Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series
Purpose Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a state-of-the-art lifesaving procedure. However, due to its high mortality and morbidity, including ischemia and reperfusion injury, well-trained medical staff and effective systems are needed. This study was conducted to...
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Korean Society of Traumatology
2023-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0069.pdf |
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| author | Hyunsik Choi Joongsuck Kim Kwanghee Yeo Ohsang Kwon Kyounghwan Kim Wu Seong Kang |
| author_facet | Hyunsik Choi Joongsuck Kim Kwanghee Yeo Ohsang Kwon Kyounghwan Kim Wu Seong Kang |
| author_sort | Hyunsik Choi |
| collection | DOAJ |
| description | Purpose Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a state-of-the-art lifesaving procedure. However, due to its high mortality and morbidity, including ischemia and reperfusion injury, well-trained medical staff and effective systems are needed. This study was conducted to investigate the learning curve for REBOA in Korea. Methods To monitor this learning curve, we used cumulative sum (CUSUM) analysis and graphs of mortality and aortic occlusion time within 60, 90, and 120 minutes for consecutive patients. The procedures performed between July 2017 and June 2021 were divided into pre-trauma center (pre-TC; July 2017–February 2020) and TC (February 2020–June 2021) periods. Results REBOA was performed for 31 consecutive patients with trauma. The pre-TC (n=12) and TC (n=19) periods did not differ significantly with regard to Injury Severity Score, age, injury mechanism, initial systolic blood pressure, prehospital cardiopulmonary resuscitation (CPR), or CPR in the emergency department. At the 17th consecutive patient during the TC period, CUSUM failure graphs for mortality and aortic occlusion time exhibited a downward inflection, indicating an improvement in performance. Conclusions The mortality and aortic occlusion time of REBOA improved, and these parameters can be monitored using CUSUM analysis at the hospital level. |
| format | Article |
| id | doaj-art-3927dcaae9ef44439ab826cbfd66faff |
| institution | OA Journals |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3927dcaae9ef44439ab826cbfd66faff2025-08-20T01:49:27ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-06-01362788610.20408/jti.2022.00691239Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case seriesHyunsik Choi0Joongsuck Kim1Kwanghee Yeo2Ohsang Kwon3Kyounghwan Kim4Wu Seong Kang5 Department of Emergency Medicine, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, KoreaPurpose Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a state-of-the-art lifesaving procedure. However, due to its high mortality and morbidity, including ischemia and reperfusion injury, well-trained medical staff and effective systems are needed. This study was conducted to investigate the learning curve for REBOA in Korea. Methods To monitor this learning curve, we used cumulative sum (CUSUM) analysis and graphs of mortality and aortic occlusion time within 60, 90, and 120 minutes for consecutive patients. The procedures performed between July 2017 and June 2021 were divided into pre-trauma center (pre-TC; July 2017–February 2020) and TC (February 2020–June 2021) periods. Results REBOA was performed for 31 consecutive patients with trauma. The pre-TC (n=12) and TC (n=19) periods did not differ significantly with regard to Injury Severity Score, age, injury mechanism, initial systolic blood pressure, prehospital cardiopulmonary resuscitation (CPR), or CPR in the emergency department. At the 17th consecutive patient during the TC period, CUSUM failure graphs for mortality and aortic occlusion time exhibited a downward inflection, indicating an improvement in performance. Conclusions The mortality and aortic occlusion time of REBOA improved, and these parameters can be monitored using CUSUM analysis at the hospital level.http://jtraumainj.org/upload/pdf/jti-2022-0069.pdfaortaballoon occlusionendovascular procedures |
| spellingShingle | Hyunsik Choi Joongsuck Kim Kwanghee Yeo Ohsang Kwon Kyounghwan Kim Wu Seong Kang Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series Journal of Trauma and Injury aorta balloon occlusion endovascular procedures |
| title | Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series |
| title_full | Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series |
| title_fullStr | Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series |
| title_full_unstemmed | Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series |
| title_short | Quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in Korea: a case series |
| title_sort | quality monitoring of resuscitative endovascular balloon occlusion of the aorta using cumulative sum analysis in korea a case series |
| topic | aorta balloon occlusion endovascular procedures |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0069.pdf |
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