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Basic data underlying clinical decision-making and outcomes in emergency department thoracotomy: tabular review
Anand Dayama1, Dordaneh Sugano2, Daniel Spielman2
1San Joaquin General Hospital, University of California, Davis, French Camp, California, USA.
ANZ Journal of Surgery
|July 17, 2015
Summary
Emergency department thoracotomy (EDT) offers a low survival rate of 8% but can be life-saving in critical trauma cases. Neurological outcomes are positive, with most patients returning to baseline function.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Surgical Outcomes Research
Background:
- Emergency department thoracotomy (EDT) is a critical, last-resort procedure for patients in extremis.
- This review establishes a benchmark by analyzing published data on EDT since 2001.
Purpose of the Study:
- To review and synthesize available literature on the indications and outcomes of emergency department thoracotomy.
- To provide an updated benchmark for EDT outcomes and survival rates.
Main Methods:
- A comprehensive literature search was conducted using MEDLINE.
- Data from 37 identified papers, totaling 3466 patients, were extracted by three independent reviewers.
Main Results:
- The overall survival rate for EDT was 8% (267/3466).
- Survival rates were 9.8% for penetrating trauma and 5.2% for blunt trauma.
- 84.6% of patients had positive neurological outcomes, returning to baseline function.
Conclusions:
- This review serves as a practical literature search tool for surgeons performing resuscitative thoracotomy.
- EDT outcomes vary, with higher survival in penetrating trauma and non-US experiences.
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