Key result
Transesophageal echocardiography use in adult trauma patients was associated with lower inpatient mortality compared to traditional invasive hemodynamic monitoring (7% vs 23%, P<0.0001).
Why the study?
TEE can be utilized for hemodynamic monitoring and resuscitation, prompting evaluation of the pattern of TEE use in trauma patients.
Does transesophageal echocardiography reduce inpatient mortality in adult trauma patients compared to traditional invasive hemodynamic monitoring?
Cohort
Yes
Does transesophageal echocardiography reduce inpatient mortality in adult trauma patients compared to traditional invasive hemodynamic monitoring?
Absolute Event Rate: 7% vs 23%
p-value: p=<.0001
The use of transesophageal echocardiography for hemodynamic monitoring in adult trauma patients is associated with significantly lower inpatient mortality compared to traditional invasive monitoring.
May support TEE in trauma monitoring; leaves open confirmation via randomized trials.
Transesophageal echocardiography (TEE) can be utilized for hemodynamic monitoring and resuscitation. In order to study the pattern of TEE use in trauma patients, a multi-institutional retrospective cohort study was performed comparing adult trauma patients who underwent TEE or those who underwent traditional invasive hemodynamic monitoring (TIHM). TIHM was defined as the use of arterial line, central venous line, or pulmonary artery catheter without TEE. Mortality rates were obtained and multivariable logistic regression was used to risk adjust for age, gender, race, insurance status, Glasgow coma scale (GCS), ICD Injury severity score (ICISS). Compared to TIHM group, more patients in TEE group had a history of congestive heart failure (CHF) or chronic pulmonary disease (CPD). Mortality rate was lower in the TEE group 7 versus 23% ( P-value < .0001). After adjusting for GCS and ICISS in multivariable analysis, inpatient mortality was significantly lower in the TEE cohort.
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Soltani et al. (2022) conducted a cohort in Trauma. Transesophageal echocardiography (TEE) vs. Traditional invasive hemodynamic monitoring (TIHM) was evaluated on Mortality rate (p=<.0001). Transesophageal echocardiography use in adult trauma patients was associated with lower inpatient mortality compared to traditional invasive hemodynamic monitoring (7% vs 23%, P<0.0001).
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