Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center: The cardiac instability score

Suryanarayana Siram, Tolulope Oyetunji, Shaneeta M. Johnson, Amal L. Khoury, Patricia M. White, David C. Chang, Wendy R. Greene, Wayne A I Frederick

Research output: Contribution to journalArticle

Abstract

Background: Emergency department thoracotomy (EDT) is a procedure used in an attempt to save lives of patients in extremis. This study aims to determine predictors of survival and futility by proposing a scoring scale that measures cardiac instability and its use in predicting survival of victims of penetrating trauma undergoing EDT. Methods: This retrospective study analyzes patients who underwent EDT during a 45-month period at Howard University Hospital, Washington, DC. Vital signs and Glasgow Coma scale (GCS) scores were analyzed at the scene and in the emergency department. A cardiac instability score (CIS) was devised to assign values to vital signs, and the GCS was based on scores from the emergency department. Results: Emergency department vital signs, female gender, absence of cardiopulmonary resuscitation (CPR), and high CIS were found to be statistically significant predictors of survival. Conclusions: The CIS correlated with survival of patients who underwent EDT and was found to be statistically significant in determining the outcome of an EDT.

Original languageEnglish (US)
Pages (from-to)126-130
Number of pages5
JournalJournal of the National Medical Association
Volume102
Issue number2
StatePublished - Feb 2010
Externally publishedYes

Fingerprint

Trauma Centers
Thoracotomy
Hospital Emergency Service
Survival
Wounds and Injuries
Vital Signs
Glasgow Coma Scale
Medical Futility
Cardiopulmonary Resuscitation
Retrospective Studies

Keywords

  • Emergency care
  • Predictor
  • Surgery
  • Survival

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Siram, S., Oyetunji, T., Johnson, S. M., Khoury, A. L., White, P. M., Chang, D. C., ... Frederick, W. A. I. (2010). Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center: The cardiac instability score. Journal of the National Medical Association, 102(2), 126-130.

Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center : The cardiac instability score. / Siram, Suryanarayana; Oyetunji, Tolulope; Johnson, Shaneeta M.; Khoury, Amal L.; White, Patricia M.; Chang, David C.; Greene, Wendy R.; Frederick, Wayne A I.

In: Journal of the National Medical Association, Vol. 102, No. 2, 02.2010, p. 126-130.

Research output: Contribution to journalArticle

Siram, S, Oyetunji, T, Johnson, SM, Khoury, AL, White, PM, Chang, DC, Greene, WR & Frederick, WAI 2010, 'Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center: The cardiac instability score', Journal of the National Medical Association, vol. 102, no. 2, pp. 126-130.
Siram, Suryanarayana ; Oyetunji, Tolulope ; Johnson, Shaneeta M. ; Khoury, Amal L. ; White, Patricia M. ; Chang, David C. ; Greene, Wendy R. ; Frederick, Wayne A I. / Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center : The cardiac instability score. In: Journal of the National Medical Association. 2010 ; Vol. 102, No. 2. pp. 126-130.
@article{79197621d26c430b9b14c3cfa4e80242,
title = "Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center: The cardiac instability score",
abstract = "Background: Emergency department thoracotomy (EDT) is a procedure used in an attempt to save lives of patients in extremis. This study aims to determine predictors of survival and futility by proposing a scoring scale that measures cardiac instability and its use in predicting survival of victims of penetrating trauma undergoing EDT. Methods: This retrospective study analyzes patients who underwent EDT during a 45-month period at Howard University Hospital, Washington, DC. Vital signs and Glasgow Coma scale (GCS) scores were analyzed at the scene and in the emergency department. A cardiac instability score (CIS) was devised to assign values to vital signs, and the GCS was based on scores from the emergency department. Results: Emergency department vital signs, female gender, absence of cardiopulmonary resuscitation (CPR), and high CIS were found to be statistically significant predictors of survival. Conclusions: The CIS correlated with survival of patients who underwent EDT and was found to be statistically significant in determining the outcome of an EDT.",
keywords = "Emergency care, Predictor, Surgery, Survival",
author = "Suryanarayana Siram and Tolulope Oyetunji and Johnson, {Shaneeta M.} and Khoury, {Amal L.} and White, {Patricia M.} and Chang, {David C.} and Greene, {Wendy R.} and Frederick, {Wayne A I}",
year = "2010",
month = "2",
language = "English (US)",
volume = "102",
pages = "126--130",
journal = "Journal of the National Medical Association",
issn = "0027-9684",
publisher = "National Medical Association",
number = "2",

}

TY - JOUR

T1 - Predictors for survival of penetrating trauma using emergency department thoracotomy in an Urban Trauma Center

T2 - The cardiac instability score

AU - Siram, Suryanarayana

AU - Oyetunji, Tolulope

AU - Johnson, Shaneeta M.

AU - Khoury, Amal L.

AU - White, Patricia M.

AU - Chang, David C.

AU - Greene, Wendy R.

AU - Frederick, Wayne A I

PY - 2010/2

Y1 - 2010/2

N2 - Background: Emergency department thoracotomy (EDT) is a procedure used in an attempt to save lives of patients in extremis. This study aims to determine predictors of survival and futility by proposing a scoring scale that measures cardiac instability and its use in predicting survival of victims of penetrating trauma undergoing EDT. Methods: This retrospective study analyzes patients who underwent EDT during a 45-month period at Howard University Hospital, Washington, DC. Vital signs and Glasgow Coma scale (GCS) scores were analyzed at the scene and in the emergency department. A cardiac instability score (CIS) was devised to assign values to vital signs, and the GCS was based on scores from the emergency department. Results: Emergency department vital signs, female gender, absence of cardiopulmonary resuscitation (CPR), and high CIS were found to be statistically significant predictors of survival. Conclusions: The CIS correlated with survival of patients who underwent EDT and was found to be statistically significant in determining the outcome of an EDT.

AB - Background: Emergency department thoracotomy (EDT) is a procedure used in an attempt to save lives of patients in extremis. This study aims to determine predictors of survival and futility by proposing a scoring scale that measures cardiac instability and its use in predicting survival of victims of penetrating trauma undergoing EDT. Methods: This retrospective study analyzes patients who underwent EDT during a 45-month period at Howard University Hospital, Washington, DC. Vital signs and Glasgow Coma scale (GCS) scores were analyzed at the scene and in the emergency department. A cardiac instability score (CIS) was devised to assign values to vital signs, and the GCS was based on scores from the emergency department. Results: Emergency department vital signs, female gender, absence of cardiopulmonary resuscitation (CPR), and high CIS were found to be statistically significant predictors of survival. Conclusions: The CIS correlated with survival of patients who underwent EDT and was found to be statistically significant in determining the outcome of an EDT.

KW - Emergency care

KW - Predictor

KW - Surgery

KW - Survival

UR - http://www.scopus.com/inward/record.url?scp=77649160745&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77649160745&partnerID=8YFLogxK

M3 - Article

C2 - 20191925

AN - SCOPUS:77649160745

VL - 102

SP - 126

EP - 130

JO - Journal of the National Medical Association

JF - Journal of the National Medical Association

SN - 0027-9684

IS - 2

ER -