1. Mortality after cardiopulmonary resuscitation on a medical ICU
- Author
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Clemens Seelmaier, Ingrid Pretsch, Michael Haslinger, Michael Lichtenauer, Richard Rezar, Bernhard Wernly, Philipp Schwaiger, Christian Jung, Maria Eisl, and Uta C. Hoppe
- Subjects
medicine.medical_specialty ,Resuscitation ,Proportional hazards model ,business.industry ,medicine.medical_treatment ,Outcome analysis ,030208 emergency & critical care medicine ,General Medicine ,030204 cardiovascular system & hematology ,Sex specific ,Intensive care unit ,Confidence interval ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,law ,Internal medicine ,Medicine ,Cardiopulmonary resuscitation ,business ,Survival analysis - Abstract
SummaryBackgroundPerforming cardiopulmonary resuscitation (CPR) and postresuscitation care in the intensive care unit (ICU) are standardized procedures; however, there is evidence suggesting sex-dependent differences in clinical management and outcome variables after cardiac arrest (CA).MethodsA prospective analysis of patients who were hospitalized at a medical ICU after CPR between December 2018 and March 2020 was conducted. Exclusion criteria were age 2-tests, for survival analysis both univariate and multivariable Cox regression were fitted.ResultsA total of 106 patients were included and the majority were male (71.7%). No statistically significant difference regarding 6‑month mortality between sexes could be shown (hazard risk, HR 0.68, 95% confidence interval, CI 0.35–1.34;p = 0.27). Neurological outcome was also similar between both groups (CPC 1 88% in both sexes after 6 months;p = 1.000). There were no statistically significant differences regarding general characteristics, pre-existing diseases, as well as the majority of clinical and laboratory parameters or measures performed on the ICU.ConclusionIn a single center CPR database no statistically significant sex-specific differences regarding post-resuscitation care, survival and neurological outcome after 6 months were observed.
- Published
- 2021
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