Prehospital management and outcomes of traumatic cardiac arrest in older adults: a French nationwide registry study
Year: 2026
Type: article
Study design: Observational Study
Abstract: Background: Traumatic cardiac arrest (TCA) carries an overall poor prognosis, yet the impact of advanced age on prehospital management and outcomes remains poorly characterised. Whether older patients with TCA present distinct clinical profiles or respond differently to resuscitation compared with younger adults is largely unknown. Methods: We conducted a multicenter cohort study using data from the French National Out-of-Hospital Cardiac Arrest Registry (RéAC). All adult patients (≥18 years) with out-of-hospital TCA were included. Patients were categorised as adults (18-64 years) or older adults (≥65 years). The primary outcome was return of spontaneous circulation (ROSC). Secondary outcomes included survival at hospital admission (D0), 30-day survival (D30), and favourable neurological outcome (Cerebral Performance Category 1-2 at D30). Univariate and multivariable logistic regression analyses were performed. A pre-specified subgroup analysis stratified older patients into three age categories (65-74, 75-84, ≥85 years). Results: Among 5595 patients (4249 younger adults; 1346 older adults [24.1%]), older patients more often achieved ROSC (22.5% vs 18.6%; OR 1.22, 95%CI 1.03-1.45) but were less likely to survive to 30 days (0.5% vs 1.2%; OR 0.34, 95%CI 0.15-0.81). Survival at hospital admission did not differ after adjustment (16.1% vs 13.3%; OR 1.14, 95%CI 0.95-1.38). Older patients more often sustained a fall (52.2% vs 28.5%) and less often sustained thoracic injuries (43.8% vs 59.6%). They received fewer trauma-specific prehospital interventions, most notably thoracostomy (15.2% vs 23.9%) and fluid resuscitation (28.3% vs 37.4%). Conclusions: In this large French registry study, older patients with TCA achieved return of spontaneous circulation more often than younger adults but were less likely to survive to 30 days. Age alone should not preclude resuscitative efforts, but a concurrent or precipitating medical cause of arrest should be systematically considered in this population.
Source: Resuscitation Plus
Authors: Axel Benhamed, Baptiste Morcel, Jean-Stephane David, Ewoud Ter Avest, Tobias Gauss, James van Oppen, Karim Tazarourte, Eric Mercier, Bages-Limoges Florence, Dhers Marion, Fuster Patrick, Bellow Tobola, Peguet Olivier, Besnier Sylvie, Jardel Benoit, Buleon Clement, Avondo Aurelie, Gillet Stephane, Monchard Franck, Guillaumee Frederic, Jacob Line, Kindle Carine, Marquet Jean-Luc, Watrelot Olivier, Cheminat Claude, Gonzalez Denis, Blottiaux Emmanuel, Branche Fabienne, Delemar Thibault, Ricard-Hibon Agnes, Curunet-Raoul Anne Dominique, Serre Patrice, du Besset Marc, Poincet Geraldine, Lefevre Nathalie, Puchois Aurelien, Leraitre Thierry, Wyckaert Geoffrey, Capel Olivier, Coffin Pierre, Rebet Olivier, Thiriez Sylvain, Pinero David, Revaux Francois, Malbranque Arnaud, Moneron Martine, Dumas Franck, Hellal