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

Detalhes bibliográficos
Autor(a) principal: Bartholomay,Eduardo
Data de Publicação: 2003
Outros Autores: Dias,Fernando Suparregui, Torres,Fábio Alves, Jacobson,Pedro, Mariante,Afonso, Wainstein,Rodrigo, Silva,Renato, Bodanese,Luiz Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007
Resumo: OBJECTIVE: To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. METHODS: Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. RESULTS: 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. CONCLUSION: 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.
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spelling Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomescardiopulmonary arrestcardiopulmonary resuscitationin-hospitalOBJECTIVE: To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. METHODS: Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. RESULTS: 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. CONCLUSION: 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.Sociedade Brasileira de Cardiologia - SBC2003-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007Arquivos Brasileiros de Cardiologia v.81 n.2 2003reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2003001000007info:eu-repo/semantics/openAccessBartholomay,EduardoDias,Fernando SuparreguiTorres,Fábio AlvesJacobson,PedroMariante,AfonsoWainstein,RodrigoSilva,RenatoBodanese,Luiz Carloseng2003-09-16T00:00:00Zoai:scielo:S0066-782X2003001000007Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2003-09-16T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
title Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
spellingShingle Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
Bartholomay,Eduardo
cardiopulmonary arrest
cardiopulmonary resuscitation
in-hospital
title_short Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
title_full Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
title_fullStr Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
title_full_unstemmed Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
title_sort Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
author Bartholomay,Eduardo
author_facet Bartholomay,Eduardo
Dias,Fernando Suparregui
Torres,Fábio Alves
Jacobson,Pedro
Mariante,Afonso
Wainstein,Rodrigo
Silva,Renato
Bodanese,Luiz Carlos
author_role author
author2 Dias,Fernando Suparregui
Torres,Fábio Alves
Jacobson,Pedro
Mariante,Afonso
Wainstein,Rodrigo
Silva,Renato
Bodanese,Luiz Carlos
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Bartholomay,Eduardo
Dias,Fernando Suparregui
Torres,Fábio Alves
Jacobson,Pedro
Mariante,Afonso
Wainstein,Rodrigo
Silva,Renato
Bodanese,Luiz Carlos
dc.subject.por.fl_str_mv cardiopulmonary arrest
cardiopulmonary resuscitation
in-hospital
topic cardiopulmonary arrest
cardiopulmonary resuscitation
in-hospital
description OBJECTIVE: To assess survival of patients undergoing cerebral cardiopulmonary resuscitation maneuvers and to identify prognostic factors for short-term survival. METHODS: Prospective study with patients undergoing cardiopulmonary resuscitation maneuvers. RESULTS: 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. CONCLUSION: 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.
publishDate 2003
dc.date.none.fl_str_mv 2003-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0066-782X2003001000007
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.81 n.2 2003
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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