{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T05:19:06Z","timestamp":1793683146096,"version":"4.5.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The purpose of this descriptive study was to characterize the utilization and outcomes of CPB after trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This 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\u22642\u00a0hours, &gt;2-24\u00a0hours, and &gt;24\u00a0hours from the arrival. The primary outcome was mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There 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\u00a0hours in 44(39%), and 21(19%) underwent CPB after 24-hours. Penetrating mechanisms of injury 24 (55%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .009), higher rate of hypotension (SBP &lt;80\u00a0mmHg) 15 (71%) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002) were more common in CPB\u22642-hours. Septal (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001) and valvular (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002) injuries were more frequent in CPB &gt;24\u00a0hours, otherwise there were no differences in injury patterns among CPB \u22642\u00a0hours, &gt;2-24\u00a0hours, and &gt;24\u00a0hours. Cardiac repair was the most common indications for CPB \u22642\u00a0hours (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .002), aorta repair was more common in CPB 2-24\u00a0hours (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .03). Complications were not different between CPB \u22642\u00a0hours, &gt;2-24\u00a0hours, and &gt;24\u00a0hours. Among survivors, no differences in terms of discharge disposition, hospital LOS were found (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). Mortality was 22% with 96% of them undergoing CPB in the first 24\u00a0hours (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CPB is rarely used for traumatic injuries. The true impact of CPB is unknown and should be studied in comparison to patients with cardiovascular injuries that are repaired without CPB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV; Therapeutic\/Care Management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261425181","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:11:09Z","timestamp":1771074669000},"page":"1891-1901","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Utilization of Cardiopulmonary Bypass in Trauma Patients: A Multi-Institutional Study of the American Association for the Surgery of Trauma"],"prefix":"10.1177","volume":"92","author":[{"given":"Manish M.","family":"Karamchandani","sequence":"first","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffry","family":"Nahmias","sequence":"additional","affiliation":[{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2479-3493","authenticated-orcid":false,"given":"Claudia","family":"Alvarez","sequence":"additional","affiliation":[{"name":"University of California Irvine Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael A.","family":"Callcut","sequence":"additional","affiliation":[{"name":"University of California Davis Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Stadeli","sequence":"additional","affiliation":[{"name":"University of California Davis Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3994-8125","authenticated-orcid":false,"given":"Caroline","family":"Park","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kost","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nolan","family":"Bruce","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter L.","family":"Biffl","sequence":"additional","affiliation":[{"name":"Scripps Clinic\/Scripps Clinic Medical Group"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiba","family":"Al-Dulaimi","sequence":"additional","affiliation":[{"name":"Scripps Clinic\/Scripps Clinic Medical Group"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7574-6966","authenticated-orcid":false,"given":"Frank C.","family":"Wood","sequence":"additional","affiliation":[{"name":"University of Oklahoma Health Sciences Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Gushing","sequence":"additional","affiliation":[{"name":"University of Oklahoma College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharven","family":"Taghavi","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9930-8731","authenticated-orcid":false,"given":"Michael","family":"Ghio","sequence":"additional","affiliation":[{"name":"Tulane University Hospital and Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8314-1180","authenticated-orcid":false,"given":"Jordan M.","family":"Kirsch","sequence":"additional","affiliation":[{"name":"Westchester Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica K.","family":"Staszak","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Collier","sequence":"additional","affiliation":[{"name":"Virginia Tech Carilion School of Medicine\/Carilion Roanoke Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcy Bubar","family":"Jordan","sequence":"additional","affiliation":[{"name":"University at Buffalo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Sciarretta","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine\/Grady Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Chow","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine\/Grady Memorial Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7366-3567","authenticated-orcid":false,"given":"David C.","family":"Evans","sequence":"additional","affiliation":[{"name":"Ohio Health Grant Medical Center and Ohio University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily W.","family":"Rady","sequence":"additional","affiliation":[{"name":"Ohio Health Grant Medical Center and Ohio University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushik","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Loma Linda University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Winchell","sequence":"additional","affiliation":[{"name":"New York Presbyterian Hospital - Weill Cornell Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Yun","family":"Hsu","sequence":"additional","affiliation":[{"name":"New York Presbyterian Hospital - Weill Cornell Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Brasel","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reynold","family":"Henry","sequence":"additional","affiliation":[{"name":"Oregon Health & Science University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Doles","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Medicine and UK Healthcare"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brennan","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Medicine and UK Healthcare"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judson