Hemorrhage Control for Major Traumatic Vascular Injuries
Annual rept. 15 Sep 2014-14 Sep 2015
TEXAS UNIV HEALTH SCIENCE CENTER AT HOUSTON
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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 Y1, the study is nearing completion of data collection for the retrospective study. Analysis of the retrospective data will take place in Y2Q1 with the Delphi following soon thereafter. At the Delphi meeting, the design of the prospective study will be developed and it will be implemented later in Y2.
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