有哪些信誉好的足球投注网站survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population a systematic review生存和创伤后神经结果心脏按压心肺骤停在儿童和成人人口系统回顾.pdfVIP
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survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population a systematic review生存和创伤后神经结果心脏按压心肺骤停在儿童和成人人口系统回顾
Zwingmann et al. Critical Care 2012, 16:R117 /content/16/4/R117 RESEARCH Open Access Survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population: a systematic review * Jörn Zwingmann , Alexander T Mehlhorn, Thorsten Hammer, Jörg Bayer, Norbert P Südkamp and Peter C Strohm Abstract Introduction: This systematic review is focused on the in-hospital mortality and neurological outcome of survivors after prehospital resuscitation following trauma. Data were analyzed for adults/pediatric patients and for blunt/ penetrating trauma. Methods: A systematic review was performed using the data available in Ovid Medline. 476 articles from 1/1964 - 5/2011 were identified by two independent investigators and 47 studies fulfilled the requirements (admission to hospital after prehospital resuscitation following trauma). Neurological outcome was evaluated using the Glasgow outcome scale. Results: 34 studies/5391 patients with a potentially mixed population (no information was found in most studies if and how many children were included) and 13 paediatric studies/1243 children (age ≤ 18 years) were investigated. The overall mortality was 92.8% (mixed population: 238 survivors, lethality 96.7%; paediatric group: 237 survivors, lethality 86.4% = p 0.001). Penetrating trauma was found in 19 studies/1891 patients in the mixed population (69 survivors, lethality: 96.4%) and in 3 pediatric studies/91 children (2 survivors lethality 97.8%). 44.3% of the survivors in the mixed population and 38.3% in the group of children had a good neurological recovery. A moderate disability could be evaluated in 13.1% in the mixed population and in 12.8% in children. A severe disability was found in 29.5% of the survivors in the mixed patients and in 38.3%
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