ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025
Associations between four standard interventions as well as epinephrine use and sustained ROSC, 30-Day and one-year survival of patients in traumatic cardiac arrest: a multicentre, retrospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Incidence and epidemiology of out-of-hospital cardiac arrest in Upper Austria : A multicenter, retrospective cohort study.Wiener klinische Wochenschrift · 2026Article
- Timing and outcomes of out-of-hospital traumatic cardiac arrest: results of a multicentre, retrospective cohort study.Resuscitation plus · 2026Article
- Aetiology-dependent short- and long-term survival after paediatric out-of-hospital cardiac arrest: a multicentre, retrospective, cohort study.BMC emergency medicine · 2026Article
- Reporting of Utstein-recommended variables in prehospital traumatic cardiac arrest: a scoping review.BMC emergency medicine · 2026Article
- Volume therapy for cardiac arrest: a systematic review and meta-analysis.Resuscitation plus · 2026Article
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11 authors.
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Abstract
backgroundThe evidence to support guideline-recommended interventions in traumatic cardiac arrest (TCA) is low.
methodsThis multicentre, retrospective study included 996 paediatric and adult patients with out-of-hospital TCA (01/2010-12/2019). Demographic, clinical, and pre-hospital data, binary delivery of five core interventions, and outcomes were collected. Crude (crosstabs) and adjusted (logistic regressions) odds ratios (OR) with 95% confidence intervals (95%CI) were calculated to determine the associations between single interventions and outcomes.
resultsA sustained return-of-spontaneous-circulation (ROSC) was achieved in 341 subjects (34.2%). The 30-day and 1-year survival rates were 7.4 and 6.6%, respectively. The 95%CIs of the crude ORs for sustained ROSC were greater than one for all interventions. The 95%CIs of the crude ORs for 30-day and 1-year survival were greater than one for fluid infusion (20.5, 5.0-84.4), pelvic binder application (11.2, 3.3-37.7), as well as airway protection and ventilation with 100% oxygen (3.7, 1.5-9.5), but not for epinephrine use (1.4, 0.8-2.5) or bilateral chest decompression (1.0, 0.5-2.0). The 95%CIs of the adjusted ORs of fluid infusion (7.8, 4.7-13.5), application of a pelvic binder (8.9, 1.3-17.6), airway protection and ventilation with 100% oxygen (4.5, 2.5-8.7), as well as epinephrine use (4.0, 2.6-6.2) were greater than one for sustained ROSC. For 30-day and 1-year survival, the 95%CIs of the adjusted odds ratios of fluid infusion (30-day: 19.9, 4.1-359; 1-year: 16.8, 3.4-305) and pelvic binder application (30-day: 14.4, 2.3-90.8; 1-year: 19.8, 3.1-127), but not airway protection and ventilation with 100% oxygen (30-day: 1.9, 0.7-6.6; 1-year: 1.4, 0.5-5.1), epinephrine use (30-day: 1.0, 0.5-2.1; 1-year: 0.7, 0.3-1.5) or bilateral chest decompression (30-day: 1.1, 0.4-2.8; 1-year: 1.5, 0.6-3.9) were greater than one. The number of interventions correlated with the rates of sustained ROSC (Φ = 0.405; p < 0.001), 30-day (Φ = 0.168; p < 0.001), and 1-year (Φ = 0.169; p < 0.001) survival.
conclusionsOur results suggest that fluid infusion, application of a pelvic binder, as well as airway protection and ventilation with 100% oxygen in TCA are associated with higher rates of sustained ROSC, 30-day and 1-year survival. A bundled approach of these interventions might be beneficial. The high 30-day and 1-year survival rates underscore the value and effectiveness of resuscitation efforts in TCA patients.
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