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Who survives cardiac arrest in the intensive care units?
- Source :
- Journal of Critical Care. 24:408-414
- Publication Year :
- 2009
- Publisher :
- Elsevier BV, 2009.
-
Abstract
- Objective The aim of this study was to evaluate the factors related to outcome regarding in–intensive care unit (ICU) cardiac arrest (IICA) in a university hospital. Patients and Methods Adult nontraumatic ICU patients who sustained IICA were prospectively enrolled. Several patient and event-related variables, as well as outcomes, were recorded and summarized based on the revised Utstein-style template. Results A total of 202 episodes of IICA happened during the study period. Return of spontaneous circulation (ROSC) was achieved in 127 patients (62.9%), whereas the overall survival-to-discharge rate was 15.3% (31 patients). In univariate analysis, a shorter duration of resuscitation and pulseless ventricular tachycardia/ventricular fibrillation (VT/VF) as initial arrest rhythm represented better outcomes. Independent predictors of survival to hospital discharge were VT/VF as the initial rhythm (odds ratio [OR], 3.81; 95% confidence interval [CI], 1.50-9.67; P = .005), lower Acute Physiology and Chronic Health Evaluation II score (OR 0.92, 95% CI 0.87-0.98, P = .008), and shorter resuscitation durations (OR 0.91, 95% CI 0.87-0.96, P Conclusion Shorter resuscitation duration and initial VT/VF are predictors for both ROSC and hospital survival, whereas lower Acute Physiology and Chronic Health Evaluation II scores predict the latter.
- Subjects :
- Male
Utstein Style
Resuscitation
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Comorbidity
Return of spontaneous circulation
Critical Care and Intensive Care Medicine
law.invention
Hospitals, University
Sex Factors
law
Intensive care
Internal medicine
Humans
Medicine
Hospital Mortality
Cardiopulmonary resuscitation
APACHE
Aged
Aged, 80 and over
Univariate analysis
business.industry
Age Factors
Middle Aged
medicine.disease
Intensive care unit
Heart Arrest
Intensive Care Units
Ventricular Fibrillation
Ventricular fibrillation
Tachycardia, Ventricular
Cardiology
Female
business
Subjects
Details
- ISSN :
- 08839441
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of Critical Care
- Accession number :
- edsair.doi.dedup.....2d91197ec5160b8905ed98028c90d40a