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