University of Hertfordshire

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Documents

  • Furqan B. Irfan
  • Rafael Consunji
  • Ayman El-Menyar
  • Pooja George
  • Ruben Peralta
  • Hassan Al-Thani
  • Stephen Hodges Thomas
  • Guillaume Alinier
  • Ashfaq Shuaib
  • Jassim Al Suwaidi
  • Rajvir Singh
  • Maaret Castren
  • Peter Alistair Cameron
  • Therese Djarv
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Original languageEnglish
Pages (from-to)438-443
JournalInternational Journal of Cardiology
Journal publication date1 Aug 2017
Volume240
Early online date30 Mar 2017
DOIs
Publication statusPublished - 1 Aug 2017

Abstract

Background: Traumatic cardiac arrest studies have reported improved survival rates recently, ranging from 1.7-7.5%. This population-based nationwide study aims to describe the epidemiology, interventions and outcomes, and determine predictors of survival from out-of-hospital traumatic cardiac arrest (OHTCA) in Qatar. Methods: An observational retrospective population-based study was conducted on OHTCA patients in Qatar, from January 2010 to December 2015. Traumatic cardiac arrest was redefined to include out-of-hospital traumatic cardiac arrest (OHTCA) and in-hospital traumatic cardiac arrest (IHTCA). Results: A total of 410 OHTCA patients were included in the 6-year study period. The mean annual crude incidence rate of OHTCA was 4.0 per 100,000 population, in Qatar. OHTCA mostly occurred in males with a median age of 33. There was a preponderance of blunt injuries (94.3%) and head injuries (66.3%). Overall, the survival rate was 2.4%. Shockable rhythm, prehospital external hemorrhage control, in-hospital blood transfusion, and surgery were associated with higher odds of survival. Adrenaline (Epinephrine) lowered the odds of survival. Conclusion: The incidence of OHTCA was less than expected, with a low rate of survival. Thoracotomy was not associated with improved survival while Adrenaline administration lowered survival in OHTCA patients with majority blunt injuries. Interventions to enable early prehospital control of hemorrhage, blood transfusion, thoracostomy and surgery improved survival.

Notes

This document is the Accepted Manuscript version of the following article: Furqan B. Irfan, et al, 'Cardiopulmonary resuscitation of out-of-hospital traumatic cardiac arrest in Qatar: A nationwide population-based study', International Journal of Cardiology, Vol. 240, pp. 438-443, first published online 30 March 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. The Version of Record is available online at doi: 10.1016/j.ijcard.2017.03.134. © 2017 Elsevier B. V.

ID: 11657852