{"id":"https://openalex.org/W7124434646","doi":"https://doi.org/10.1186/s12245-025-01117-6","title":"Resuscitative endovascular balloon occlusion of the aorta in abdominal trauma: zone-specific outcomes and predictors of mortality","display_name":"Resuscitative endovascular balloon occlusion of the aorta in abdominal trauma: zone-specific outcomes and predictors of mortality","publication_year":2026,"publication_date":"2026-01-16","ids":{"openalex":"https://openalex.org/W7124434646","doi":"https://doi.org/10.1186/s12245-025-01117-6","pmid":"https://pubmed.ncbi.nlm.nih.gov/41545826"},"language":"en","primary_location":{"id":"doi:10.1186/s12245-025-01117-6","doi":"https://doi.org/10.1186/s12245-025-01117-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12245-025-01117-6","pdf_url":null,"source":{"id":"https://openalex.org/S105925683","display_name":"International Journal of Emergency Medicine","issn_l":"1865-1372","issn":["1865-1372","1865-1380"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Emergency Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12245-025-01117-6","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006346378","display_name":"Musaed Rayzah","orcid":"https://orcid.org/0000-0003-2837-6141","observed_orcids":["https://orcid.org/0000-0003-2837-6141"]},"institutions":[{"id":"https://openalex.org/I195631090","display_name":"Majmaah University","ror":"https://ror.org/01mcrnj60","country_code":"SA","type":"education","lineage":["https://openalex.org/I195631090"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Musaed Rayzah","raw_affiliation_strings":["Department of Surgery, College of Medicine, Majmaah University, P.O. Box 66, Al-Majmaah, Riyadh, 11952, Kingdom of Saudi Arabia. m.rayzah@mu.edu.sa"],"raw_orcid":"https://orcid.org/0000-0003-2837-6141","affiliations":[{"raw_affiliation_string":"Department of Surgery, College of Medicine, Majmaah University, P.O. Box 66, Al-Majmaah, Riyadh, 11952, Kingdom of Saudi Arabia. m.rayzah@mu.edu.sa","institution_ids":["https://openalex.org/I195631090"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025284133","display_name":"Nasser A. N. Alzerwi","orcid":"https://orcid.org/0000-0002-4877-2152","observed_orcids":["https://orcid.org/0000-0002-4877-2152"]},"institutions":[{"id":"https://openalex.org/I195631090","display_name":"Majmaah University","ror":"https://ror.org/01mcrnj60","country_code":"SA","type":"education","lineage":["https://openalex.org/I195631090"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Nasser A. N. Alzerwi","raw_affiliation_strings":["Department of Surgery, College of Medicine, Majmaah University, P.O. Box 66, Al-Majmaah, Riyadh, 11952, Kingdom of Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, College of Medicine, Majmaah University, P.O. Box 66, Al-Majmaah, Riyadh, 11952, Kingdom of Saudi Arabia","institution_ids":["https://openalex.org/I195631090"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076580940","display_name":"Bandar Idrees","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335369389","display_name":"Riyadh Armed Forces Hospital","ror":"https://ror.org/00mtny680","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I1335369389"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Bandar Idrees","raw_affiliation_strings":["Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia","institution_ids":["https://openalex.org/I1335369389"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079944266","display_name":"Ahmed A. Alhumaid","orcid":"https://orcid.org/0000-0002-0754-0398","observed_orcids":["https://orcid.org/0000-0002-0754-0398"]},"institutions":[{"id":"https://openalex.org/I156216236","display_name":"Qassim University","ror":"https://ror.org/01wsfe280","country_code":"SA","type":"education","lineage":["https://openalex.org/I156216236"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Ahmed A. Alhumaid","raw_affiliation_strings":["Department of Surgery, College of Medicine, Qassim University, Buraydah, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, College of Medicine, Qassim University, Buraydah, Saudi Arabia","institution_ids":["https://openalex.org/I156216236"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087690053","display_name":"Yaser Baksh","orcid":"https://orcid.org/0000-0003-4788-001X","observed_orcids":["https://orcid.org/0000-0003-4788-001X"]},"institutions":[{"id":"https://openalex.org/I4210127754","display_name":"Ministry of Health","ror":"https://ror.org/030atj633","country_code":"SA","type":"government","lineage":["https://openalex.org/I4210127754"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Yaser Baksh","raw_affiliation_strings":["Department of Surgery, Iman General Hospital, Riyadh, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Iman