Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
作者： Eduardo Bartholomay , Fernando Suparregui Dias , Fábio Alves Torres , Pedro Jacobson , Afonso Mariante
DOI: 10.1590/S0066-782X2003001000007
关键词: Cardiopulmonary resuscitation 、 Internal medicine 、 Cardiology 、 Tachycardia 、 Survival analysis 、 Ventricular fibrillation 、 Blood pressure 、 Odds ratio 、 Prospective cohort study 、 Confidence interval 、 Medicine
摘要: OBJECTIVE: To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. METHODS: Prospective study with maneuvers. RESULTS: The included 150 patients. Spontaneous circulation was re-established in 88 (58%) patients, 42 (28%) were discharged from the hospital. necessary number treated save 1 life 12 months 3.4. presence ventricular fibrillation or tachycardia (VF/VT) as initial rhythm, shorter times arrest, greater values mean blood pressure (BP) prior arrest independent variables re-establishment spontaneous hospital discharge. odds ratios discharge follows: 6.1 (95% confidence interval [CI] = 2.7-13.6), when rhythm VF/VT; 9.4 CI 4.1-21.3), time 70 mmHg. CONCLUSION: VF/VT a value BP better prognosis.
cardiol.br 参考文章(21)
Carl L. Gwinnutt, Malachy Columb, Robert Harris, Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines. Resuscitation. ,vol. 47, pp. 125- 135 ,(2000) , 10.1016/S0300-9572(00)00212-4
R O Cummins, M S Eisenberg, K R Stults, Automatic external defibrillators: clinical issues for cardiology. Circulation. ,vol. 73, pp. 381- 385 ,(1986) , 10.1161/01.CIR.73.3.381
M. S. Eisenberg, Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning JAMA: The Journal of the American Medical Association. ,vol. 241, pp. 1905- 1907 ,(1979) , 10.1001/JAMA.241.18.1905
Kenneth A. Ballew, John T. Philbrick, Causes of variation in reported in-hospital CPR survival: a critical review Resuscitation. ,vol. 30, pp. 203- 215 ,(1995) , 10.1016/0300-9572(95)00894-2
Sean O Henderson, Douglas Ballesteros, Evaluation of a hospital-wide resuscitation team: does it increase survival for in-hospital cardiopulmonary arrest? Resuscitation. ,vol. 48, pp. 111- 116 ,(2001) , 10.1016/S0300-9572(00)00263-X
Mary P Larsen, Mickey S Eisenberg, Richard O Cummins, Alfred P Hallstrom, Predicting survival from out-of-hospital cardiac arrest: a graphic model. Annals of Emergency Medicine. ,vol. 22, pp. 1652- 1658 ,(1993) , 10.1016/S0196-0644(05)81302-2
R O Cummins, D A Chamberlain, N S Abramson, M Allen, P J Baskett, L Becker, L Bossaert, H H Delooz, W F Dick, M S Eisenberg, Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. ,vol. 84, pp. 960- 975 ,(1991) , 10.1161/01.CIR.84.2.960
W. B. Kouwenhoven, Closed-chest cardiac massage. JAMA. ,vol. 173, pp. 1064- 1067 ,(1960) , 10.1001/JAMA.1960.03020280004002
John McGowan, Colin A Graham, Malcolm W.G Gordon, Appointment of a Resuscitation Training Officer is associated with improved survival from in-hospital ventricular fibrillation/ventricular tachycardia cardiac arrest. Resuscitation. ,vol. 41, pp. 169- 173 ,(1999) , 10.1016/S0300-9572(99)00046-5
Johan Herlitz, Ann-Charlotte Andréasson, Angela Bång, Solveigh Aune, Jonny Lindqvist, Long-term prognosis among survivors after in-hospital cardiac arrest. Resuscitation. ,vol. 45, pp. 167- 171 ,(2000) , 10.1016/S0300-9572(00)00187-8