Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes
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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Sociedade Brasileira de Cardiologia - SBC
2003
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oai:scielo:S0066-782X20030010000072003-09-16Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomesBartholomay,EduardoDias,Fernando SuparreguiTorres,Fábio AlvesJacobson,PedroMariante,AfonsoWainstein,RodrigoSilva,RenatoBodanese,Luiz Carlos cardiopulmonary arrest cardiopulmonary resuscitation in-hospital 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.81 n.2 20032003-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007en10.1590/S0066-782X2003001000007 |
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Bartholomay,Eduardo Dias,Fernando Suparregui Torres,Fábio Alves Jacobson,Pedro Mariante,Afonso Wainstein,Rodrigo Silva,Renato Bodanese,Luiz Carlos |
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Bartholomay,Eduardo Dias,Fernando Suparregui Torres,Fábio Alves Jacobson,Pedro Mariante,Afonso Wainstein,Rodrigo Silva,Renato Bodanese,Luiz Carlos Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes |
author_facet |
Bartholomay,Eduardo Dias,Fernando Suparregui Torres,Fábio Alves Jacobson,Pedro Mariante,Afonso Wainstein,Rodrigo Silva,Renato Bodanese,Luiz Carlos |
author_sort |
Bartholomay,Eduardo |
title |
Impact of cerebral cardiopulmonary resuscitation maneuvers in a general hospital: prognostic factors and outcomes |
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 |
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. |
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Sociedade Brasileira de Cardiologia - SBC |
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2003 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2003001000007 |
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