Meriem, Murgue Davy, Mazille Andre, Jonquet Sebastien, Poupart Patrick, Halbout Laurent, Legendre Kevin, Rouffineau Jean, Ursat Cecile, Kaliszczak Isabelle, Sejourne Gerald, Mesplede Caroline, Leroy Antoine, Dall Acqua David, Genain-Soulier Anne-Sophie, Amizet Loic, Huet Loic, Laborne Francois Xavier, Fievet Marie Laurence, Coletta Mauro, Capitani Georges-Antoine, Forel Alban, Lagadec Steven, Zamparini Guillaume, Beharelle Julien, Orhon Frederic, Harel David, Andregnette Paul, Letarnec Jean Yves, Cicala Jean Francois, Le Pimpec Philippe, Doukhan Mathieu, Raconnat Julien, Martinage Arnaud, Narcisse Sophie, Briole Nicolas, Abarrategui Diego, Line Caroline, Kahn Jean-Philippe, Myriam Van Tricht, Vergne Muriel, Pernot Thomas, Louchet Aurelie, Courcoux Hubert, Prineau Stevens, Bouilleau Guillem, Ta Trung Hung, Bohler Clio, Gonzalez Geraldine, Megy-Michoux Isabelle, Daisey Antoine, Segard Julien, Getti Renaud, Maurel Marion, Bertrand Philippe, Casanova Denis, Peyrat Sylvie, Kuczer Vincent, Agostinucci Jean Marc, Saintonge Stephane, Deuez Florian, Barandiaran Patrick, Lougnon Jean-Paul, Roudiak Nathalie, Meyran Daniel, Boulestein Guillaume, Robert Helene, Laot Melanie, Champenois Vanessa, Chiale Eric, Lacroix Arnaud, Masson Caroline, Rakotonirina Jean-Louis, David Serrano, Champenois Anne, Babin Clement, Wassong Corinne, Sussat Myriam, Bernadet Patricia, Desbuards Claire, Sabbat Sebastien, Gradel Claire, Gosset Pierre, Roland-Billecart Didier, Dupuy Thomas, Bouchel Celia, Joly Marc, Gay Julien, Henry Raymond, Hollecker Eric, Lavaill Loic, Paula Palma Serge, Desaveines Nicolas, Dumouchel Julie, Agbemebia Fabrice, David Olivier, Tabary Romain, Fournier Marc, Garay Emilie, Kadji Roger, Bar Christian, El Abdi Mounir, Deleu Stephanie, Maille Michel, Begaudeau Aurelie, Frances Herve, Alcouffe Fabrice, Randriamalala Solo, Monribot Melanie, Boulanger Bertrand, Payan Anne, Morel Jean-Charles, Dubois Camille, Marchi Jacques, Desclefs Jean-Philippe, Legay Lea, Auger Harold, Spriet Audrey, Anette Bastien, Sadoune Sonia, Durand Olivier, Pes Philippe, Dissait Francois, Jainsky Laure, Vassor Isabelle, Cornaglia Carole, Arnaud Gaelle, Sobocinski Perrine, Legeard Estelle, Paringaux Xavier, Gondret Coralie, Lepage Laurence, Ciocca Philippe, Guenier Pierre-Alban, Bargain Philippe, Gaillard Florence, Vanderstraeten Carine, Simonnet Bruno, Tabarly Julien, Hourdin Nicolas, Duytsche Nicolas, Hamdan David, Grandjon Cyril, Saada Laure, Guillot Philippe, Bredel Stephanie, Emmanuel Vilbois, Goes Frank, Roucaud Nicolas, Lecadet Nathalie, Cwicklinski Emelyne, Menot Pascal, Devillard Arnaud, Minost Jerome, Ruellan Gautier, Cohen Rudy, Grua David, Pavageau Laure, Mahe Aurore, Teyssier Lucie, Fiani Nasri, Vasseur Laurene, Saint Paul Amelie, Malaquin Anne-Sophie, Menay Marion, Rungsawad Phloy, Diez Olivier, Quibel Thomas, Boussarie Catherine, Lamy Pascale, Gaget Matthieu, Majour Gilles, Lancon Virgine, Vidil Elodie, Bouret Marike, Roze Guillaume, Kamga Cyrille, Gelin Emilie, Langeron Frederick, Escutnaire Josephine, Gaillard