The UK resuscitative endovascular balloon occlusion of the aorta in trauma patients with life-threatening torso haemorrhage: the (UK-REBOA) multicentre RCT

被引:1
作者
Jansen, Jan O. [1 ,2 ]
Hudson, Jemma [1 ]
Kennedy, Charlotte [3 ]
Cochran, Claire [1 ]
MacLennan, Graeme [1 ]
Gillies, Katie [1 ]
Lendrum, Robbie [4 ]
Sadek, Samy [4 ]
Boyers, Dwayne [3 ]
Ferry, Gillian [1 ]
Lawrie, Louisa [1 ]
Nath, Mintu [5 ]
Cotton, Seonaidh [1 ]
Wileman, Samantha [1 ]
Forrest, Mark [1 ]
Brohi, Karim [6 ]
Harris, Tim [4 ]
Lecky, Fiona [7 ]
Moran, Chris [8 ]
Morrison, Jonathan J. [9 ]
Norrie, John [10 ]
Paterson, Alan [11 ]
Tai, Nigel [12 ]
Welch, Nick [13 ]
Campbell, Marion K. [1 ]
机构
[1] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland
[2] Univ Alabama Birmingham, Dept Surg, Div Trauma & Acute Care Surg, Birmingham, AL 35294 USA
[3] Univ Aberdeen, Hlth Econ Res Unit, Aberdeen, Scotland
[4] Royal London Hosp, London, England
[5] Univ Aberdeen, Med Stat Team, Aberdeen, Scotland
[6] Queen Mary Univ London, Blizard Inst, London, England
[7] Univ Sheffield, Sch Hlth & Related Res, Sheffield, England
[8] Queens Med Ctr, Nottingham, England
[9] Mayo Clin, Coll Med & Sci, Rochester, MN USA
[10] Univ Edinburgh, Edinburgh, Scotland
[11] Univ Strathclyde, Law Sch, Glasgow, Scotland
[12] Barts Hlth NHS Trust, London, England
[13] Patient & Publ Involvement Representat, London, England
关键词
CARDIAC-ARREST; OUTCOMES; THORACOTOMY; TRANSFUSION; TRIALS; DEATH; MODEL; EPIDEMIOLOGY; DETERMINANTS; ELICITATION;
D O I
10.3310/LTYV4082
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The most common cause of preventable death after injury is haemorrhage. Resuscitative endovascular balloon occlusion of the aorta is intended to provide earlier, temporary haemorrhage control, to facilitate transfer to an operating theatre or interventional radiology suite for definitive haemostasis.Objective: To compare standard care plus resuscitative endovascular balloon occlusion of the aorta versus standard care in patients with exsanguinating haemorrhage in the emergency department.Design: Pragmatic, multicentre, Bayesian, group-sequential, registry-enabled, open-label, parallel-group randomised controlled trial to determine the clinical and cost-effectiveness of standard care plus resuscitative endovascular balloon occlusion of the aorta, compared to standard care alone.Setting: United Kingdom Major Trauma Centres.Participants: Trauma patients aged 16 years or older with confirmed or suspected life-threatening torso haemorrhage deemed amenable to adjunctive treatment with resuscitative endovascular balloon occlusion of the aorta.
引用
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页码:1 / 150
页数:150
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