Abstract
Background
Cardio Pulmonary Resuscitation (CPR) for traumatized patients in the field portends
poor survival but the outcome of trauma patients who arrive in-extremis and undergo
CPR shortly after arrival has not been well studied. The purpose of our review is
to evaluate survival to discharge for trauma patients with CPR from 1 to 120 minutes
(min) after arrival.
Methods
The NTDB Research Data Set (RDS) was reviewed. Patients with vitals in the field who
underwent CPR from 1 to 120 min after arrival were divided according to injury type
and Injury Severity Score (ISS). Survival to discharge outcomes were determined in
patients that underwent CPR from 1–60 min and 61–120 min after arrival.
Results
The RDS contained 968,665 patients and 9,365 (0.96%) had CPR from 1 to 120 min after
arrival. For blunt injuries with CPR from 1 to 60 min, survival was similar for all
levels of ISS (8.5–10.2%, p > 0.05). Blunt injury patients with CPR 61–120 min and
ISS 1–15 had significantly higher survival rate compared to ISS >25 (36.1% vs 8.7%,
p < 0.00003). For penetrating injuries and CPR from 1 to 60 min, survival was similar
for all levels of ISS (4.3–6.8%, p > 0.05); Blunt and penetrating patients with CPR
from 61 to 120 min, and ISS 1–15 had the highest survivals at 36.1 and 36.4%.
Conclusion
Trauma patients who undergo CPR shortly after arrival have a survival rate of (4.3%–36.4%).
Over one-third of blunt and penetrating injuries and low ISS who had CPR from 61 to
120 min after arrival survived. Trauma patients who arrest shortly after arrival warrant
an aggressive approach.
Keywords
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Article Info
Publication History
Published online: September 19, 2018
Accepted:
September 19,
2018
Received in revised form:
August 24,
2018
Received:
July 29,
2018
Footnotes
☆Conflicts of interests: nothing to disclose.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