Nancy, Kottmann Vincent, Rebillard Laurent, Fournier Emmanuelle, Degos Marie-Pierre, Vial Michael, Duconge Antoine, Sanchez Oriana, Thibaud Eric, Reydy Franck, Aubert Gaele, Canon Valentine, Meunier Stephanie, Menu Elsie, Brisson Etienne, Arnaud Aurelie, Clauzel Maxens, Coppin Vincent, Decoster Alice, Egmann Gerald, Cendrie Pascal, Hecker Christine, Remakel Claudine, Guillaume Durand, Dhote Christophe, Desoubeyran Segolene, Delespierre Romain, Lefort Alexandra, Picart Jeanne, Vercher Laurent, Blondet Romain, Marchasson Sebastien, Gautier Lise, Rahmani Raphaelle, Marina Dubois, Foiret Maxime, Leclerc Maxence, Andre Antoine, Bouvier Simon, Treels Justine, Uchlinger Veronique, Ginoux Lucie, Loslier Yannick, Anne Claire Laquerbe, Segard Lionel, Fleurival Kleeve, Corsia Alexandra, Marrakchi Faycal, Labarrere Franck, Roche Florent, Michenet Corinne, Chassery Carine, Dussoulier Sebastien, Dupin Aurelie, Colot Pierre-Etienne, Mascarenc Nathalie, Lomberty Sara, Lemarchand Remy, Bertrand Benoit, Magimel-Pelonnier Edouard, Lespiaucq Christine, Lecoz Julien, Emonet Anne, Katz Elodie, Sigaux Antoine, Carle Olivier, Savineau Jean-Remy, Loubert Richard, Hennache Jonathan, Guegan Annaig, Polini Stephanie, Harle Laure, Lazar Julien, Lefeuvre Stephanie, Messieux Alexis, Caresmel Marion, Beayni Zaher, Dessoy Anne-Laure, Boudard Olivia, Robert Frederique, Fritsch Emmanuelle, Dabri Amira, Moquay Romain, Risser Jean-Dominique, Beaka Placido, Oganov Kirill, Auffret Yannick, Mansouri Nadia, Bazzoli Cyril, Lorain David, Chabannon Margaux, Abdelli Lila, Zitouni Laila, Belin Matthieu, Morel Marechal Emanuel, Caralp Christophe, Bissolokele Pascal, Parsis Pierre, Prouve Christina, Collin Amandine, Jaeger Deborah, De Dinechin Laurene, Daby Ludovic, Hiller Pascale, Dubourg Marie, Pauchet Nicolas, Lambert Julia, Nixdorf Sarah, Florentin Jonathan, Simon Benoit, Chassin Coralie, Vermersch Celine, Jacquemin Renaud, Schmit Anne Catherine, Chadelaud Fabien, Mathieu Benedicte, Gendraud Sarah, Staes Sophie, Campagne Guillaume, Boutin Celia, Olive Stephanie, Faivre-Pierret Caroline, Lefranc Delphine, Dumont Jean-Baptiste, De Schlichting Marie Alix, Mahi Zakaria, Rotival Julie, Quilliet Dominique, Theurey Odile, Duffait Yves, Boursier Marion, Ngonga Marie Yves, Foudi Lahcene, Bonhomme Cecile, Babet Thierry, Lorge Sarah, Poincet Sebastien, Sapir David, Royer Celine, Antonic-Ravaut Celia, Ducasse Pierre, Dubeaux Josephine, Ibrahim Amr, Pangallo Marc Antoine, David Morgane, Ovtcharenko Mariane, Pradel Anne-Lise, Jeziorny Alexandre, Berard Cecile, Desroziers Marie, Pierre Gil, Masse Juliette, Mesli Adil, Galinski Michel, Chapelle Anais, Boyer Romain, Fleury Amandine, Fanchon Armelle, Savu Alexandru, Costa Aurelie, Cahuzac Camille, Klein Amelie, Carruesco Chloe, Chopinaud Pierre-Amaury, Taxis Samuel, Sahuc Benoit, Panharen Pamini, Hammouti Najat, Salignon Julie, Toumert Karim, Barret Morgane, Lacaze Melanie, Conan Pascal, Garden Breche Franck, Guez Charlene, Bontemps Jeremy, Belli Marie-Camille, Roger-Sename Juliette, Coulon Bastien, Mur