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:
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Authors | Furqan B Irfan, Rafael Consunji, Ayman El-Menyar, Pooja George, Ruben Peralta, Hassan Al-Thani, Stephen Hodges Thomas, Guillaume Alinier, Ashfaq Shuaib, Jassim Al-Suwaidi, Rajvir Singh, Maaret Castren, Peter A Cameron, Therese Djarv |
Journal | International journal of cardiology
(Int J Cardiol)
Vol. 240
Pg. 438-443
(Aug 01 2017)
ISSN: 1874-1754 [Electronic] Netherlands |
PMID | 28395982
(Publication Type: Journal Article, Observational Study)
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Copyright | Copyright © 2017 Elsevier B.V. All rights reserved. |
Topics |
- Adult
- Cardiopulmonary Resuscitation
(mortality)
- Female
- Humans
- Male
- Middle Aged
- Out-of-Hospital Cardiac Arrest
(mortality, therapy)
- Population Surveillance
(methods)
- Qatar
(epidemiology)
- Retrospective Studies
- Survival Rate
(trends)
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