Comparative Effectiveness of Emergency Resuscitative Thoracotomy versus Closed Chest Compressions among Patients with Critical Blunt Trauma: A Nationwide Cohort Study in Japan

PloS One
Kodai SuzukiShinji Ogura

Abstract

Although emergency resuscitative thoracotomy is performed as a salvage maneuver for critical blunt trauma patients, evidence supporting superior effectiveness of emergency resuscitative thoracotomy compared to conventional closed-chest compressions remains insufficient. The objective of this study was to investigate whether emergency resuscitative thoracotomy at the emergency department or in the operating room was associated with favourable outcomes after blunt trauma and to compare its effectiveness with that of closed-chest compressions. This was a retrospective nationwide cohort study. Data were obtained from the Japan Trauma Data Bank for the period between 2004 and 2012. The primary and secondary outcomes were patient survival rates 24 h and 28 d after emergency department arrival. Statistical analyses were performed using multivariable generalized mixed-effects regression analysis. We adjusted for the effects of different hospitals by introducing random intercepts in regression analysis to account for the differential quality of emergency resuscitative thoracotomy at hospitals where patients in cardiac arrest were treated. Sensitivity analyses were performed using propensity score matching. In total, 1,377 consecutive, c...Continue Reading

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Citations

Sep 15, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Stefan Schulz-DrostUNKNOWN TraumaRegister DGU
Jul 5, 2017·Critical Care : the Official Journal of the Critical Care Forum·Akira EndoKiyoshi Murata
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Aug 14, 2021·World Journal of Emergency Surgery : WJES·Greta CastelliniUNKNOWN Italian National Institute of Health guideline working group on Major Trauma
Nov 19, 2017·Journal of Visceral Surgery·A ManciniC Arvieux

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