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Table 1 Patient characteristics, circumstances, and treatment of patients with cardiac arrest after trauma based on the German Resuscitation Registry

From: Cardiopulmonary resuscitation traumatic cardiac arrest - there are survivors. An analysis of two national emergency registries

 

AGRRHospital admission with ROSC

B Died at the scene or with ongoing CPR

C Hospital admission; cardiac causes

Patients (n)

95

273

3673

Age (mean ± SD)

52.7 ± 22.8

50.7 ± 22.2

67.0 ± 15.1

Aged over 60 years

44.9%

38.1%

72.4%

Age cohorts

   

   1-20 years

12.4%

10.0%

1.3%

   21-40 years

16.9%

24.5%

3.4%

   41-60 years

25.8%

29.0%

24.4%

   61-80 years

36.0%

29.0%

54.2%

   > 80 years

9.0%

7.4%

16.6%

Male gender

66.0%

74.8%

68.8%

Scene of cardiac arrest

   Home

27.4%

21.0%

58.6%

   Nursing home

2.1%

2.2%

2.9%

   Workplace

3.2%

4.9%

2.6%

   Street

32.6%

46.1%

9.9%

   Public place

16.8%

15.0%

12.7%

   Medical institution

1.1%

1.9%

5.1%

   Public event

1.5%

0.6%

 

   Other

14.7%

7.5%

7.7%

ECG findings

   Ventricular fibrillation

16.3%

4.4%

52.0%

   PEA

13.8%

20.6%

10.0%

   Asystole

57.5%

66.7%

28.4%

   Other

12.6%

8.4%

9.6%

Cardiac arrest witnessed

   No

33.7%

45.1%

25.4%

   By lay people

50.5%

46.9%

59.3%

   By EMS

15.8%

8.1%

15.3%

Bystander CPR

16.0%

13.2%

21.6%

Use of defibrillator

31.6%

26.4%

70.1%

Fluid resuscitation (mL; mean ± SD)

   Total volume

1194 ± 1020

890 ± 1092

577 ± -423

   Crystalloids

837 ± 712

585 ± 628

549 ± 395

   Colloids

319 ± 486

300 ± 562

25.8 ± 117

   Hyperoncotic solutions

46.9 ± 111

48.6 ± 107

11.4 ± 50.2

Time intervals (min; mean ± SD)

   Time from call to EMS arrival

9.0 ± 6.4

8.3 ± 5.0

7.8 ± 5.3

   Time from accident to hospital admission

55.1 ± 15.5

65.1 ± 68.0

56.7 ± 21.9

  1. Group AGRR had ROSC at hospital admission, while group B did not have any ROSC or died at the scene. The cardiac control group, group C, had cardiac causes for cardiac arrest and reached hospital with ROSC. CPR, cardiopulmonary resuscitation; ECG, electrocardiography; EMS, emergency medical service; PEA, pulseless electrical activity; ROSC, return of spontaneous circulation; SD, standard deviation.