General Hospital, Riyadh, Saudi Arabia","institution_ids":["https://openalex.org/I4210127754"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010517254","display_name":"Fares Rayzah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210161535","display_name":"Asir Central Hospital","ror":"https://ror.org/056p2ex35","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210161535"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Fares Rayzah","raw_affiliation_strings":["Department of Surgery, Aseer Central Hospital, Abha, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Aseer Central Hospital, Abha, Saudi Arabia","institution_ids":["https://openalex.org/I4210161535"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5006346378"],"corresponding_institution_ids":["https://openalex.org/I195631090"],"apc_list":{"value":3090,"currency":"USD","value_usd":3090},"apc_paid":{"value":3090,"currency":"USD","value_usd":3090},"fwci":6.2752,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.91255362,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"19","issue":"1","first_page":"40","last_page":"40"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.4140999913215637,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11116","display_name":"Trauma, Hemostasis, Coagulopathy, Resuscitation","score":0.3109999895095825,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.1542000025510788,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/resuscitative-endovascular-balloon-occlusion-of-the-aorta","display_name":"resuscitative endovascular balloon occlusion of the aorta","score":0.9940000176429749},{"id":"https://openalex.org/keywords/abdominal-trauma","display_name":"abdominal trauma","score":0.8539999723434448},{"id":"https://openalex.org/keywords/hemorrhage-control","display_name":"hemorrhage control","score":0.8700000047683716},{"id":"https://openalex.org/keywords/risk-factors-for-mortality","display_name":"mortality risk factors","score":0.8650000095367432},{"id":"https://openalex.org/keywords/glasgow-coma-scale","display_name":"Glasgow Coma Scale","score":0.9779999852180481},{"id":"https://openalex.org/keywords/hemodynamic-instability","display_name":"hemodynamic instability","score":0.6959999799728394}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9729999899864197},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.5511000156402588},{"id":"https://openalex.org/C2780520971","wikidata":"https://www.wikidata.org/wiki/Q2264329","display_name":"Abdominal aorta","level":3,"score":0.5318999886512756},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.5001000165939331},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44519999623298645},{"id":"https://openalex.org/C85004164","wikidata":"https://www.wikidata.org/wiki/Q1089964","display_name":"Injury Severity Score","level":4,"score":0.4226999878883362},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.39730000495910645},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.3926999866962433},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.3896999955177307},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3840000033378601},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.38109999895095825},{"id":"https://openalex.org/C555175668","wikidata":"https://www.wikidata.org/wiki/Q539690","display_name":"Angiology","level":2,"score":0.3562999963760376},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.35100001096725464},{"id":"https://openalex.org/C139059822","wikidata":"https://www.wikidata.org/wiki/Q183951","display_name":"Balloon","level":2,"score":0.3476000130176544},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.34450000524520874},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.34360000491142273},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.33180001378059387},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.3102000057697296},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3091999888420105},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.30070000886917114},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2727999985218048}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1186/s12245-025-01117-6","doi":"https://doi.org/10.1186/s12245-025-01117-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12245-025-01117-6","pdf_url":null,"source":{"id":"https://openalex.org/S105925683","display_name":"International Journal of Emergency Medicine","issn_l":"1865-1372","issn":["1865-1372","1865-1380"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Emergency Medicine","raw_type":"journal-article"},{"id":"pmid:41545826","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41545826","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of emergency