SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016
Emergency resuscitative thoracotomy performed in European civilian trauma patients with blunt or penetrating injuries: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcomes following resuscitative thoracotomy for abdominal exsanguination, a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Pooled it
- A systematic review of 3251 emergency department thoracotomies: is it time for a national database?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Pooled it
- Organization and Quality of Emergency Thoracic Surgical Care in Multidisciplinary Hospitals of Almaty, Kazakhstan: A Multicomponent Study Combining Hospital Data, Patient-Reported Experience, and Healthcare Professional Perspectives.Healthcare (Basel, Switzerland) · 2026Article
- Damage control thoracotomy with chest packing for hemorrhage control in massive hemothorax and shock: a case report.Journal of trauma and injury · 2026Article
- [Peri-arrest emergency thoracotomy after trauma: a 5-year case series].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Clinical determinants for survival following emergency thoracotomy in trauma patients: An 8-year experience from a level 1 trauma center.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Survival predictor in emergency resuscitative thoracotomy for blunt trauma patients: Insights from a Chinese trauma center.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- A critical appraisal of emergency resuscitative thoracotomy in a Western European level 1 trauma centre: a 13-year experience.Updates in surgery · 2024Article
- Emergency thoracotomies in traumatic cardiac arrests following blunt trauma - experiences from a German level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Emergency department thoracotomy in a physician-staffed trauma system: the experience of a French Military level-1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Outcomes of the resuscitative and emergency thoracotomy at a Dutch level-one trauma center: are there predictive factors for survival?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Characteristics and outcome of traumatic cardiac arrest at a level 1 trauma centre over 10 years in Sweden.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report.Surgical case reports · 2022Article
- A 6-year case series of resuscitative thoracotomies performed by a helicopter emergency medical service in a mixed urban and rural area with a comparison of blunt versus penetrating trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Performance and outcome of ressucitative thoracotomies in a southern Brazil trauma center: a 7-year retrospective analysis.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Structured and Systematic Team and Procedure Training in Severe Trauma: Going from 'Zero to Hero' for a Time-Critical, Low-Volume Emergency Procedure Over Three Time Periods.World journal of surgery · 2021Observational
- Emergency department thoracotomy of severely injured patients: an analysis of the TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Outcomes and indications for emergency thoracotomy after adoption of a more liberal policy in a western European level 1 trauma centre: 8-year experience.Updates in surgery · 2019Article
- Predictors of survival after emergency department thoracotomy in trauma patients with predominant thoracic injuries in Southern Israel: a retrospective survey.Open access emergency medicine : OAEM · 2019Article
- Benchmarking emergency department thoracotomy: Using trauma video review to generate procedural norms.Injury · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEmergency resuscitative thoracotomy (ERT) is a lifesaving procedure in selected patients. Indications are still being debated, but outcome in blunt trauma is believed to be poor. Recent reports from European populations, where blunt trauma predominates, have suggested favorable outcome also in blunt trauma. Our aim was to identify all European studies reported over the last decade and compare reported outcomes to existing knowledge.
methodsWe performed a systematic literature search according to PRISMA guidelines (January 1st, 2004 to December 31st, 2014). The "grey literature" was included by searching Google Scholar. Qualitative comparison of studies and outcomes was done.
resultsA total of 8 articles from Europe were included originating from Croatia, Norway (n = 2), Denmark, Iceland, the Netherlands, Scotland, and Switzerland. Of 376 resuscitative thoracotomies, 193 (51.3 %) were for blunt trauma. Male:female distribution was 3.5:1. The collectively reported overall survival was 42.8 % (n = 161), with 25.4 % (49 of 193) blunt trauma and 61.2 % (112 of 183) penetrating injuries. When strictly including those ERTs designated as done in the emergency department for blunt mechanism (n = 139) only, a total of 18 patients survived (12.9 %). Survival after EDTs for penetrating trauma was 41.6 % (37 of 89). Neurological outcome (reported in 5 of 8 studies) reported favorable neurological long-term outcome in the majority of survivors, even after blunt trauma. None referred to Glasgow Outcome Score. Heterogeneity in the studies prevented outcome analyses by formal quantitative meta-analysis.
conclusionThe reported outcome after ERT in European civilian trauma populations is favorable, with one in every four ERTs in the ED surviving. Notably, outcome is at variance with previously reported collective data, in particular for blunt trauma. Multicenter, prospective, observational data are needed to validate the modern role of ERT in blunt trauma.
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