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VOLUME 25 , ISSUE 12 ( December, 2021 ) > List of Articles

Original Article

Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study

Richa Aggarwal

Keywords : In-hospital cardiac arrest, Outcomes, Prognostic factors

Citation Information : Aggarwal R. Outcomes of Trauma Victims with Cardiac Arrest Who Survived to Intensive Care Unit Admission in a Level 1 Apex Indian Trauma Centre: A Retrospective Cohort Study. Indian J Crit Care Med 2021; 25 (12):1408-1412.

DOI: 10.5005/jp-journals-10071-24057

License: CC BY-NC 4.0

Published Online: 17-12-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Background and aims: The prognosis of patients with cardiac arrest following trauma is poor. Our objectives were: (1) to determine outcomes of patients following in-hospital cardiac arrest posttrauma and admitted to the intensive care unit (ICU) and (2) to identify characteristics associated with in-hospital mortality. Materials and methods: This was a single-center retrospective analysis of patients admitted to ICU after resuscitation following in-hospital cardiac arrest between January 2017 and July 2018. Patients with isolated head injuries and multiple cardiac arrests were excluded. Bivariate analysis was done to determine a significant association between baseline characteristics and in-hospital mortality. Results: A total of 37 patients were included. About 35.1% of trauma subjects survived hospital discharge. Bivariate analysis showed positive association between admission Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores with in-hospital mortality. Other characteristics, such as age, duration of cardiopulmonary resuscitation (CPR), and serum lactate levels on admission, were not associated with in-hospital mortality. Conclusion: Despite being at lower survival following a cardiac arrest after trauma, approximately one-third of the patients survived hospital discharge. This implies that aggressive support of this population is not necessarily futile. Optimization of postresuscitation physiological factors and their impacts on outcomes for these patients need further studies.

  1. Battistella FD, Nugent W, Owings JT, Anderson JT. Field triage of the pulseless trauma patient. Arch Surg 1999;134(7):742–745; discussion 745–746. DOI: 10.1001/archsurg.134.7.742.
  2. Cera SM, Mostafa G, Sing RF, Sarafin JL, Matthews BD, Heniford BT. Physiologic predictors of survival in post-traumatic arrest. Am Surg 2003;69:140–144. PMID: 12641355.
  3. Hopson LR, Hirsh E, Delgado J, et al. Guidelines for withholding or termination of resuscitation in prehospital traumatic cardiopulmonary arrest: joint position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma. J Am Coll Surg 2003;196(1):106–112. DOI: 10.1016/s 1072-7515(02)01668-x.
  4. Stockinger ZT, McSwain NE Jr. Additional evidence in support of withholding or terminating cardiopulmonary resuscitation for trauma patients in the field. J Am Coll Surg 2004;198(2):227–231. DOI: 10.1016/j.jamcollsurg.2003.10.012.
  5. Evans CC, Petersen A, Meier EN, Buick JE, Schreiber M, Kannas D, et al. Resuscitation outcomes consortium I. Prehospital traumatic cardiac arrest: management and outcomes from the resuscitation outcomes consortium epistry-trauma and PROPHET registries. J Trauma Acute Care Surg 2016;81(2):285–293. DOI: 10.1097/TA.0000000000001070.
  6. David JS, Gueugniaud PY, Riou B, Pham E, Dubien PY, Goldstein P, et al. Does the prognosis of cardiac arrest differ in trauma patients? Crit Care Med 2007;35(10):2251–2255. DOI: 10.1097/01.ccm.0000281859.61545.22.
  7. Bhoi S, Mishra PR, Soni KD, Baitha U, Sinha TP. Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center. Indian J Crit Care Med 2016;20(8):469–472. DOI: 10.4103/0972-5229.188198.
  8. Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz HM, Chan PS, et al. Trends in survival after in-hospital cardiac arrest. N Engl J Med 2012;367(20):1912–1920. DOI: 10.1056/NEJMoa1109148.
  9. Chen YC, Wu KH, Hsiao KY, Hung MS, Lai YC, Chen YS, et al. Factors associated with outcomes in traumatic cardiac arrest patients without prehospital return of spontaneous circulation. Injury 2019;50(1):4–9. DOI: 10.1016/j.injury.2018.07.010.
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