Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes

To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. The study included 150 patients. Spontaneous circulation was re-e...

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Veröffentlicht in:Arquivos brasileiros de cardiologia Jg. 81; H. 2; S. 189 - 195
Hauptverfasser: Bartholomay, Eduardo, Dias, Fernando Suparregui, Torres, Fábio Alves, Jacobson, Pedro, Mariante, Afonso, Wainstein, Rodrigo, Silva, Renato, Bodanese, Luiz Carlos
Format: Journal Article
Sprache:Englisch
Portugiesisch
Veröffentlicht: Brazil Sociedade Brasileira de Cardiologia - SBC 01.08.2003
Sociedade Brasileira de Cardiologia (SBC)
Schlagworte:
Adult
Blood Pressure
CARDIAC & CARDIOVASCULAR SYSTEMS
cardiopulmonary arrest
cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - methods
Female
Heart Arrest - etiology
Heart Arrest - mortality
Heart Arrest - therapy
Humans
in-hospital
Male
Middle Aged
Prognosis
Prospective Studies
Survival Analysis
Tachycardia, Ventricular - complications
Tachycardia, Ventricular - therapy
Time Factors
Treatment Outcome
Ventricular Fibrillation - complications
Ventricular Fibrillation - therapy
cardiopulmonary arrest
in-hospital
cardiopulmonary resuscitation
ISSN:0066-782X, 1678-4170, 1678-4170
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Zusammenfassung:To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. The study included 150 patients. Spontaneous circulation was re-established in 88 (58%) patients, and 42 (28%) were discharged from the hospital. The necessary number of patients treated to save 1 life in 12 months was 3.4. The presence of ventricular fibrillation or tachycardia (VF/VT) as the initial rhythm, shorter times of cardiopulmonary resuscitation maneuvers and cardiopulmonary arrest, and greater values of mean blood pressure (BP) prior to cardiopulmonary arrest were independent variables for re-establishment of spontaneous circulation and hospital discharge. The odds ratios for hospital discharge were as follows: 6.1 (95% confidence interval [CI] = 2.7-13.6), when the initial rhythm was VF/VT; 9.4 (95% CI = 4.1-21.3), when the time of cerebral cardiopulmonary resuscitation was < 15 min; 9.2 (95% CI = 3.9-21.3), when the time of cardiopulmonary arrest was < 20 min; and 5.7 (95% CI = 2.4-13.7), when BP was > 70 mmHg. The presence of VF/VT as the initial rhythm, shorter times of cerebral cardiopulmonary resuscitation and of cardiopulmonary arrest, and a greater value of BP prior to cardiopulmonary arrest were independent variables of better prognosis.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0066-782X
1678-4170
1678-4170
DOI:10.1590/S0066-782X2003001000007