Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Survival Rate and Neurologic Outcome for Patients after Traumatic Cardiac Arrest

외상으로 인한 심정지 환자의 생존율 및 신경학적 예후

  • Park, Shin Woong (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Hyun, Sung Youl (Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center) ;
  • Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Lim, Yong Su (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Cho, Jin Sung (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Park, Won Bin (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Woo, Jae Hyug (Department of Emergency Medicine, Gachon University Gil Medical Center) ;
  • Jang, Jae Ho (Department of Emergency Medicine, Gachon University Gil Medical Center)
  • 박신웅 (가천대 길병원 응급의학교실) ;
  • 현성열 (가천대 길병원 흉부외과학교실) ;
  • 김진주 (가천대 길병원 응급의학교실) ;
  • 임용수 (가천대 길병원 응급의학교실) ;
  • 조진성 (가천대 길병원 응급의학교실) ;
  • 양혁준 (가천대 길병원 응급의학교실) ;
  • 박원빈 (가천대 길병원 응급의학교실) ;
  • 우재혁 (가천대 길병원 응급의학교실) ;
  • 장재호 (가천대 길병원 응급의학교실)
  • Received : 2013.06.28
  • Accepted : 2013.09.04
  • Published : 2013.09.30
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Abstract

Purpose: Trauma is one of the major cause of death in Korea. This study focused on the survival rate and the neurologic outcome for patients with traumatic cardiac arrest (CA) at one emergency center. Methods: We retrospectively reviewed the medical records of patients with traumatic CA who were seen at a regional emergency medical center from January 2010 to December 2011. From among major trauma patients at that medical center, adults older than 18 years of age who had CA were included in this study. CA included out-of-hospital CA with arrival at the Emergency Department (ED) within three hours and in-hospital CA. We checked the survival rate and the neurologic outcome. Results: A total of 61 patients were analyzed: 32 patients had return of spontaneous circulation (ROSC), 6 patients survived to discharge (survival rate: 9.84%), and 4 were still alive 90 days after discharge. The Cerebral performance category (CPC) scores at 6 months after discharge showed 1 good and 5 poor in neurologic outcomes. Factors such as initial rhythm of CA, part with major injury, Revised Trauma Score (RTS) and pH, were significant for ROSC, survival, and neurologic outcome in patients with traumatic CA. Conclusion: In this study, patients who had traumatic CA showed a 9.84% survival rate and a 1.64% good neurologic outcome. The results are poorer than those for CA caused by disease. Multi-center, prospective studies are needed.

Keywords

References

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