Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center

Bhoi, Sanjeev; Mishra, Prasun; Soni, Kapil Dev; Baitha, Upendra; Sinha, Tej Prakash

doi:10.4103/0972-5229.188198

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…[ 6 , 21 – 24 ] Approximately 60% of OHCA patients suffering from trauma were under 65 years old, and males accounted for approximately 60% to 80% of cases. [ 25 – 27 ] Most previous studies also noted that demographic indicators, such as age and gender, were associated with survival. However, our investigation detected no significant differences in survival outcome with those variables, similar to the findings of a Canadian study.…”

Section: Discussionmentioning

confidence: 99%

Survival rate variation among different types of hospitalized traumatic cardiac arrest

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Survival rate variation among different types of hospitalized traumatic cardiac arrest

et al. 2018

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“…A previous single-centered study in India reported 1061 cases of traumatic cardiac arrest arriving at the emergency department, of which only three survived to hospital discharge. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service

Siripakarn,

Triniti,

Srivilaithon

2023

Journal of Emergencies, Trauma, and Shock

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Introduction: Trauma is a major cause of death worldwide, and prehospital care is critical to improve patient outcomes. However, there is controversy surrounding the effectiveness of limiting scene time to 10 min or less in the care of major trauma patients. This study aimed to investigate the association between scene time and mortality in major trauma patients. Methods: A retrospective cohort study was conducted on major trauma patients treated by the Thammasat University Hospital Emergency Medical Services (EMS) team from 2020 to 2022. We included traumatic adult patients who had an injury severity score (ISS) of 16 or higher. The primary outcome was 24-h mortality. Multivariable risk regression analysis was used to evaluate the independent effect of scene time on 24-h mortality. Results: A total of 104 patients were included, of whom 11.5% died within 24 h. After adjusting for age, systolic blood pressure, Glasgow Coma Scale, and ISS, patients who had a scene time over 10 min showed a significant association with mortality (33.3% vs. 8.7%, P = 0.031). Intravenous fluid administration at the scene showed a trend toward a significant association with mortality. Conclusions: This study provides evidence to support the importance of minimizing scene time for major trauma patients. The findings suggest that a balance between timely interventions and adequate resources should be considered to optimize patient outcomes. Further studies to investigate the impact of prehospital interventions on trauma patient outcomes are needed.

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“… 6 An epidemiological study conducted in India showed that patients presented with TRCA, either out-of-hospital cardiac arrest (OHCA) or in emergency department (ED), who were provided cardiopulmonary resuscitation (CPR), return of spontaneous circulation (ROSC) was present in 7.4% and 92.60% of the patients could not be revived. 7 …”

Section: Introductionmentioning

confidence: 99%

Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study

Aggarwal¹,

Soni²

2021

Indian Journal of Critical Care Medicine

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A bstract Background and aims The prognosis of patients with cardiac arrest following trauma is poor. Our objectives were: (1) to determine outcomes of patients following in-hospital cardiac arrest posttrauma and admitted to the intensive care unit (ICU) and (2) to identify characteristics associated with in-hospital mortality. Materials and methods This was a single-center retrospective analysis of patients admitted to ICU after resuscitation following in-hospital cardiac arrest between January 2017 and July 2018. Patients with isolated head injuries and multiple cardiac arrests were excluded. Bivariate analysis was done to determine a significant association between baseline characteristics and in-hospital mortality. Results A total of 37 patients were included. About 35.1% of trauma subjects survived hospital discharge. Bivariate analysis showed positive association between admission Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores with in-hospital mortality. Other characteristics, such as age, duration of cardiopulmonary resuscitation (CPR), and serum lactate levels on admission, were not associated with in-hospital mortality. Conclusion Despite being at lower survival following a cardiac arrest after trauma, approximately one-third of the patients survived hospital discharge. This implies that aggressive support of this population is not necessarily futile. Optimization of postresuscitation physiological factors and their impacts on outcomes for these patients need further studies. How to cite this article Soni KD, Rai N, Aggarwal R, Trikha A. Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study. Indian J Crit Care Med 2021;25(12):1408–1412.

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Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center

Cited by 13 publications

References 7 publications

Survival rate variation among different types of hospitalized traumatic cardiac arrest

Survival rate variation among different types of hospitalized traumatic cardiac arrest

Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service

Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study

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