B.","family":"Williams","sequence":"additional","affiliation":[{"name":"WakeMed Health and Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7724-8034","authenticated-orcid":false,"given":"Pascal O.","family":"Udekwu","sequence":"additional","affiliation":[{"name":"WakeMed Health and Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishwajit","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Jones","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Byrne","sequence":"additional","affiliation":[{"name":"Johns Hopkins Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elliott","family":"Haut","sequence":"additional","affiliation":[{"name":"Johns Hopkins Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis E.","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Ascension St. Vincent Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Ascension St. Vincent Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Brat","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendin R.","family":"Beaulieu-Jones","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-5698","authenticated-orcid":false,"given":"Melike N.","family":"Harfouche","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Appajosula S.","family":"Rao","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary M.","family":"Bauman","sequence":"additional","affiliation":[{"name":"Nebraska Medicine - Nebraska Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Goodman","sequence":"additional","affiliation":[{"name":"University of Cincinnati Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Craugh","sequence":"additional","affiliation":[{"name":"University of Cincinnati Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Winfield","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Rakhit","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6488-7024","authenticated-orcid":false,"given":"Amelia W.","family":"Maiga","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddie","family":"Blay","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis G.","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"The University of Texas- Tyler School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6836-1887","authenticated-orcid":false,"given":"Brandi","family":"Pero","sequence":"additional","affiliation":[{"name":"UT Health Tyler"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos V.R.","family":"Brown","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Weresh","sequence":"additional","affiliation":[{"name":"The University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad T.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Ben Taub Hospital\/Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis J.","family":"Miles","sequence":"additional","affiliation":[{"name":"Ben Taub Hospital\/Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8309-6797","authenticated-orcid":false,"given":"Galinos","family":"Barmparas","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R.","family":"Margulies","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Ra","sequence":"additional","affiliation":[{"name":"University of North Carolina Hospitals"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terence","family":"O\u2019Keeffe","sequence":"additional","affiliation":[{"name":"Augusta University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Fickle","sequence":"additional","affiliation":[{"name":"Augusta University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Draper","sequence":"additional","affiliation":[{"name":"University of Missouri School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Legacy Emanuel Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6325-6837","authenticated-orcid":false,"given":"Nikolay","family":"Bugaev","sequence":"additional","affiliation":[{"name":"Tufts Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Resources for Optimal Care of the Injured Patient","author":"American College of Surgeons, Committee on Trauma","year":"2022","unstructured":"American College of Surgeons, Committee on Trauma. Resources for Optimal Care of the Injured Patient. Chicago, IL: American College of Surgeons; 2022."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480507100108"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0354-4"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588415X14181254789169"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.8.855"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2000.111055"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)00719-N"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-023-01931-w"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(76)90148-3"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39490-5"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480707300323"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199211000-00031"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)01036-x"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/1053-0770(94)90204-6"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003315"},{"issue":"2","key":"e_1_3_5_17_2","first-page":"95","article-title":"An expanding role for cardiopulmonary bypass in trauma [published correction appears in can J surg 2002 Jun;45(3):223]","volume":"45","author":"Chughtai TS","year":"2002","unstructured":"Chughtai TS, Gilardino MS, Fleiszer DM, Evans DC, Brown RA, Mulder DS. An expanding role for cardiopulmonary bypass in trauma [published correction appears in can J surg 2002 Jun;45(3):223]. Can J Surg. 2002;45(2):95-103.","journal-title":"Can J Surg"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atssr.2025.02.015"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1051\/ject\/201951009"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-24126-7.00063-6"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000045837"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-2-17"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/10408363.2010.549291"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/02676591221119312"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/jth.15195"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261425181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261425181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261425181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:48:10Z","timestamp":1779788890000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261425181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,14]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/00031348261425181"],"URL":"https:\/\/doi.org\/10.1177\/00031348261425181","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,14]]}}}