ArticleBMC emergency medicine2022
Survival after traumatic cardiac arrest is possible-a comparison of German patient-registries.
Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 32 citations in OpenAlex.
- Bedside emergency damage control surgeries for penetrating polytrauma with hemorrhagic shock and cardiac arrest: a case report.World journal of emergency medicine · 2026Article
- Factors Associated with Emergency Department Survival of Out-of-Hospital Cardiac Arrest following Traumatic Brain Injury: A Retrospective Cohort Study.Archives of academic emergency medicine · 2026Article
- Effect of different factors on predicting patient mortality beyond the NACA classification: a multivariate analysis of more than 2,000 polytrauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Factors associated with recurrent out-of-hospital cardiac arrest after hospital discharge: a population-based study.Resuscitation plus · 2025Article
- Unlocking survival in traumatic cardiac arrest: global insights, innovations, and unmet needs.Critical care (London, England) · 2025Review
- Appropriate cardiopulmonary resuscitation duration and predictors of return of spontaneous circulation in traumatic cardiac arrest.BMC emergency medicine · 2025Observational
- Trauma center vs. nearest non-trauma center: direct transport or bypass approach for out-of-hospital traumatic cardiac arrest.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Prehospital blood transfusion-experience from a specialized prehospital response vehicle-a retrospective cohort study.Frontiers in medicine · 2025Article
- Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review.Journal of anesthesia, analgesia and critical care · 2024Review
- Traumatic Cardiac Arrest-A Narrative Review.Journal of clinical medicine · 2024Review
- 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
- Traumatic cardiac arrest - a nationwide Danish study.BMC emergency medicine · 2023Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOut-of-hospital cardiac arrest (OHCA) due to trauma is rare, and survival in this group is infrequent. Over the last decades, several new procedures have been implemented to increase survival, and a "Special circumstances chapter" was included in the European Resuscitation Council (ERC) guidelines in 2015. This article analysed outcomes after traumatic cardiac arrest in Germany using data from the German Resuscitation Registry (GRR) and the TraumaRegister DGU® (TR-DGU) of the German Trauma Society.
methodsIn this study, data from patients with OHCA between 01.01.2014 and 31.12.2019 secondary to major trauma and where cardiopulmonary resuscitation (CPR) was started were eligible for inclusion. Endpoints were return of spontaneous circulation (ROSC), hospital admission with ROSC and survival to hospital discharge.
results1.049 patients were eligible for inclusion. ROSC was achieved in 28.7% of the patients, 240 patients (22.9%) were admitted to hospital with ROSC and 147 (14.0%) with ongoing CPR. 643 (67.8%) patients were declared dead on scene. Of all patients resuscitated after traumatic OHCA, 27.3% (259) died in hospital. The overall mortality was 95.0% and 5.0% survived to hospital discharge (47). In a multivariate logistic regression analysis; age, sex, injury severity score (ISS), head injury, found in cardiac arrest, shock on admission, blood transfusion, CPR in emergency room (ER), emergency surgery and initial electrocardiogram (ECG), were independent predictors of mortality.
conclusionTraumatic cardiac arrest was an infrequent event with low overall survival. The mortality has remained unchanged over the last decades in Germany. Additional efforts are necessary to identify reversible cardiac arrest causes and provide targeted trauma resuscitation on scene.
trial registrationDRKS, DRKS-ID DRKS00027944. Retrospectively registered 03/02/2022.
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