TY - JOUR
T1 - Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center
T2 - The cardiac instability score
AU - Siram, Suryanarayana
AU - Oyetunji, Tolulope
AU - Johnson, Shaneeta M.
AU - Khoury, Amal L.
AU - White, Patricia M.
AU - Chang, David C.
AU - Greene, Wendy R.
AU - Frederick, Wayne A.I.
PY - 2010/2
Y1 - 2010/2
N2 - 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.
AB - 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.
KW - Emergency care
KW - Predictor
KW - Surgery
KW - Survival
UR - http://www.scopus.com/inward/record.url?scp=77649160745&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77649160745&partnerID=8YFLogxK
U2 - 10.1016/s0027-9684(15)30500-9
DO - 10.1016/s0027-9684(15)30500-9
M3 - Article
C2 - 20191925
AN - SCOPUS:77649160745
SN - 0027-9684
VL - 102
SP - 126
EP - 131
JO - Journal of the National Medical Association
JF - Journal of the National Medical Association
IS - 2
ER -