ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Emergency department thoracotomy of severely injured patients: an analysis of the TraumaRegister DGU
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Surgical management of chest injuries in patients with multiple and/or severe trauma- a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- [Peri-arrest emergency thoracotomy after trauma: a 5-year case series].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- [Management and outcome of patients with stab injuries treated at a German level I trauma center : A retrospective analysis over a 3-year period].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Outcomes and guideline adherence for emergency department thoracotomy: a single-center experience in Saudi Arabia.International journal of emergency medicine · 2025Article
- Outcomes of resuscitative and emergent thoracotomies following injury at the largest trauma center in Estonia.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- From diagnosis to therapy: the acute traumatic hemothorax - an orientation for young surgeons.Innovative surgical sciences · 2023Review
- The Role of Open Cardiopulmonary Resuscitation in Chest Trauma Patients with No Sign of Life: A National Trauma Data Bank Study.World journal of surgery · 2023Article
- 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
- 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
- Resuscitative thoracotomy.BJA education · 2020Review
- Focus on "The German TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- [Management of thoracic trauma and intrathoracic injuries].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Article
- Emergency resuscitative thoracotomy in severe trauma: Analysis of the nation-wide registry data in Japan.Acute medicine & surgeryArticle
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aim of the studyEmergency department thoracotomy (EDT) may be the last chance for survival in some severe thoracic trauma. This study investigates a representative collective with the aim to compare the findings in Europe to the international experience. Moreover, the influence of different levels of trauma care is investigated.
methodsAll emergency thoracotomies in patients with an ISS ≥ 9 from TR-DGU (2009-2014) within the first 60 min after arrival were identified. EDTs were identified separately, and mini thoracotomies and drainage systems were excluded.
results99,013 patients with sufficient data were observed. 1736 (1.8%) received thoracotomy during their hospital stay. 887 patients had a thoracotomy within the first hour in the emergency department (ED). 52.5% were treated in supraregional trauma centers (STC), 36.4% in regional (RTC) and 11.0% in local trauma centers (LTC). The mortality rates were 39.4% (STC), 20.9% (RTC) and 20.8% (LTC). The overall mortality rate showed no significant differences for blunt (28.2%) and penetrating trauma (31.3%). In case of cardiac arrest in the ED, a survival rate of 4.8% for blunt trauma and 20.7% for penetrating trauma was determined if EDT was carried out. Those patients showed a higher rate in severe thoracic organ injuries due to penetrating trauma but less extrathoracic injuries.
conclusionJust over half of EDTs were performed in STC. Emergency room resuscitation followed by EDT had survival rates of 4.8% and 20.7% for blunt and penetrating trauma patients, respectively.
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