From: Survival after traumatic cardiac arrest is possible—a comparison of German patient-registries
Source | All patients with traumatic CA and CPR started | Admitted to hospital with ROSC | Admitted to hospital with ROSC |
---|---|---|---|
GRR group of high-quality data | GRR group of high-quality data | TR-DGU | |
No. of cases | n = 1,049 | n = 240 | n = 2,460 |
Time period | 2014–2019 6 years | 2014–2019 6 years | 2014–19 6 years |
Age in years: median [quartiles] | 55 [35–73] | 58 [35–76] | 57 [39–74] |
Male sex | 75.1% | 70.4% | 73.0% |
Mechanism | |||
Traffic – car/lorry | 18.6% | ||
Traffic—motorbike | 10.4% | ||
Traffic – bicycle | 9.4% | ||
Traffic – pedestrian | 8.4% | ||
Traffic—other | 2.3% | ||
High fall | 14.9% | ||
Low fall (< 3 m) | 25.8% | ||
Scene of cardiac arrest | |||
Home | 20.8% | 31.8% | |
Nursing home | 2.0% | 1.7% | |
Workplace | 5.0% | 7.9% | |
Street | 55.0% | 42.7% | 46.8% (traffic) |
Public place | 9.8% | 9.2% | |
Medical institutionb | 2.2% | 2.5% | |
Public event | 0.2% | 0.4% | |
Other | 5.0% | 3.8% | |
Missing data (n) | 3 | 1 | |
ECG | |||
VF | 5.0% | 10.6% | |
PEA | 29.1% | 44.7% | |
Asystole | 65.9% | 44.7% | |
missing data (n) | 11 | 5 | |
CA witnessed | |||
By laypeople | 42.2% | 45.4% | |
By EMS | 12.2% | 14.6% | |
Not witnessed | 45.6% | 40.0% | |
Bystander CPR (if not witnessed by EMS) | 34.9% | 32.2% | |
Use of defibrillator | 12.2% | 17.5% | |
ROSC | 28.7% | 100% | |
Status on admission | |||
ROSC | 240 (22.9%) | 100% | 100% |
Ongoing CPR | 147 (14.0%) | ||
Died on scene | 643 (61.3%) | ||
Missing | 19 (1.8%) | ||
Pre-hospital intubation | 682 (65.0%) | 82.5% | 90.6% |
Transportation by helicopter | 27.2% | ||
Time from call to EMS arrival in min: mean (SD) | 8.8 (5.2) | 8.8 (4.4) | |
Time from call to EMS arrival in min – missing | n = 33 | n = 5 | |
Time on scene in min (when transport to hospital has been initiated): mean (SD) | 37.8 (14.9) | 40.0 (15.0) | 35.3 (18.5)a |
Time on scene – missing | n = 56 | n = 19 | n = 563a |
Time from accident to hospital admission in min: mean (SD) | 60.1 (21.8) | 63.6 (22.9) | 69.7 (29.1) |
Time from accident to hospital – missing | n = 54 | n = 20 | n = 301 |
Injury Severity Score: mean (SD) | 35.6 (20.2) | ||
Injury Severity Score: median [quartiles] | 33 [21–50] | ||
Again CA/CPR in ER | 28.2%a | ||
Time in the ER in min: mean (SD) | 68.7 (56.5)a | ||
Admitted to ICU | 81.6% | ||
Died in the ER | 16.4% | ||
Declared dead on scene | 643 (67.8%) | 0 | |
Died in hospital | 259 (27.3%) | 138 (75.4%) | 71.1% |
Died overall | 902 (95.0%) | ||
Died – missing data (n) | 100 | 57 | 0 |
CPC 1 or 2 at discharge (survivor only) | 25 of 32 (78.1%) | 25 of 32 (78.1%) | 383 of 696 (55.0%) (adapted GOS 4 + 5) |
CPC – missing data | 15 | 13 | 16 |