000K utf8 1100 $c2022 1500 eng 2050 urn:nbn:de:gbv:8:3-2024-00692-4 2051 10.1186/s12873-022-00714-5 3000 Seewald, Stephan 3010 Bohn, Andreas 3010 Bouillon, Bertil 3010 Fischer, Matthias 3010 Gräsner, Jan-Thorsten 3010 Lefering, Rolf 3010 Maurer, Holger 3010 Tjelmeland, Ingvild 3010 Wnent, Jan 4000 Survival after traumatic cardiac arrest is possible-a comparison of German patient-registries [Seewald, Stephan] 4209 Background Out-of-hospital cardiac arrest (OHCA) due to trauma is rare, and survival in this group is infrequent. Over the last decades, several new procedures have been implemented to increase survival, and a "Special circumstances chapter" was included in the European Resuscitation Council (ERC) guidelines in 2015. This article analysed outcomes after traumatic cardiac arrest in Germany using data from the German Resuscitation Registry (GRR) and the TraumaRegister DGU® (TR-DGU) of the German Trauma Society. METHODS: In this study, data from patients with OHCA between 01.01.2014 and 31.12.2019 secondary to major trauma and where cardiopulmonary resuscitation (CPR) was started were eligible for inclusion. Endpoints were return of spontaneous circulation (ROSC), hospital admission with ROSC and survival to hospital discharge. Results 1.049 patients were eligible for inclusion. ROSC was achieved in 28.7% of the patients, 240 patients (22.9%) were admitted to hospital with ROSC and 147 (14.0%) with ongoing CPR. 643 (67.8%) patients were declared dead on scene. Of all patients resuscitated after traumatic OHCA, 27.3% (259) died in hospital. The overall mortality was 95.0% and 5.0% survived to hospital discharge (47). In a multivariate logistic regression analysis; age, sex, injury severity score (ISS), head injury, found in cardiac arrest, shock on admission, blood transfusion, CPR in emergency room (ER), emergency surgery and initial electrocardiogram (ECG), were independent predictors of mortality. Conclusion Traumatic cardiac arrest was an infrequent event with low overall survival. The mortality has remained unchanged over the last decades in Germany. Additional efforts are necessary to identify reversible cardiac arrest causes and provide targeted trauma resuscitation on scene. Trial registration DRKS, DRKS-ID DRKS00027944. Retrospectively registered 03/02/2022. 4950 https://doi.org/10.1186/s12873-022-00714-5$xR$3Volltext$534 4950 https://nbn-resolving.org/urn:nbn:de:gbv:8:3-2024-00692-4$xR$3Volltext$534 4961 https://macau.uni-kiel.de/receive/macau_mods_00004980 5051 610 5550 Cardiopulmonary Resuscitation 5550 German Resuscitation Registry 5550 Germany 5550 Grr 5550 Humans 5550 Injury Severity Score 5550 Out-of-Hospital Cardiac Arrest 5550 Registries 5550 Resuscitation 5550 Trauma Registry 5550 Traumatic Cardiac Arrest 5550 Tr-dgu