Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital
Autor(a) principal: | |
---|---|
Data de Publicação: | 2001 |
Outros Autores: | , , , , , , |
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=S0066-782X2001000800006 |
Resumo: | OBJECTIVE: To analyze the early and late results of cardiopulmonary resuscitation in a cardiology hospital and to try to detect prognostic determinants of both short- and long-term survival. METHODS: A series of 557 patients who suffered cardiorespiratory arrest (CRA) at the Dante Pazzanese Cardiology Institute over a period of 5 years was analyzed to examine factors predicting successful resuscitation and long-term survival. RESULTS: Ressuscitation maneuvers were tried in 536 patients; 281 patients (52.4%) died immediately, and 164 patients (30.6%) survived for than 24 hours. The 87 patients who survived for more than 1 month after CRA were compared with nonsurvivors. Coronary disease, cardiomyopathy, and valvular disease had a better prognosis. Primary arrhythmia occurred in 73.5% of the >1-month survivor group and heart failure occurred in 12.6% of this group. In those patients in whom the initial mechanism of CRA was ventricular fibrillation, 33.3% survived for more than 1 month, but of those with ventricular asystole only 4.3% survived. None of the 10 patients with electromechanical dissociation survived. There was worse prognosis in patients included in the extreme age groups (zero to 10 years and 70 years or more). The best results occurred when the cardiac arrest took place in the catheterization laboratories. The worst results occurred in the intensive care unit and the hemodialysis room. CONCLUSION: The results in our series may serve as a helpful guide to physicians with the difficult task of deciding when not to resuscitate or when to stop resuscitation efforts. |
id |
SBC-1_d46f6ce68389a446cb3a7066eb00d845 |
---|---|
oai_identifier_str |
oai:scielo:S0066-782X2001000800006 |
network_acronym_str |
SBC-1 |
network_name_str |
Arquivos Brasileiros de Cardiologia (Online) |
repository_id_str |
|
spelling |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospitalcardiorespiratory arrestacute myocardial infarctionOBJECTIVE: To analyze the early and late results of cardiopulmonary resuscitation in a cardiology hospital and to try to detect prognostic determinants of both short- and long-term survival. METHODS: A series of 557 patients who suffered cardiorespiratory arrest (CRA) at the Dante Pazzanese Cardiology Institute over a period of 5 years was analyzed to examine factors predicting successful resuscitation and long-term survival. RESULTS: Ressuscitation maneuvers were tried in 536 patients; 281 patients (52.4%) died immediately, and 164 patients (30.6%) survived for than 24 hours. The 87 patients who survived for more than 1 month after CRA were compared with nonsurvivors. Coronary disease, cardiomyopathy, and valvular disease had a better prognosis. Primary arrhythmia occurred in 73.5% of the >1-month survivor group and heart failure occurred in 12.6% of this group. In those patients in whom the initial mechanism of CRA was ventricular fibrillation, 33.3% survived for more than 1 month, but of those with ventricular asystole only 4.3% survived. None of the 10 patients with electromechanical dissociation survived. There was worse prognosis in patients included in the extreme age groups (zero to 10 years and 70 years or more). The best results occurred when the cardiac arrest took place in the catheterization laboratories. The worst results occurred in the intensive care unit and the hemodialysis room. CONCLUSION: The results in our series may serve as a helpful guide to physicians with the difficult task of deciding when not to resuscitate or when to stop resuscitation efforts.Sociedade Brasileira de Cardiologia - SBC2001-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000800006Arquivos Brasileiros de Cardiologia v.77 n.2 2001reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.1590/S0066-782X2001000800006info:eu-repo/semantics/openAccessTimerman,AriSauaia,NaimPiegas,Leopoldo SoaresRamos,Rui F.Gun,CarlosSantos,Elizabeth SilvaBianco,Antonio C. MugayarSousa,J. Eduardo M. R.eng2001-08-21T00:00:00Zoai:scielo:S0066-782X2001000800006Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2001-08-21T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
title |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
spellingShingle |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital Timerman,Ari cardiorespiratory arrest acute myocardial infarction |
title_short |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
title_full |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
title_fullStr |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
title_full_unstemmed |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
title_sort |
Prognostic factors of the results of cardiopulmonary resuscitation in a cardiology hospital |
author |
Timerman,Ari |
author_facet |
Timerman,Ari Sauaia,Naim Piegas,Leopoldo Soares Ramos,Rui F. Gun,Carlos Santos,Elizabeth Silva Bianco,Antonio C. Mugayar Sousa,J. Eduardo M. R. |
author_role |
author |
author2 |
Sauaia,Naim Piegas,Leopoldo Soares Ramos,Rui F. Gun,Carlos Santos,Elizabeth Silva Bianco,Antonio C. Mugayar Sousa,J. Eduardo M. R. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Timerman,Ari Sauaia,Naim Piegas,Leopoldo Soares Ramos,Rui F. Gun,Carlos Santos,Elizabeth Silva Bianco,Antonio C. Mugayar Sousa,J. Eduardo M. R. |
dc.subject.por.fl_str_mv |
cardiorespiratory arrest acute myocardial infarction |
topic |
cardiorespiratory arrest acute myocardial infarction |
description |
OBJECTIVE: To analyze the early and late results of cardiopulmonary resuscitation in a cardiology hospital and to try to detect prognostic determinants of both short- and long-term survival. METHODS: A series of 557 patients who suffered cardiorespiratory arrest (CRA) at the Dante Pazzanese Cardiology Institute over a period of 5 years was analyzed to examine factors predicting successful resuscitation and long-term survival. RESULTS: Ressuscitation maneuvers were tried in 536 patients; 281 patients (52.4%) died immediately, and 164 patients (30.6%) survived for than 24 hours. The 87 patients who survived for more than 1 month after CRA were compared with nonsurvivors. Coronary disease, cardiomyopathy, and valvular disease had a better prognosis. Primary arrhythmia occurred in 73.5% of the >1-month survivor group and heart failure occurred in 12.6% of this group. In those patients in whom the initial mechanism of CRA was ventricular fibrillation, 33.3% survived for more than 1 month, but of those with ventricular asystole only 4.3% survived. None of the 10 patients with electromechanical dissociation survived. There was worse prognosis in patients included in the extreme age groups (zero to 10 years and 70 years or more). The best results occurred when the cardiac arrest took place in the catheterization laboratories. The worst results occurred in the intensive care unit and the hemodialysis room. CONCLUSION: The results in our series may serve as a helpful guide to physicians with the difficult task of deciding when not to resuscitate or when to stop resuscitation efforts. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-08-01 |
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=S0066-782X2001000800006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000800006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0066-782X2001000800006 |
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.77 n.2 2001 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 |
_version_ |
1752126551684546560 |