Out-of-hospital cardiac arrest (OHCA) due to trauma is rare, and survival in this group is infrequent. Over the last decades, several new procedures have been implemented to increase survival, and a “Special circumstances chapter” was included in the European Resuscitation Council (ERC) guidelines in 2015. This article analysed outcomes after traumatic cardiac arrest in Germany using data from the German Resuscitation Registry (GRR) and the TraumaRegister DGU® (TR-DGU) of the German Trauma Society. In this study, data from patients with OHCA between 01.01.2014 and 31.12.2019 secondary to major trauma and where cardiopulmonary resuscitation (CPR) was started were eligible for inclusion. Endpoints were return of spontaneous circulation (ROSC), hospital admission with ROSC and survival to hospital discharge. 1.049 patients were eligible for inclusion. ROSC was achieved in 28.7% of the patients, 240 patients (22.9%) were admitted to hospital with ROSC and 147 (14.0%) with ongoing CPR. 643 (67.8%) patients were declared dead on scene. Of all patients resuscitated after traumatic OHCA, 27.3% (259) died in hospital. The overall mortality was 95.0% and 5.0% survived to hospital discharge (47). In a multivariate logistic regression analysis; age, sex, injury severity score (ISS), head injury, found in cardiac arrest, shock on admission, blood transfusion, CPR in emergency room (ER), emergency surgery and initial electrocardiogram (ECG), were independent predictors of mortality. Traumatic cardiac arrest was an infrequent event with low overall survival. The mortality has remained unchanged over the last decades in Germany. Additional efforts are necessary to identify reversible cardiac arrest causes and provide targeted trauma resuscitation on scene. DRKS, DRKS-ID DRKS00027944. Retrospectively registered 03/02/2022.

中文翻译：

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创伤性心脏骤停后的生存是可能的——德国患者登记的比较

因外伤导致的院外心脏骤停 (OHCA) 很少见，该组患者的存活率也不高。在过去的几十年里，已经实施了一些新的程序来提高生存率，并且在 2015 年欧洲复苏委员会 (ERC) 指南中包含了“特殊情况章节”。本文使用来自德国的数据分析了德国创伤性心脏骤停后的结果。德国创伤协会的德国复苏登记处 (GRR) 和 TraumaRegister DGU® (TR-DGU)。在这项研究中，2014 年 1 月 1 日至 2019 年 12 月 31 日期间继发于重大创伤并开始心肺复苏 (CPR) 的 OHCA 患者的数据符合纳入条件。终点是自主循环恢复 (ROSC)、ROSC 入院和出院存活率。1.049 名患者符合入选条件。28.7% 的患者实现了 ROSC，240 名患者（22.9%）因 ROSC 而入院，147 名患者（14.0%）因持续 CPR 而入院。643名（67.8%）患者在现场被宣布死亡。在创伤性 OHCA 后复苏的所有患者中，27.3% (259) 死于医院。总死亡率为 95.0%，5.0% 存活至出院 (47)。在多元逻辑回归分析中；年龄、性别、损伤严重程度评分（ISS）、头部损伤、心脏骤停、入院休克、输血、急诊室心肺复苏术（ER）、急诊手术和初始心电图（ECG）是死亡率的独立预测因素。创伤性心脏骤停是一种不常见的事件，总体生存率较低。在过去的几十年里，德国的死亡率保持不变。需要额外的努力来确定可逆的心脏骤停原因并在现场提供有针对性的创伤复苏。DRKS，DRKS-ID DRKS00027944。追溯注册 03/02/2022。