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

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Irfan , F B , Consunji , R , El-Menyar , A , George , P , Peralta , R , Al-Thani , H , Thomas , S H , Alinier , G , Shuaib , A , Al-Suwaidi , J , Singh , R , Castren , M , Cameron , P A & Djarv , T 2017 , ' Cardiopulmonary resuscitation of out-of-hospital traumatic cardiac arrest in Qatar : A nationwide population-based study ' , International Journal of Cardiology , vol. 240 , pp. 438-443 . https://doi.org/10.1016/j.ijcard.2017.03.134

Title: Cardiopulmonary resuscitation of out-of-hospital traumatic cardiac arrest in Qatar : A nationwide population-based study
Author: Irfan, Furqan B.; Consunji, Rafael; El-Menyar, Ayman; George, Pooja; Peralta, Ruben; Al-Thani, Hassan; Thomas, Stephen Hodges; Alinier, Guillaume; Shuaib, Ashfaq; Al-Suwaidi, Jassim; Singh, Rajvir; Castren, Maaret; Cameron, Peter A.; Djarv, Therese
Contributor: University of Helsinki, Department of Diagnostics and Therapeutics
Date: 2017-08-01
Language: eng
Number of pages: 6
Belongs to series: International Journal of Cardiology
ISSN: 0167-5273
URI: http://hdl.handle.net/10138/297798
Abstract: 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.
Subject: Traumatic cardiac arrest
Cardiopulmonary resuscitation
Trauma
Prehospital
SPECIAL CIRCUMSTANCES
COUNCIL GUIDELINES
EPIDEMIOLOGY
MANAGEMENT
AUSTRALIA
ALGORITHM
SURVIVAL
OUTCOMES
3121 General medicine, internal medicine and other clinical medicine
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