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

Show simple item record 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 2019-01-23T22:34:05Z 2021-12-16T22:45:17Z 2017-08-01
dc.identifier.citation 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 .
dc.identifier.other PURE: 87502546
dc.identifier.other PURE UUID: 1e4d5f5e-577f-4185-a254-ab305907d975
dc.identifier.other WOS: 000405454800079
dc.identifier.other Scopus: 85017135641
dc.description.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. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof International Journal of Cardiology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Traumatic cardiac arrest
dc.subject Cardiopulmonary resuscitation
dc.subject Trauma
dc.subject Prehospital
dc.subject MANAGEMENT
dc.subject AUSTRALIA
dc.subject ALGORITHM
dc.subject SURVIVAL
dc.subject OUTCOMES
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.title Cardiopulmonary resuscitation of out-of-hospital traumatic cardiac arrest in Qatar : A nationwide population-based study en
dc.type Article
dc.contributor.organization Department of Diagnostics and Therapeutics
dc.contributor.organization Clinicum
dc.contributor.organization HUS Emergency Medicine and Services
dc.description.reviewstatus Peer reviewed
dc.relation.issn 0167-5273
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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