Trauma Program, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
CJEM. 2004 Jul;6(4):263-5. doi: 10.1017/s1481803500009234.
To determine survival rates in adult trauma patients requiring cardiopulmonary resuscitation (CPR).
We used 1992-2002 trauma registry data to identify all adult trauma patients over the age of 16 who required CPR in the pre-hospital setting or within 24 hours of arriving at the hospital. Demographic information, mechanism of injury, injury severity score (ISS), vital signs at the scene and in the hospital, and mortality were obtained from patient charts. Patients were stratified into 2 groups: those with absent vital signs in the field who required prehospital CPR, and those who lost vital signs within 24 hours of arriving at the trauma suite.
Of 50 eligible patients, 28 (58%) were male and 46 (92%) sustained blunt trauma. Mean age was 44.8 +/- 20 years and mean ISS was 38 +/- 18. Overall mortality was 96% (48/50), and all patients who required prehospital CPR died. The only 2 survivors were patients who arrived with vital signs and developed pulseless electrical activity while in the trauma suite.
In this consecutive series of trauma victims with cardiopulmonary arrest there were no survivors among those who lost vital signs and required CPR prior to arriving at the hospital.
确定需要心肺复苏（CPR）的成年创伤患者的生存率。
我们使用 1992 年至 2002 年的创伤登记数据，确定所有在院外或入院 24 小时内需要 CPR 的年龄在 16 岁以上的成年创伤患者。从患者病历中获取人口统计学信息、损伤机制、损伤严重程度评分（ISS）、现场和医院的生命体征以及死亡率。患者分为两组：现场无生命体征需要院前 CPR 的患者和在创伤室 24 小时内失去生命体征的患者。
在 50 名符合条件的患者中，28 名（58%）为男性，46 名（92%）为钝器伤。平均年龄为 44.8 +/- 20 岁，平均 ISS 为 38 +/- 18。总体死亡率为 96%（48/50），所有需要院前 CPR 的患者均死亡。仅有的 2 名幸存者是在创伤室出现无脉性电活动且有生命体征的患者。
在本连续系列的心肺骤停创伤患者中，在入院前失去生命体征并需要 CPR 的患者中没有幸存者。
