{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:12:51Z","timestamp":1791583971616,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The effectiveness of open cardiopulmonary resuscitation (OCPR) remains controversial for trauma patients. In this current study, the role of OCPR in managing chest trauma patients is evaluated using nationwide real\u2010world data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2014 to 2015, the National Trauma Data Bank was retrospectively queried for chest trauma patients with out\u2010of\u2010hospital cardiac arrest status. The emergency department (ED) and overall survival of patients without signs of life were analyzed. Multivariate logistic regression (MLR) analysis was performed to evaluate independent factors of mortality for the target group. Furthermore, a subset group of patients who survived after the ED were studied, focusing on the duration of survival after leaving the ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 911 patients were enrolled in this study (OCPR vs. non\u2010OCPR: 161 patients vs. 750 patients). The average overall mortality rate was 98.6% (<jats:italic>N<\/jats:italic>\u2009=\u2009898). Among penetrating chest trauma patients, non\u2010survivors in the ED had significantly higher proportions of gunshot injuries (83.9% vs. 69.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and lower proportions of OCPR (20.7% vs. 44.4%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). MLR analysis showed that gunshot injuries and non\u2010OCPR were significantly related to ED mortality in penetrating trauma patients without signs of life (odds ratio\u2009=\u20092.039, <jats:italic>p<\/jats:italic>\u2009=\u20090.006 and odds ratio\u2009=\u20092.900, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, respectively). However, the overall survival rate of patients after ED survival (<jats:italic>n<\/jats:italic>\u2009=\u200999) was 9.9%, and only 21.2% (<jats:italic>n<\/jats:italic>\u2009=\u200921) of them survived more than 1\u00a0day after leaving the ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>OCPR could be considered in situations where appropriate indications exist. The survival benefit was observed in critically ill patients with penetrating chest trauma who show no signs of life. By enhancing ED survival, OCPR may also contribute to overall survival improvement.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07180-5","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T19:02:26Z","timestamp":1695409346000},"page":"3107-3113","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Role of Open Cardiopulmonary Resuscitation in Chest Trauma Patients with No Sign of Life: A National Trauma Data Bank Study"],"prefix":"10.1002","volume":"47","author":[{"given":"Yau\u2010Ren","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township Taipei, Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling\u2010Wei","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting\u2010An","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township Taipei, Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010San","family":"Tee","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township Taipei, Taoyuan Taiwan"},{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Yuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township Taipei, Taoyuan Taiwan"},{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Bajani","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Mis","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stathis","family":"Poulakidas","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faran","family":"Bokhari","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery Stroger Hospital of Cook County Rush University Chicago USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"303","article-title":"Practice management guidelines for emergency department thoracotomy. 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