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Table 1 Characteristics of the included cases from both registries

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

  1. CA Cardiac arrest, CPC Cerebral performance category, CPR Cardiopulmonary resuscitation, EMS Emergency medical service, ER Emergency room, GOS Glasgow outcome scale, GRR German Resuscitation Registry, PEA Pulseless electrical activity, SD Standard deviation, ICU Intensive care unit, ROSC Return of spontaneous circulation, VF Ventricular fibrillation
  2. aavailable only for TR-DGU patients with standard documentation (56%)
  3. bincludes doctors’ offices and smaller rehabilitation clinics and affiliated hospitals that do not provide their own resuscitation team but alert the EMS in such a case