CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Traumatic cardiac arrest in Sweden 1990-2016 - a population-based national cohort study.
Karolinska University Hospital.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0003-4139-6235
Mälardalen University.
Show others and affiliations
2018 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 26, no 1, article id 30Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Trauma is a main cause of death among young adults worldwide. Patients experiencing a traumatic cardiac arrest (TCA) certainly have a poor prognosis but population-based studies are sparse. Primarily to describe characteristics and 30-day survival following a TCA as compared with a medical out-of-hospital cardiac arrest (medical CA).

METHODS: A cohort study based on data from the nationwide, prospective population-based Swedish Registry for Cardiopulmonary Resuscitation (SRCR), a medical cardiac arrest registry, between 1990 and 2016. The definition of a TCA in the SRCR is a patient who is unresponsive with apnoea where cardiopulmonary resuscitation and/or defibrillation have been initiated and in whom the Emergency Medical Services (EMS, mainly a nurse-based system) reported trauma as the aetiology. Outcome was overall 30-day survival. Descriptive statistics as well as multivariable logistic regression models were used.

RESULTS: In all, between 1990 and 2016, 1774 (2.4%) cases had a TCA and 72,547 had a medical CA. Overall 30-day survival gradually increased over the years, and was 3.7% for TCAs compared to 8.2% following a medical CA (p < 0.01). Among TCAs, factors associated with a higher 30-day survival were bystander witnessed and having a shockable initial rhythm (adjusted OR 2.67, 95% C.I. 1.15-6.22 and OR 8.94 95% C.I. 4.27-18.69, respectively).

DISCUSSION: Association in registry-based studies do not imply causality but TCA had short time intervals in the chain of survival as well as high rates of bystander-CPR.

CONCLUSION: In a medical CA registry like ours, prevalence of TCAs is low and survival is poor. Registries like ours might not capture the true incidence. However, many individuals do survive and resuscitation in TCAs should not be seen futile.

Place, publisher, year, edition, pages
2018. Vol. 26, no 1, article id 30
Keywords [en]
OHCA, Prevalence, Resuscitation, TCA, Trauma
National Category
Anesthesiology and Intensive Care
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-15550DOI: 10.1186/s13049-018-0500-7PubMedID: 29685180Scopus ID: 2-s2.0-85045768123OAI: oai:DiVA.org:hb-15550DiVA, id: diva2:1273257
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2018-12-20

Open Access in DiVA

fulltext(729 kB)18 downloads
File information
File name FULLTEXT01.pdfFile size 729 kBChecksum SHA-512
59087730a2679d7eccacab1842d9ee6223dd81a09a1c1df6140f0e4d75ff8760117bc24e2206330074b311e7e196276747c3dd25ff92c660bb19f8fbadb04937
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records BETA

Axelsson, ChristerHerlitz, Johan

Search in DiVA

By author/editor
Axelsson, ChristerHerlitz, Johan
By organisation
Faculty of Caring Science, Work Life and Social Welfare
In the same journal
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Anesthesiology and Intensive Care

Search outside of DiVA

GoogleGoogle Scholar
Total: 18 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 64 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf