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REBOA in patients with high-grade liver injury may be associated with worse outcomes
Wei Huang1, Naveen Balan2, Feifei Jin3
1LA General Medical Center, University of Southern California, Los Angeles, CA, USA; Peking University People's Hospital, Trauma Center, Beijing, China.
Background:
Although controversial, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used to manage liver injuries. This matched cohort study evaluated outcomes in severe liver injuries treated with REBOA or without REBOA.
Methods:
Trauma Quality Improvement Program database study. Patients with high-grade liver injuries (IV and V) treated with REBOA were propensity score matched (1:2) with similar patients managed without REBOA. Outcomes included mortality and complications.
Results:
252 patients treated with REBOA were matched with 503 patients managed without REBOA. Overall mortality was significantly higher in the REBOA group [57.9 % vs. 35.2 % (p < 0.001)]. The REBOA group patients had higher blood product transfusion requirements.
Conclusion:
REBOA use in patients with high-grade liver injuries may be associated with poorer outcomes.
