulmonary resuscitation, ERT Emergency resuscitative thoracotomy, FAST Focused assessment with sonography for trauma, GCS Glasgow Coma Scale, HR heart rate, ISS Injury Severity Score, REBOA resuscitative endovascular balloon occlusion of the aorta, RR Respiratory rate, RTS revised trauma score, SBP systolic blood pressure, TAE trans-catheter arterial embolization, TRISS trauma and injury severity score