Cardiopulmonary resuscitation of out-of-hospital traumatic cardiac arrest in Qatar: A nationwide population-based study

INTERNATIONAL JOURNAL OF CARDIOLOGY

卷:240

Article

Irfan, Furqan B.^1,2  Consunji, Rafael³  El-Menyar, Ayman³  George, Pooja²  Peralta, Ruben³  Al-Thani, Hassan³  Thomas, Stephen Hodges²  Alinier, Guillaume^4,5  Shuaib, Ashfaq⁶  Al-Suwaidi, Jassim⁷  Singh, Rajvir⁸  Castren, Maaret⁹  Cameron, Peter A.¹⁰  Djarv, Therese¹¹ 

[1] Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, SE-11883 Stockholm, Sweden

[2] Hamad Med Corp, Hamad Gen Hosp, Dept Emergency Med, POB 3050, Doha, Qatar

[3] Hamad Med Corp, Hamad Gen Hosp, Dept Surg, Trauma Surg Sect, Doha, Qatar

[4] Hamad Med Corp, Ambulance Serv, Doha, Qatar

[5] Univ Hertfordshire, Sch Hlth & Social Work, Paramed Div, Hatfield AL10 9AB, Herts, England

[6] Hamad Med Corp, Inst Neurosci, Doha, Qatar

[7] Hamad Med Corp, Heart Hosp, Adult Cardiol, Doha, Qatar

[8] Hamad Med Corp, Heart Hosp, Cardiol Res, Doha, Qatar

[9] Univ Helsinki, Dept Emergency Med & Serv, Helsinki Univ Hosp, Haartmaninkatu 4, Helsinki 00029, Finland

[10] Monash Univ, Alfred Hosp, Emergency & Trauma Ctr, Sch Publ Hlth & Prevent Med, 99 Commercial Rd, Melbourne, Vic 3004, Australia

[11] Karolinska Inst, S-17100 Stockholm, Sweden

关键词: Traumatic cardiac arrest;    Cardiopulmonary resuscitation;    Trauma;    Prehospital;   

DOI  :  10.1016/j.ijcard.2017.03.134

来源: Elsevier

【 摘 要 】

Background: Traumatic cardiac arrest studies have reported improved survival rates recently, ranging from 1.7-7.5%. This population-based nationwide study aims to describe the epidemiology, interventions and outcomes, and determine predictors of survival from out-of-hospital traumatic cardiac arrest (OHTCA) in Qatar. Methods: An observational retrospective population-based study was conducted on OHTCA patients in Qatar, from January 2010 to December 2015. Traumatic cardiac arrest was redefined to include out-of-hospital traumatic cardiac arrest (OHTCA) and in-hospital traumatic cardiac arrest (IHTCA). Results: A total of 410 OHTCA patients were included in the 6-year study period. The mean annual crude incidence rate of OHTCA was 4.0 per 100,000 population, in Qatar. OHTCA mostly occurred in males with a median age of 33. There was a preponderance of blunt injuries (94.3%) and head injuries (66.3%). Overall, the survival rate was 2.4%. Shockable rhythm, prehospital external hemorrhage control, in-hospital blood transfusion, and surgery were associated with higher odds of survival. Adrenaline (Epinephrine) lowered the odds of survival. Conclusion: The incidence of OHTCA was less than expected, with a low rate of survival. Thoracotomy was not associated with improved survival while Adrenaline administration lowered survival in OHTCA patients with majority blunt injuries. Interventions to enable early prehospital control of hemorrhage, blood transfusion, thoracostomy and surgery improved survival. (C) 2017 Elsevier B.V. All rights reserved.

【 授权许可】

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