medicine","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11699931","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12892550","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12892550","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12892550/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Int J Emerg Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12245-025-01117-6","doi":"https://doi.org/10.1186/s12245-025-01117-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12245-025-01117-6","pdf_url":null,"source":{"id":"https://openalex.org/S105925683","display_name":"International Journal of Emergency Medicine","issn_l":"1865-1372","issn":["1865-1372","1865-1380"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8530600070953369}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W2090969707","https://openalex.org/W2599525258","https://openalex.org/W2742328642","https://openalex.org/W2922694560","https://openalex.org/W2992740258","https://openalex.org/W3032638355","https://openalex.org/W3142985341","https://openalex.org/W4220787048","https://openalex.org/W4221032234","https://openalex.org/W4226358935","https://openalex.org/W4288066078","https://openalex.org/W4321129741","https://openalex.org/W4379135183","https://openalex.org/W4382371007","https://openalex.org/W4385294194","https://openalex.org/W4386295303","https://openalex.org/W4389824996","https://openalex.org/W4391345132","https://openalex.org/W4392858480","https://openalex.org/W4393946584","https://openalex.org/W4402073067","https://openalex.org/W4402797179","https://openalex.org/W4403088303","https://openalex.org/W4403364200","https://openalex.org/W4404090986","https://openalex.org/W4404499465","https://openalex.org/W4404798034","https://openalex.org/W4405504355","https://openalex.org/W4405516538","https://openalex.org/W4405925924","https://openalex.org/W4405946457","https://openalex.org/W4406063608","https://openalex.org/W4406437118","https://openalex.org/W4408301525"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Resuscitative":[1],"Endovascular":[2],"Balloon":[3],"Occlusion":[4],"of":[5,78,83,198,215,228],"the":[6,84,212],"Aorta":[7],"(REBOA)":[8],"is":[9],"increasingly":[10],"utilized":[11],"for":[12],"hemorrhage":[13],"control":[14],"in":[15,20,100,116,122,136,149,154,205,209,230,244],"trauma;":[16],"however,":[17],"zone-specific":[18,239],"outcomes":[19,64],"abdominal":[21,33,233,247],"trauma":[22,34],"remain":[23],"inadequately":[24],"characterized.":[25],"METHODS:":[26],"We":[27],"retrospectively":[28],"analyzed":[29],"404":[30],"patients":[31,231,245],"with":[32,74,104,232,246],"who":[35],"underwent":[36],"REBOA":[37,218,242],"between":[38],"2019":[39,206],"and":[40,54,62,95,119,128,140,158,180,221],"2022.":[41],"Patients":[42,99],"were":[43,65],"stratified":[44],"by":[45],"aortic":[46],"occlusion":[47],"zone":[48,219],"(zones":[49],"1,":[50,188],"2,":[51],"or":[52],"3),":[53],"their":[55],"demographic":[56],"characteristics,":[57],"injury":[58],"patterns,":[59],"resuscitation":[60],"requirements,":[61],"clinical":[63],"compared.":[66],"RESULTS:":[67],"The":[68,81],"cohort":[69],"was":[70,86,146],"predominantly":[71],"male":[72],"(83.8%),":[73],"a":[75,238],"median":[76],"age":[77],"35.0":[79],"years.":[80],"distribution":[82],"zones":[85],"as":[87,195],"follows:":[88],"Zone":[89,92,96,101,117,123,150,181,187],"1":[90,102,151],"(33.7%);":[91],"2":[93,118,139,156],"(4.7%);":[94],"3":[97,159,182],"(61.6%).":[98],"presented":[103],"more":[105],"severe":[106],"hemodynamic":[107],"compromise":[108],"(median":[109,132],"SBP":[110],"77.0":[111],"mmHg":[112,115,121],"vs.":[113,134,186],"107.0":[114],"103.0":[120],"3,":[124,141],"P":[125,142,177,192],"<":[126,143,162,178,193],"0.001)":[127,179,194],"lower":[129],"GCS":[130,167],"scores":[131],"6.0":[133],"15.0":[135],"both":[137],"Zones":[138,155],"0.001).":[144,163],"Mortality":[145],"significantly":[147],"higher":[148],"(73.6%)":[152],"than":[153],"(27.8%)":[157],"(37.7%)":[160],"(P":[161],"Multivariate":[164],"analysis":[165],"identified":[166],"score":[168],"(OR":[169,184],"0.80":[170],"per":[171],"point":[172],"increase,":[173],"95%":[174,189],"CI":[175,190],"0.73\u20130.87,":[176],"placement":[183,220],"0.20":[185],"0.08\u20130.47,":[191],"independent":[196,226],"predictors":[197,227],"survival.":[199],"Overall":[200],"mortality":[201,229],"decreased":[202],"from":[203],"58%":[204],"to":[207,241],"36%":[208],"2022,":[210],"despite":[211],"increased":[213],"utilization":[214],"REBOA.":[216],"CONCLUSION:":[217],"neurological":[222],"status":[223],"are":[224],"powerful":[225],"trauma.":[234,248],"These":[235],"findings":[236],"support":[237],"approach":[240],"deployment":[243]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2026-01-17T00:00:00"}