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Survival rates for adult trauma patients who require cardiopulmonary resuscitation

Published online by Cambridge University Press:  21 May 2015

Khaled Alanezi ,
Farhan Alanzi ,
Samir Faidi ,
Sheila Sprague ,
Margeritta Cadeddu ,
Frank Baillie ,
Daniel Bowser ,
Andy McCallum  and
Mohit Bhandari
Khaled Alanezi
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Farhan Alanzi
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Samir Faidi
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Sheila Sprague
Affiliation:
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont.
Margeritta Cadeddu
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Frank Baillie
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Daniel Bowser
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Andy McCallum
Affiliation:
Trauma Program, Department of Surgery, McMaster University, Hamilton, Ont.
Mohit Bhandari*
Affiliation:
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont.
*
Clinical Epidemiology and Biostatistics, McMaster University, HSC 2C9, 1200 Main St. W, Hamilton ON L9N 3Z5; 905 525-9140 x22825, fax 905 524-3841, [email protected]

Abstract

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Objectives:

To determine survival rates in adult trauma patients requiring cardiopulmonary resuscitation (CPR).

Methods:

We used 1992–2002 trauma registry data to identify all adult trauma patients over the age of 16 who required CPR in the pre-hospital setting or within 24 hours of arriving at the hospital. Demographic information, mechanism of injury, injury severity score (ISS), vital signs at the scene and in the hospital, and mortality were obtained from patient charts. Patients were stratified into 2 groups: those with absent vital signs in the field who required prehospital CPR, and those who lost vital signs within 24 hours of arriving at the trauma suite.

Results:

Of 50 eligible patients, 28 (58%) were male and 46 (92%) sustained blunt trauma. Mean age was 44.8 ± 20 years and mean ISS was 38 ± 18. Overall mortality was 96% (48/50), and all patients who required prehospital CPR died. The only 2 survivors were patients who arrived with vital signs and developed pulseless electrical activity while in the trauma suite.

Conclusion:

In this consecutive series of trauma victims with cardiopulmonary arrest there were no survivors among those who lost vital signs and required CPR prior to arriving at the hospital.

Keywords

cardiopulmonary resuscitationtrauma outcomesmortalitysurvivalcardiac arrest
Type
Brief Report • Bref Exposé
Information
Canadian Journal of Emergency Medicine , Volume 6 , Issue 4 , July 2004 , pp. 263 - 265
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

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