Survival after emergency department thoracotomy: review of published data from the past 25 years.

摘要: Abstract Background: Emergency department thoracotomy (EDT) has become standard therapy for patients who acutely arrest after injury. Patient selection is vitally important to achieve optimal outcomes without wasting valuable resources. The aim of this study was determine the main factors that most influence survival EDT. Study Design: Twenty-four studies included 4,620 cases from institutions reported EDT both blunt and penetrating trauma during past 25 years were reviewed. primary analyzed in-hospital rates. Results: had an overall rate 7.4%. Normal neurologic noted in 92.4% surviving patients. Factors as influencing mechanism injury (MOI), location major (LOMI), signs life (SOL). Survival rates MOI 8.8% injuries 1.4% injuries. When further separated, 16.8% stab wounds 4.3% gunshot wounds. For LOMI, 10.7% thoracic injuries, 4.5% abdominal 0.7% multiple If LOMI heart, highest at 19.4%. third factor SOL. SOL present on arrival hospital, 11.5% contrast 2.6% if none present. transport resulted a 8.9%. Absence field yielded 1.2%. There no clear single independent preoperative could uniformly predict death. Conclusions: best results are seen undergo arrive with emergency department. All three factors—MOI, SOL—should be taken into account when deciding whether perform Uniform reporting guidelines needed elucidate role taking combination MOI,