TY - JOUR T1 - Needs assessment of resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major haemorrhage: a cross-sectional study JF - Emergency Medicine Journal JO - Emerg Med J SP - 521 LP - 526 DO - 10.1136/emermed-2020-210808 VL - 39 IS - 7 AU - Bård Neuenkirchen Godø AU - Jostein Rodseth Brede AU - Andreas Jorstad Krüger Y1 - 2022/07/01 UR - http://emj.bmj.com/content/39/7/521.abstract N2 - Background Resuscitative endovascular balloon occlusion of the aorta (REBOA) can be used as an adjunct treatment in traumatic abdominopelvic haemorrhage, ruptured abdominal aortic aneurysms, postpartum haemorrhage (PPH), gastrointestinal bleeding and iatrogenic injuries during surgery. This needs assessment study aims to determine the number of patients eligible for REBOA in a typical Norwegian population.Methods This was a retrospective cross-sectional study based on data obtained from blood bank registries and the Norwegian Trauma Registry for the years 2017–2018. Patients who received ≥4 units of packed red blood cells (PRBCs) within 6 hours and met the anatomical criteria for REBOA or patients with relevant Abbreviated Injury Scale codes with concurrent hypotension or transfusion of ≥4 units of PRBCs within 6 hours were identified. A detailed two-step chart review was performed to identify potentially eligible REBOA candidates. Descriptive data were collected and compared between subgroups using non-parametric tests for statistical significance.Results Of 804 patients eligible for inclusion, 53 patients were regarded as potentially REBOA eligible (corresponding to 5.7 per 100 000 adult population/year). Of these, 19 actually received REBOA. Among the identified eligible patients, 44 (83%) had a non-traumatic aetiology. Forty-two patients (79%) were treated at a tertiary care hospital. Fourteen (78%) of the REBOA procedures were due to PPH.Conclusion The number of patients potentially eligible for REBOA after haemorrhage is low, and most cases are non-traumatic. Most patients were treated at a tertiary care hospital. The exclusion of non-traumatic patients results in a substantial underestimation of the number of potentially REBOA-eligible patients.Data are available on reasonable request. Data were obtained from blood bank registries, the Norwegian Trauma Registry and the electronic patient journal of Central Norway Regional Health Authority. The dataset consists of deidentified participant data. Because of the interconnection of data from multiple registries, the Norwegian Center for Research Data has concluded that the dataset in whole could indirectly identify specific patients. Therefore, the data are stored on protected servers owned by St. Olav Hospital Trust and is not made publicly open. ER -