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Survival Rate and Neurologic Outcome for Patients after Traumatic Cardiac Arrest  

Park, Shin Woong (Department of Emergency Medicine, Gachon University Gil Medical Center)
Hyun, Sung Youl (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center)
Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Medical Center)
Lim, Yong Su (Department of Emergency Medicine, Gachon University Gil Medical Center)
Cho, Jin Sung (Department of Emergency Medicine, Gachon University Gil Medical Center)
Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Medical Center)
Park, Won Bin (Department of Emergency Medicine, Gachon University Gil Medical Center)
Woo, Jae Hyug (Department of Emergency Medicine, Gachon University Gil Medical Center)
Jang, Jae Ho (Department of Emergency Medicine, Gachon University Gil Medical Center)
Publication Information
Journal of Trauma and Injury / v.26, no.3, 2013 , pp. 190-197 More about this Journal
Abstract
Purpose: Trauma is one of the major cause of death in Korea. This study focused on the survival rate and the neurologic outcome for patients with traumatic cardiac arrest (CA) at one emergency center. Methods: We retrospectively reviewed the medical records of patients with traumatic CA who were seen at a regional emergency medical center from January 2010 to December 2011. From among major trauma patients at that medical center, adults older than 18 years of age who had CA were included in this study. CA included out-of-hospital CA with arrival at the Emergency Department (ED) within three hours and in-hospital CA. We checked the survival rate and the neurologic outcome. Results: A total of 61 patients were analyzed: 32 patients had return of spontaneous circulation (ROSC), 6 patients survived to discharge (survival rate: 9.84%), and 4 were still alive 90 days after discharge. The Cerebral performance category (CPC) scores at 6 months after discharge showed 1 good and 5 poor in neurologic outcomes. Factors such as initial rhythm of CA, part with major injury, Revised Trauma Score (RTS) and pH, were significant for ROSC, survival, and neurologic outcome in patients with traumatic CA. Conclusion: In this study, patients who had traumatic CA showed a 9.84% survival rate and a 1.64% good neurologic outcome. The results are poorer than those for CA caused by disease. Multi-center, prospective studies are needed.
Keywords
Trauma; Cardiac arrest; Survival rate; Prognosis;
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1 David JS, Gueugniaud PY, Riou B, Pham E, Dubien PY, Goldstein P, et al. Does the prognosis of cardiac arrest differ in trauma patients? Crit Care Med 2007; 35: 2251-5.   DOI   ScienceOn
2 Leis CC, Hernandez CC, Blanco MJGO, Paterna PCR, Hernandez RE, Torres EC. Traumatic cardiac arrest: Should advanced life support be initiated? J Trauma Acute Care Surg 2013; 74: 634-8.   DOI
3 Stratton SJ, Brickett K, Crammer T. Prehospital pulseless, unconscious penetrating trauma victims: field assessments associated with survival. J Trauma 1998; 45: 96-100.   DOI
4 Martin SK, Shatney CH, Sherck JP, Ho CC, Homan SJ, Neff J, et al. Blunt trauma patients with prehospital pulseless electrical activity (PEA): poor ending assured. J Trauma 2002; 53: 876-80.   DOI
5 Carpintero EJM, Ochoa GFJ, Villar AA, Ruiz AJI, Bragado BL, Ramalle GE. Supervivencia tras parada cardiaca extrahospitalaria en un hospital general. Emergencias 2002; 14: 118- 23.
6 Deasy C, Bray J, Smith K, Harriss L, Morrison C, Bernard S, et al. Traumatic out-of-hospital cardiac arrests in Melbourne, Australia. Resuscitation 2012; 83: 466-70.
7 Kim WS, Cho MS, Bae KS, Kang SJ, Lee KH, Hwang KH, et al. Clinical Analysis of Death in Trauma Patients. J Korean Soc Trauma 2007; 20: 96-100.
8 Death rates for the cause of death: Korean National Statistical Office. Available at: http://www.kostat.go.kr; cited 2013 May 19.
9 John JP, Michael KC, Eileen MB. Trauma Patients Receiving CPR: Predictors of Survival. J Trauma 2005; 58: 951-8.   DOI
10 Chang IW, Kim H, Shin HJ, Joen WC, Park JM, Shin DW, et al. Factors Contributing to Mortality for Patients at a Newlydesignated Regional Trauma Center. J Korean Soc Trauma 2012; 25: 188-95.
11 Paik SW, Han C, Hong YS, Choi SH, Lee SW, Moon SW, et al. Early Traumatic Deaths. J Korean Soc Trauma 2010; 23: 75-82.
12 Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME. A revision of Trauma Score. J Trauma 1989; 29: 623-9.   DOI   ScienceOn
13 Baker SP, O'Neill B, Haddon W Jr., Long WB. The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14: 187-96.   DOI   ScienceOn
14 Soar J, Perkins GD, Abbas G, Alfonzo A, Barelli A, Bierens JJLM, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation 2010; 81: 1400-33.   DOI   ScienceOn
15 Park WB, Yang HJ, Kim JJ, Lim YS, Kim JK, Hyun SY, et al. The Efficacy of Surface and Endovascular Cooling Methods During Therapeutic Hypothermia after Cardiac Arrest. J Korean Soc Emerg Med 2010; 21: 19-27.