Skip to main content

Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis.

Publication ,  Journal Article
Mawani, M; Azam, I; Kadir, MM; Samad, Z; Razzak, JA
Published in: Int J Emerg Med
May 14, 2020

BACKGROUND: The burden of trauma-related-out-of-hospital cardiac arrest (OHCA) in developing countries like Pakistan remains largely unexplored due to a lack of organized pre-hospital systems. In order to estimate the burden, we used a two-sample capture-recapture method which has been used in several domains to estimate difficult-to-count populations. METHODS: We obtained 3-month data from two sources: Records of two major EMS (emergency medical services) systems and five major hospitals providing coverage to the city's population. All adults with traumatic OHCA were included. Information on variables such as name, age, gender, date and time of arrest, cause of arrest, and destination hospital were obtained for these cases and data were compared to obtain a matched sample. Utilizing an equation and different levels of restrictive criteria, estimates were obtained for burden. RESULTS: The EMS records reported 788 and hospital records reported 344 cases of traumatic OHCA. The capture-recapture analysis estimated the annual traumatic OHCA incidence as 45.7/100,000 (95% CI: 44.2 to 47.3). Estimation of the burden from individual hospital or EMS records underestimated and calculated only 14.6% and 33.9% of the total burden, respectively. Most of the traumatic arrest victims had gunshot wound (GSW) (65.2%) followed by road traffic injuries (RTI) (20.8%). CONCLUSION: The actual burden of traumatic OHCA in Pakistan is larger than the burden reported by either the hospitals or EMS services alone. Most of the cases occurred due to GSW and RTI. A multipronged approach is required to manage the problem; from prevention to developing organized trauma care systems and training lay responders in pre-hospital trauma care is vital.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Int J Emerg Med

DOI

ISSN

1865-1372

Publication Date

May 14, 2020

Volume

13

Issue

1

Start / End Page

26

Location

England

Related Subject Headings

  • 3202 Clinical sciences
  • 1199 Other Medical and Health Sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mawani, M., Azam, I., Kadir, M. M., Samad, Z., & Razzak, J. A. (2020). Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis. Int J Emerg Med, 13(1), 26. https://doi.org/10.1186/s12245-020-00283-z
Mawani, Minaz, Iqbal Azam, Muhammad Masood Kadir, Zainab Samad, and Junaid Abdul Razzak. “Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis.Int J Emerg Med 13, no. 1 (May 14, 2020): 26. https://doi.org/10.1186/s12245-020-00283-z.
Mawani, Minaz, et al. “Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis.Int J Emerg Med, vol. 13, no. 1, May 2020, p. 26. Pubmed, doi:10.1186/s12245-020-00283-z.

Published In

Int J Emerg Med

DOI

ISSN

1865-1372

Publication Date

May 14, 2020

Volume

13

Issue

1

Start / End Page

26

Location

England

Related Subject Headings

  • 3202 Clinical sciences
  • 1199 Other Medical and Health Sciences
  • 1103 Clinical Sciences