Laparotomy following cardiopulmonary resuscitation after traumatic cardiac arrest: is it futile?
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The outcome of cardiopulmonary resuscitation (CPR) after traumatic cardiac arrest is very poor. Moreover, some consider laparotomy for abdominal trauma after CPR futile. This study aimed to investigate the outcomes of trauma patients who were pulseless and received CPR followed by laparotomy.
We conducted a retrospective review of 28,255 trauma patients from our hospital from January 2009 to November 2017. Patient demographics, injury severity scores, duration of CPR, operative data, and mortality of patients with laparotomy after CPR were collected and analyzed.
We identified 120 trauma patients (0.42%) who underwent CPR at admission. Twenty-three patients (0.08%) underwent laparotomy following CPR. Of these, 19 patients (82.6%) died after laparotomy. Of four survivors after laparotomy, three (13.0%) survived with a good neurologic outcome. One survivor required rehabilitation due to poor neurologic outcome. All patients had suffered a blunt injury.
The survival rate for laparotomy following CPR after traumatic cardiac arrest was very poor. However, laparotomy following CPR is not always futile.
KeywordsWound and injuries Cardiopulmonary resuscitation Cardiac arrest Laparotomy
There are no sources of funding in our study.
Compliance with ethical standards
Conflict of interest
Wu Seong Kang, Yun Chul Park and Young Goun Jo declare that there are no conflicts of interest.
Research involves human participants/animals
This research does not involve human participants and/or animals.
Informed consent obtained from subjects.
The work has been approved by the appropriate ethical committees related to the institution in which it was performed.
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