Hemorrhage Control for Major Traumatic Vascular Injuries
Technical Report,15 Sep 2016,14 Sep 2017
The University of Texas Health Science Center at Houston Houston United States
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The objective of this proposed study is to systematically define the clinical and logistical issues surrounding traditional open vascular surgery and catheter-based hemorrhage control. The hypothesis is that minimally invasive, device-driven and expert-led NCTH control techniques improve survival compared to traditional open vascular surgery. This project will achieve the following aims 1 Determine current practice patterns for the treatment of patients with NCTH among 4 clinical sites using a retrospective study design Phase 1a 2 Conduct a 2-day Delphi Panel meeting of military and civilian experts to gain consensus regarding anatomic, technology, credentialing, competency, and training issues for catheter-based hemorrhage control Phase 1b 3 Conduct a prospective 4-site observational study to test the hypothesis that less-invasive device-driven and expert-led hemorrhage control techniques are associated with improved survival in NCTH patients and strengthen the evidence base to inform future development of catheters, devices, and training required for surgeons for catheter-based hemorrhage control Phase 2. At the end of Y3, the retrospective study has been completed, the Delphi Meeting has been held and a manuscript describing the results has been drafted. In addition, the prospective study continues in all 4 sites, 228 patients have been enrolled, and we are awaiting an EWOF to extend the prospective study into year 4 for both enrollment and analysis.
- Medicine and Medical Research