Sebastien, Hoareau Stephanie, Longo Celine, Billier Laurianne, Jauneau Charline, Hugenschmitt Delphine, Debelle Aurelien, Piccardi Mailis, Lacoste Julien, Deberdt Eric, Le Normand Thomas, Barukh Karen, Allemandet Elodie, Gentilhomme Angelie, Pretalli Jean-Baptiste, Friard Pauline, Sciacca Christelle, Lafay Marina, Bourreau Anna, Chiche Julien, Cattin Vincent, Michelin Florian, Stefanski-Serniclay Virginie, Decker Sandra, Trialoup Sarah Laure, Briatte Apolline, Grigahcine Emma, Lamarche-Vadel Yacine, Viciana Marie, Nenert Eloi, Le Beuan Celine, Evrard Gregoire, Vanparys Ludivine, Djebbar Lynda, Miquelestorena Julie, Lis Laura, Petit Caroline, Beaudoin Adeline, Tabourin Pierre-Emmanuel, Pic Daniel, Dattin Alix, Nave Sophie, Kamara Mariam, Malange Domitille, Rouquet Jimmy, Nussbaum Camille, Evain Yoann, Garcia Lea, Pernin Oceane, Barbery Adele, Lavielle Jeanne, Violeau Mathieu, Pancher Agathe, Petitdemange Olivia, Trouvain Helene, Deslais Benoit, Lucas Anne Sophie, Clauw Emmelyne, Verge Guillaume, Joannesse Guillaume, Vancoillie Gregory, Adam Romain, Duchier Caroline, Sanchez Caroline, Nicolin Leandre, Berthelon Antoine, Cissokho Khadidiatou, Plenier Cecile, Dyani Mohamed, Delbergue Marine, Petitdidier Etienne, Le Pennetier Olivier, Chatenet Guillaume, Chantrel Gauthier, Duperron Yann, Busi Olivia, Scuotto Pierre, Nardy Jean Ely, Barberis Christophe, Dubernat Manon, Villain-Coquet Laurent, Weyer Claire Marie, Oliveira Larissa, Hoff Julie, Ballet Celine, Guery Carole, Merle Heloise, Suhas Pauline, Simisdean Ciprian, Etienne Vincent, Dehouck Marc-Antoine, Bruneau Amandine, Pinel Lauren, Grignon Oceane, Ramaherison Thierry, Dumont Nathalie, Amelon Francois-Xavier, Andre Fanny, Guillon Alain, Majoufre Gwenaelle, Rouet Christelle, Piboule Ludovic, Grave Eric, Rallu Martin, Ahui Terence, Drouard Matthieu, Orange Rodolphe, Blain Stephane, Harguindeguy Alexa, Baina Anne, Boutry Celine, Kamga Clotilde, Constant Samuel, Lartaud Manon, Petitprez Martin, Wurtz-Gress Vassilis, Echeikh Malek, Vincent Rayane, Jeanmasson Yoann, Robart Jean-Christophe, Peixoto Brandon, Guinard Sollweig, Ferquel Martin, Yvetot Quentin, Handwerk Tom, Bollani Maxime, Massacrier Sylvie, Megard Marie Fleur, Javaudin Francois, Meunier Juliette, Larcher Fanny, David Sandy, Leduc Aurelien, Arnaudet Idriss, Ngoyi Natacha, Nicolats Ophelie, Trogoff Bruno, Camboni-Pineau Leila, Gonzalez Lola, Polisset Nathalie, Bujon Cecile, Besserve Paulin, Bouhey Emmanuel, Alba Pierre, Marinoni Heloise, Hsing Priscilia, Roux Nicolas, Pradignac Nicolas, Boulanger Chloe, Chesnoy Marine, Guigon Victor, Lory Thomas, Lafon Jean, Bardelay Romain, Bianchi Roland, Oberlin Mathieu, Parisot Sarah, Beunas Veronique, Charney Alexandre, Edange Claire, Mazzoldi Margherita, Chomono Hendricks, Metzger Jacques, Kirsch Sebastien, Sigarteu Marta, Laboure Anne, Dabbagh Sami, Basty-Ghuysen Marielle, Bois Rozenn, Masse Solene, Viratelle Clelia, Dassonville-Decaudin Coralie, Delattre Thomas
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,450
OpenAlex ID: W7212189168