Predicting Survival in Trauma Patients Requiring CPR Within 1 Hour of Hospital Arrival

Increased rates of survival were associated with low Injury Severity Score, high Glasgow Coma Scale motor score, Caucasian race, American College of Surgeons level 2 trauma designation, and high initial systolic blood pressure.

This retrospective analysis used the 2007–2010 edition of the U.S. National Trauma Data Bank to identify characteristics of traumatically injured patients who survived to hospital discharge after receiving cardiopulmonary resuscitation (CPR) within 1 hour after arrival at a trauma center.

Of the 19,310 patients whose records were reviewed, only 2640 received CPR within 1 hour of hospital arrival. Of these, 13% survived to discharge. Multiple logistic regression modeling found five characteristics to be the best predictors of survival in this population: low Injury Severity Score (ISS), high Glasgow Coma Scale (GCS) motor score, Caucasian race, American College of Surgeons (ACS) level 2 trauma designation, and high initial systolic blood pres…

Reviewing Author

Jennifer L. Wiler, MD, MBA, FACEP

Disclosures

Leadership Positions in Professional SocietiesColorado Medical Society (Member, Board of Directors)

Jennifer L. Wiler, MD, MBA, FACEP

Disclosures

Leadership Positions in Professional SocietiesColorado Medical Society (Member, Board of Directors)

Predicting Survival in Trauma Patients Requiring CPR Within 1 Hour of Hospital Arrival

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Reviewing Author