Risultati per: Diagnosi e gestione dell’aneurisma aorta addominale (AAA)

Gli oncologi, l’intervento tempestivo aiuta la cura. La chemioterapia probabilmente è preventiva per evitare le recidive

To the Editor A recent randomized clinical trial on REBOA showed that use of the technique may be detrimental to patients in some major trauma centers in the UK. However, I have some concerns about this study.

In Reply We thank the authors for the letters about our recently published randomized clinical trial of emergency department REBOA in trauma patients.

To the Editor We would like to highlight some concerns surrounding the study design and findings of the UK-REBOA randomized clinical trial that evaluated the effectiveness of REBOA and standard care compared with standard care alone.

To the Editor We are concerned about the results and interpretation of the UK-REBOA randomized clinical trial. First, this study population may have included cases that were unsuited for resuscitative endovascular balloon occlusion of the aorta (REBOA). The median Abbreviated Injury Scale (AIS) score for the thorax was 4 in both groups, suggesting the presence of severe thoracic trauma. The use of REBOA in patients with thoracic injuries could potentially exacerbate bleeding, thereby raising concerns about the cases in which thoracic trauma was the primary source of severe bleeding.

To the Editor The results of a recent randomized clinical trial demonstrated that the incorporation of REBOA into standard trauma care in the emergency department “does not reduce, and may increase, mortality compared with standard care alone.” Although these results are of high significance, they partially contradict previously published studies. We have some concerns about this study.

To the Editor One of the key issues that came to our attention in the recent UK-REBOA study was the high proportion of patients randomized to the REBOA and standard care group who did not have an aortic balloon inserted. In 8 cases (17%), it was reported that clinicians were unable to establish access to the femoral artery.

New England, prove da uno studio su 8000 individui

Sperimentato a Bologna e a Barcellona da giugno

In Italia 5 mln di pazienti. Gemmato, ‘migliori cure e risparmi’. Locatelli, ‘curare la persona e non solo la malattia’

In Italia 5 mln di pazienti. Gemmato,

Fondazione Telethon tra le organizzazioni