Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Developing a tool to assess competence in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): an international Delphi consensus study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. The Geriatric Nutritional Risk Index is a powerful predictor of adverse outcome in the elderly emergency surgery patient

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Identification of a new genetic variant associated with cholecystitis: a multicenter genome-wide association study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Most of the variation in length of stay in emergency general surgery is not related to clinical factors of patient care

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Education in the placement of ultrasound-guided peripheral venous catheters: a systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Central and peripheral nervous system complications of COVID-19: a prospective tertiary center cohort with 3-month follow-up

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Facilitators and Barriers for Young Medical Doctors Writing Their First Manuscript for Publication

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Validation of a novel simulation-based test in robot-assisted radical prosta-tectomy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure that is potentially lifesaving in major noncompressible torso hemorrhage. It may also improve outcome in nontraumatic cardiac arrest. However, the procedure can be technically challenging and requires the immediate presence of a qualified operator. Thus, evidence-based training and assessment of operator skills are essential for successful implementation and patient safety. A prerequisite for this is a valid and reliable assessment tool specific for the procedure. The aim of this study was to develop a tool for assessing procedural competence in REBOA based on best-available knowledge from international experts in the field.

METHODS: We invited international REBOA experts from multiple specialties to participate in an anonymous three-round iterative Delphi study to reach consensus on the design and content of an assessment tool. In round 1, participants suggested items to be included. In rounds 2 and 3, the relevance of each suggested item was evaluated by all participants to reach consensus. Interround data processing was done systematically by a steering group.

RESULTS: Forty panelists representing both clinical and educational expertise in REBOA from 16 countries (in Europe, Asia, and North and South America) and seven different specialties participated in the study. After 3 Delphi rounds and 532 initial item suggestions, the panelists reached consensus on a 10-item assessment tool with behaviorally anchored rating scales. It includes assessment of teamwork, procedure time, selection and preparation of equipment, puncture technique, guidewire handling, sheath handling, placement of REBOA catheter, occlusion, and evaluation.

CONCLUSION: We present the REBOA-RATE assessment tool developed systematically by international experts in the field to optimize content validity. Following further studies of its validity and reliability, this tool represents an important next step in evidence-based training programs in REBOA, for example, using mastery learning.

LEVEL OF EVIDENCE: Therapeutic, level V.

OriginalsprogEngelsk
TidsskriftThe journal of trauma and acute care surgery
Vol/bind91
Udgave nummer2
Sider (fra-til)310-317
Antal sider8
ISSN2163-0755
DOI
StatusUdgivet - aug. 2021

ID: 66793120