Utilization of Cardiopulmonary Bypass in Trauma Patients: A Multi-Institutional Study of the American Association for the Surgery of Trauma.
Document Type
Article
Publication Title
The American surgeon
Abstract
BackgroundThe purpose of this descriptive study was to characterize the utilization and outcomes of CPB after trauma.MethodsThis is an AAST-sponsored retrospective (2011-2021) multicenter (32 centers) study of all adult trauma patients undergoing CPB. Univariate analysis comparing demographics, clinical characteristics and the study outcomes were performed between those who required CPB≤2 hours, >2-24 hours, and >24 hours from the arrival. The primary outcome was mortality.ResultsThere were 113 patients, 63% sustained blunt trauma. The most common injuries were cardiac (42%), thoracic aorta (42%), and pericardial tamponade (25%). The three most common reasons to use CPB were aortic repair (32%), cardiopulmonary resuscitation (20%), and cardiac repair (15%). CPB was performed within 2 hours in 44(39%), and 21(19%) underwent CPB after 24-hours. Penetrating mechanisms of injury 24 (55%) (
First Page
31348261425181
Last Page
31348261425181
DOI
10.1177/00031348261425181
Publication Date
2-14-2026
Recommended Citation
Karamchandani MM, Nahmias J, Alvarez C, Callcut RA, Stadeli KM, Park C, Kost M, Bruce N, Biffl WL, Al-Dulaimi H, Wood FC, Gushing JD, Taghavi S, Ghio M, Kirsch JM, Staszak JK, Collier B, Jordan MB, Sciarretta JD, Chow K, Evans DC, Rady EW, Mukherjee K, Winchell RJ, Hsu CY, Brasel K, Henry R, Doles B, Smith B, Williams JB, Udekwu PO, Bhattacharya B, Jones T, Byrne J, Haut E, Jacobson LE, Williams JM, Brat G, Beaulieu-Jones BR, Harfouche MN, Rao AS, Bauman ZM, Goodman M, Craugh L, Winfield RD, Rakhit S, Maiga AW, Blay E, Fernández LG, Pero B, Brown CVR, Weresh H, Wilson CT, Miles TJ, Barmparas G, Margulies DR, Ra J, O'Keeffe T, Fickle J, Draper B, Barbosa R, Bugaev N. Utilization of Cardiopulmonary Bypass in Trauma Patients: A Multi-Institutional Study of the American Association for the Surgery of Trauma. Am Surg. 2026 Feb 14:31348261425181. doi: 10.1177/00031348261425181. Epub ahead of print. PMID: 41689481.