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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Analysis of trauma patient survival following emergency department thoracotomy

Analysis of trauma patient survival following emergency department thoracotomy
  Number of studies Hospital survival % (95% CI)
Injury mechanism
Penetrating injury 64 674/6390 10.6 (9.8-11.3)
Percentage of surviving penetrating trauma patients neurologically intact post-EDT 35 282/312 90.4 (86.7-93.3)
Gun shot wounds 44 213/2966 7.2 (6.3-8.2)
Stab wounds 44 302/1907 15.8 (14.3-17.5)
Blunt injury 42 50/2172 2.3 (1.7-3.0)
Percentage of surviving blunt trauma patients neurologically intact post-EDT 8 19/32 59.4 (41.9-75.2)
Primary injury location
Cardiac 24 250/1449 17.3 (15.4-19.3)
Thoracic 27 222/2117 10.5 (9.2-11.9)
Abdominal 22 60/856 7.0 (5.4-8.9)
Neck or extremity 8 9/128 7.0 (3.5-12.5)
Physiologic predictors
Prehospital CPR
Yes 9 22/425 5.2 (3.4-7.6)
No 8 41/301 13.6 (10.1-17.9)
ED signs of life
Yes 35 290/1523 19.0 (17.1-21.1)
No 33 62/2166 2.9 (2.2-3.6)
ED cardiac rhythm
Asystole 8 10/382 2.6 (1.4-4.6)
Pulseless electrical activity 3 17/152 11.2 (6.9-17.0)
Sinus 3 21/63 33.3 (22.6-45.6)
Other 5 4/83 4.8 (1.6-11.2)
ED vital signs
Yes 25 241/1382 17.4 (15.5-19.5)
No 35 135/3516 3.8 (3.2-4.5)
Overall
EDT hospital survival 71 871/10,238 8.5 (8.0-9.1)
EDT neuro intact hospital survival 47 408/6746 6.1 (5.5-6.6)
Percentage EDT survivors neurologically intact 45 466/544 85.7 (82.5-88.4)
All described predictors of EDT were analyzed individually across all studies.
CPR: Cardiopulmonary resuscitation; ED: Emergency department; EDT: Emergency department thoracotomy
From: Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2015; 79:159. DOI: 10.1097/TA.0000000000000648. Copyright © 2015 American Association for the Surgery of Trauma. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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