Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.8/8717 |
Resumo: | Objective: The aim of this study was to identify the mortality rate of cardiac arrest in our insti tution and to determine the association between clinical available variables with early mortality and neurological outcomes. Design, setting, and patients: We performed a ret rospective study including all adult patients with the first diagnosis of “cardiac arrest” admitted to the intensive care unit of a Portuguese tertiary hospital, from 2015 to 2020. Outcomes were early mortality, including in-hospital and 1 month after discharge mortality, and neurological function after cardiac arrest as defined by the Cerebral Performance Category score scale. Results: 114 patients were included, 32 suffered from out-of-hospital cardiac arrest, and 82 from in-hospital cardiac arrest. In multivariate logistic analysis, a Glasgow Coma Score after the return of spontaneous circulation less than five and the existence of another cause for cardiac ar rest than ST-segment elevation myocardial infarction demonstrated to be predictive factors of early mortality. The poor neurological outcome was associated with a total cardiopulmonary resuscitation length greater than five minutes and a Glasgow Coma Score after the return of spon taneous circulation less than five. Conclusions: Cardiac arrest is still an important cause of morbimortality in our society. Efforts should be made to optimize its approach, minimizing the cardiorespiratory arrest length to reduce mortality and improve the neurologic prognosis of survivors. |
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Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre studyHeart disease risk factors,ArrhythmiasCardiacCoronary diseaseMyocardial infarctionBrain deathObjective: The aim of this study was to identify the mortality rate of cardiac arrest in our insti tution and to determine the association between clinical available variables with early mortality and neurological outcomes. Design, setting, and patients: We performed a ret rospective study including all adult patients with the first diagnosis of “cardiac arrest” admitted to the intensive care unit of a Portuguese tertiary hospital, from 2015 to 2020. Outcomes were early mortality, including in-hospital and 1 month after discharge mortality, and neurological function after cardiac arrest as defined by the Cerebral Performance Category score scale. Results: 114 patients were included, 32 suffered from out-of-hospital cardiac arrest, and 82 from in-hospital cardiac arrest. In multivariate logistic analysis, a Glasgow Coma Score after the return of spontaneous circulation less than five and the existence of another cause for cardiac ar rest than ST-segment elevation myocardial infarction demonstrated to be predictive factors of early mortality. The poor neurological outcome was associated with a total cardiopulmonary resuscitation length greater than five minutes and a Glasgow Coma Score after the return of spon taneous circulation less than five. Conclusions: Cardiac arrest is still an important cause of morbimortality in our society. Efforts should be made to optimize its approach, minimizing the cardiorespiratory arrest length to reduce mortality and improve the neurologic prognosis of survivors.IC-OnlineCabral, MargaridaCastro, DianaPalavras, Maria JoãoSantos, FláviaSequeira, FilipaPereira, LuísMorais, João2023-07-28T15:29:48Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/8717engCabral, M., Castro, D., Palavras, M. J., Santos, F., Sequeira, F., Pereira, L., & Morais, J. (2022). Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study. Critical Care & Shock, 25(6), 293–299.1410-7767info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:57:58Zoai:iconline.ipleiria.pt:10400.8/8717Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:51:22.100235Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
title |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
spellingShingle |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study Cabral, Margarida Heart disease risk factors, Arrhythmias Cardiac Coronary disease Myocardial infarction Brain death |
title_short |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
title_full |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
title_fullStr |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
title_full_unstemmed |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
title_sort |
Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study |
author |
Cabral, Margarida |
author_facet |
Cabral, Margarida Castro, Diana Palavras, Maria João Santos, Flávia Sequeira, Filipa Pereira, Luís Morais, João |
author_role |
author |
author2 |
Castro, Diana Palavras, Maria João Santos, Flávia Sequeira, Filipa Pereira, Luís Morais, João |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
IC-Online |
dc.contributor.author.fl_str_mv |
Cabral, Margarida Castro, Diana Palavras, Maria João Santos, Flávia Sequeira, Filipa Pereira, Luís Morais, João |
dc.subject.por.fl_str_mv |
Heart disease risk factors, Arrhythmias Cardiac Coronary disease Myocardial infarction Brain death |
topic |
Heart disease risk factors, Arrhythmias Cardiac Coronary disease Myocardial infarction Brain death |
description |
Objective: The aim of this study was to identify the mortality rate of cardiac arrest in our insti tution and to determine the association between clinical available variables with early mortality and neurological outcomes. Design, setting, and patients: We performed a ret rospective study including all adult patients with the first diagnosis of “cardiac arrest” admitted to the intensive care unit of a Portuguese tertiary hospital, from 2015 to 2020. Outcomes were early mortality, including in-hospital and 1 month after discharge mortality, and neurological function after cardiac arrest as defined by the Cerebral Performance Category score scale. Results: 114 patients were included, 32 suffered from out-of-hospital cardiac arrest, and 82 from in-hospital cardiac arrest. In multivariate logistic analysis, a Glasgow Coma Score after the return of spontaneous circulation less than five and the existence of another cause for cardiac ar rest than ST-segment elevation myocardial infarction demonstrated to be predictive factors of early mortality. The poor neurological outcome was associated with a total cardiopulmonary resuscitation length greater than five minutes and a Glasgow Coma Score after the return of spon taneous circulation less than five. Conclusions: Cardiac arrest is still an important cause of morbimortality in our society. Efforts should be made to optimize its approach, minimizing the cardiorespiratory arrest length to reduce mortality and improve the neurologic prognosis of survivors. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022 2022-01-01T00:00:00Z 2023-07-28T15:29:48Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.8/8717 |
url |
http://hdl.handle.net/10400.8/8717 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Cabral, M., Castro, D., Palavras, M. J., Santos, F., Sequeira, F., Pereira, L., & Morais, J. (2022). Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study. Critical Care & Shock, 25(6), 293–299. 1410-7767 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799137005121044480 |