Incidence of Re-Arrest and Critical Events During Prolonged Transport of Post Cardiac Arrest Patients
作者： A. Hartke , B.E. Mumma , J.C. Rittenberger , C.W. Callaway , F.X. Guyette
DOI: 10.1016/J.RESUSCITATION.2010.04.012
关键词: Medicine 、 Blood pressure 、 Decompensation 、 Hazard ratio 、 Internal medicine 、 Intensive care 、 Surgery 、 Cardiology 、 Ventricular fibrillation 、 Ventricular tachycardia 、 Retrospective cohort study 、 Cardiopulmonary resuscitation
摘要: Abstract Aim To determine the feasibility of transporting post-cardiac arrest patients to tertiary-care facilities, rate re-arrest, and critical events during care transport team (CCTT) care. Methods Retrospective chart review cardiac transported via CCTT between 1/1/2001 5/31/2009. Demographic information, were abstracted. We defined as hypotension (systolic blood pressure Results Of 248 studied, majority was male (61%), presented in ventricular fibrillation or tachycardia (VF/VT, 50%), comatose (80%). Re-arrest uncommon ( N =15; 6%). Critical affected 58 (23%) transport. Median time 63min (IQR 51, 81) both those who experienced a event did not. Vasopressor use associated with any decompensation (Hazard Ratio 1.81; 95%CI 1.29, 2.54). Three (20%) suffering re-arrest survived hospital discharge. Survival (Chi square 11.77; p =0.01) higher not suffer Conclusions Transport resuscitated facility is feasible, duration Repeat occurs infrequently, while are more common. Outcomes worse experiencing an event.
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