Predictors for Survival of Penetrating Trauma Using Emergency Department Thoracotomy in an Urban Trauma Center: The Cardiac Instability Score

被引：11

作者：

Siram, Suryanarayana ^{[1
]}

Oyetunji, Tolulope ^{[1
]}

Johnson, Shaneeta M. ^{[2
]}

Khoury, Amal L. ^{[1
]}

White, Patricia M. ^{[1
]}

Chang, David C. ^{[3
]}

Greene, Wendy R. ^{[1
]}

Frederick, Wayne A. I. ^{[1
]}

机构：

[1] Howard Univ, Coll Med, Dept Surg, Washington, DC USA

[2] Cleveland Clin, Dept Surg, Cleveland, OH 44106 USA

[3] Johns Hopkins Sch Med, Dept Surg, Baltimore, MD USA

来源：

JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION | 2010年 / 102卷 / 02期

关键词：

survival; surgery; predictor; emergency care; THORACIC TRAUMA; RESUSCITATION; VICTIMS;

D O I：

10.1016/S0027-9684(15)30500-9

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Emergency department thoracotomy (EDT) is a procedure used in an attempt to save lives of patients in extremis. This study aims to determine predictors of survival and futility by proposing a scoring scale that measures cardiac instability and its use in predicting survival of victims of penetrating trauma undergoing EDT. Methods: This retrospective study analyzes patients who underwent EDT during a 45-month period at Howard University Hospital, Washington, DC. Vital signs and Glasgow Coma scale (GCS) scores were analyzed at the scene and in the emergency department. A cardiac instability score (CIS) was devised to assign values to vital signs, and the GCS was based on scores from the emergency department. Results: Emergency department vital signs, female gender, absence of cardiopulmonary resuscitation (CPR), and high CIS were found to be statistically significant predictors of survival. Conclusions: The CIS correlated with survival of patients who underwent EDT and was found to be statistically significant in determining the outcome of an EDT.

引用

页码：126 / 130

页数：5

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