Table 2 A Table to summarise the number of patient’s undergoing a resuscitative thoracotomy, the number and percentage (%) of patients that survived, any comment on neurological outcome and the role of timing of the intervention for each included study
From: Outcomes following resuscitative thoracotomy for abdominal exsanguination, a systematic review
Title | Number of patients undergoing pre-theatre thoracotomy | Number of patients surviving to discharge | % of patients survival to discharge | Neurological outcome (if commented on) | Timing of intervention (if commented on) |
|---|---|---|---|---|---|
Velmahos 1995 [27] | Isolated abdomen 118 Polytrauma 501 | Isolated abdomen 8 Polytrauma 1 | 7% Less than 1% | No data | Best outcomes with witnessed loss of signs of life |
Asensio 2003 [26] | 22 | 4 | 18% | No data | No data |
Asensio 2005 [28] | 3 | 0 | 0% | No data | No data |
Blocksom 2004 [29] | 27 | 3 | 11% | No data | No data |
Kalina 2009 [30] | Isolated abdomen 7 Polytrauma 13 | ? – unclear | No data | No data | Presence of signs of life in field best predictor of survival |
Moore 2016 [31] | Isolated abdomen 116 Polytrauma 1003 | Isolated abdomen 7 Polytrauma 371 | 6% 37% | 68% no permanent neurological deficit with 12% mild neurological deficit and remaining 20% in a persistent vegetative state | No Pre-hospital CPR being performed associated with better chance of survival |
Asensio 2007 [32] | 4 | 0 | 0% | No data | No data |
Ross 1988 [33] | 7 | 0 | 0% | No data | No data |
Nicholas 2003 [34] | 7 | 0 | 0% | No data | No data |
Mazzorana 1994 [35] | 252 | 4 | 1.6% | No neurological deficit | Improved survival if signs of life at time of thoracotomy |
Tyburski 2001 [25] | 31 | 2 | 6% | No data | No data |
Moore 2015 [36] | 72 | 4 | 5.5% | 28.5% chance of no neurological deficit. | No data |
Seamon 2008 [37] | 50 | 8 | 16% | No neurological deficit | No data |
Asensio 2001 [38]. | 180 | 50 | 28% | No data | Spontaneous breathing at time of procedure associated with better chance of survival |
Asensio 2000 [39]. | 43 | 1 | 2% | No data | No data |
Branney 1998 [40]. | Penetrating abdominal 73 Blunt abdominal 51 | 8 1 | 10% 2% | No neurological deficit | Better outcomes if signs of life present in pre-hospital environment |
Lustenberger 2012 [41]. | 31 | 4 | 13% | No data | No data |