Potential harms of emergency department thoracotomy in patients with persistent cardiac arrest following trauma: a nationwide observational study.

ABSTRACT: Emergency department thoracotomy (EDT) was incorporated into traumatic out-of-hospital cardiac arrest (t-OHCA) resuscitation. Although current guidelines recommend EDT with survival predictors, futility following EDT has been demonstrated and the potential risks have not been thoroughly investigated. This study aimed to elucidate the benefits and harms of EDT for persistent cardiac arrest following injury until hospital arrival. This retrospective cohort study used a nationwide trauma registry (2019-2021) and included adult patients with t-OHCA both at the scene and on hospital arrival. Survival to discharge, hemostatic procedure frequency, and transfusion amount were compared between patients treated with and without EDT. Inverse probability weighting using a propensity score was conducte

SUBMITTER: Yamamoto R 

PROVIDER: S-EPMC10520031 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature