Furqan B Irfan1, Rafael Consunji2, Ayman El-Menyar3, Pooja George4, Ruben Peralta5, Hassan Al-Thani6, Stephen Hodges Thomas7, Guillaume Alinier8, Ashfaq Shuaib9, Jassim Al-Suwaidi10, Rajvir Singh11, Maaret Castren12, Peter A Cameron13, Therese Djarv14. 1. Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, SE-118 83 Stockholm, Sweden; Department of Emergency Medicine, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar. Electronic address: furqan.irfan@gmail.com. 2. Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: RConsunji@hamad.qa. 3. Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: aymanco65@yahoo.com. 4. Department of Emergency Medicine, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar. Electronic address: pooja_george3514@yahoo.com. 5. Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: rperaltamd@gmail.com. 6. Trauma Surgery Section, Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: Halthani@hamad.qa. 7. Department of Emergency Medicine, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar. Electronic address: sthomas88@hamad.qa. 8. Hamad Medical Corporation Ambulance Service, Medical City, Doha, Qatar; School of Health and Social Work, Paramedic Division, University of Hertfordshire, Hatfield AL10 9AB, HERTS, UK. Electronic address: GAlinier@hamad.qa. 9. Neuroscience Institute, Hamad Medical Corporation, Doha, Qatar. Electronic address: AShuaib@hamad.qa. 10. Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: jalsuwaidi@hotmail.com. 11. Cardiology Research, Heart Hospital, Hamad Medical Corporation, Doha, Qatar. Electronic address: rsingh@hamad.qa. 12. Helsinki University, Department of Emergency Medicine and Services, Helsinki University Hospital, Haartmaninkatu 4, 00029 HUS, Finland. Electronic address: maaret.castren@hus.fi. 13. The Alfred Hospital, Emergency and Trauma Centre, School of Public Health and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, VIC 3004, Australia. Electronic address: Peter.Cameron@monash.edu. 14. Department of Medicine Solna, 171 00, Karolinska Institutet, Sweden. Electronic address: Therese.Djarv@ki.se.
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: The incidence of OHTCA was less than expected, with a low rate of survival. Thoracotomy was not associated with improved survival while Adrenaline administration lowered survival in OHTCA patients with majority blunt injuries. Interventions to enable early prehospital control of hemorrhage, blood transfusion, thoracostomy and surgery improved survival.
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 OHTCApatients 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 OHTCApatients 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: The incidence of OHTCA was less than expected, with a low rate of survival. Thoracotomy was not associated with improved survival while Adrenaline administration lowered survival in OHTCApatients with majority blunt injuries. Interventions to enable early prehospital control of hemorrhage, blood transfusion, thoracostomy and surgery improved survival.
Authors: T Djarv; C Axelsson; J Herlitz; A Stromsoe; J Israelsson; A Claesson Journal: Scand J Trauma Resusc Emerg Med Date: 2018-04-23 Impact factor: 2.953
Authors: Furqan B Irfan; Rafael I G D J Consunji; Ruben Peralta; Ayman El-Menyar; Landric B Dsouza; Jassim M Al-Suwaidi; Rajvir Singh; Maaret Castrén; Therese Djärv; Guillaume Alinier Journal: Int J Emerg Med Date: 2022-09-16
Authors: Niek Johannes Vianen; Esther Maria Maartje Van Lieshout; Iscander Michael Maissan; Wichor Matthijs Bramer; Dennis Den Hartog; Michael Herman Jacob Verhofstad; Mark Gerrit Van Vledder Journal: Eur J Trauma Emerg Surg Date: 2022-03-25 Impact factor: 2.374