Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers
Dublin Core
Title
Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers
Subject
Traumatic arrest, Survival, Outcome, Injury, Resuscitation
Description
Background: Traumatic arrests increasingly affect young adults worldwide with low reported survival rates. This
study examines factors associated with survival (to hospital discharge) in traumatic arrests transported to US trauma
centers.
Methods: This retrospective cohort study used the US National Trauma Databank 2015 dataset and included
patients who presented to trauma centers with “no signs of life”. Univariate and bivariate analyses were done.
Factors associated with survival were identified using multivariate regression analyses.
Results: The study included 5980 patients with traumatic arrests. Only 664 patients (11.1%) survived to hospital
discharge. Patients were predominantly in age group 16–64 (84.6%), were mostly males (77.8%) and white (55.1%).
Most were admitted to Level I (55.5%) or Level II trauma centers (31.6%). Injuries were mostly blunt (56.7%) or
penetrating (39.3%). The median of the injury severity score (ISS) was 19 (interquartile range [IQR]: 9–30). Factors
associated with decreased survival included: Age group ≥ 65 (Ref: 16–24), male gender, self-inflicted and other or
undetermined types of injuries (Ref: assault), injuries to head and neck, injuries to torso and ISS ≥ 16 (Ref: < 16) and ED
thoracotomy. While factors associated with increased survival included: All injury mechanisms (with the exception of
motor vehicle transportation) (Ref: firearm), injuries to extremities or spine and back and all methods of coverage (Ref:
self-pay).
Conclusion: Patients with traumatic arrests have poor outcomes with only 11.1% surviving to hospital discharge.
Factors associated with survival in traumatic arrests were identified. These findings are important for devising injury
prevention strategies and help guide trauma management protocols to improve outcomes in traumatic arrests.
study examines factors associated with survival (to hospital discharge) in traumatic arrests transported to US trauma
centers.
Methods: This retrospective cohort study used the US National Trauma Databank 2015 dataset and included
patients who presented to trauma centers with “no signs of life”. Univariate and bivariate analyses were done.
Factors associated with survival were identified using multivariate regression analyses.
Results: The study included 5980 patients with traumatic arrests. Only 664 patients (11.1%) survived to hospital
discharge. Patients were predominantly in age group 16–64 (84.6%), were mostly males (77.8%) and white (55.1%).
Most were admitted to Level I (55.5%) or Level II trauma centers (31.6%). Injuries were mostly blunt (56.7%) or
penetrating (39.3%). The median of the injury severity score (ISS) was 19 (interquartile range [IQR]: 9–30). Factors
associated with decreased survival included: Age group ≥ 65 (Ref: 16–24), male gender, self-inflicted and other or
undetermined types of injuries (Ref: assault), injuries to head and neck, injuries to torso and ISS ≥ 16 (Ref: < 16) and ED
thoracotomy. While factors associated with increased survival included: All injury mechanisms (with the exception of
motor vehicle transportation) (Ref: firearm), injuries to extremities or spine and back and all methods of coverage (Ref:
self-pay).
Conclusion: Patients with traumatic arrests have poor outcomes with only 11.1% surviving to hospital discharge.
Factors associated with survival in traumatic arrests were identified. These findings are important for devising injury
prevention strategies and help guide trauma management protocols to improve outcomes in traumatic arrests.
Creator
Abdel-Badih Ariss, Rana Bachir and Mazen El Sayed
Publisher
BMC Emergency Medicine
Date
(2021) 21:77
Contributor
Fajar bagus W
Format
PDF
Language
Indonesia
Type
Text
Files
Collection
Citation
Abdel-Badih Ariss, Rana Bachir and Mazen El Sayed, “Factors associated with survival in adult patients with traumatic arrest: a retrospective cohort study from US trauma centers,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/3788.