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

Bartholomay, Eduardo; Dias, Fernando Suparregui; Torres, Fábio Alves; Jacobson, Pedro; Mariante, Afonso Ravanello; Wainstein, Rodrigo Vugman; Silva, Renato; Bodanese, Luiz Carlos

doi:10.1590/s0066-782x2003001000007

Cited by 6 publications

(8 citation statements)

References 23 publications

(33 reference statements)

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“…Nevertheless, the mean age of the cohort in this study was similar to that of previous Brazilian studies and lower than that of the remaining studies, which included patients from different hospital settings. (5,7,11,12,15,16,18-21) Patients with heart disease and acute myocardial infarction were older at the time of admission, which is consistent with the increase in the prevalence of these diseases with age. (4) The prevalence rates of main comorbidities, including those of hypertension and diabetes, were similar to those reported in other studies.…”

Section: Discussionsupporting

confidence: 68%

“…(2-4) In hospital settings, the most commonly found rhythm is asystole, with rates ranging from 36% to 57%, followed by pulseless electrical activity, whose rates range from 16.5% to 39.3%. (7,11,15-17,20,21) Although the incidences of these rhythms in this study are within these ranges, their limits widely vary. The populations in other studies derived from various in-hospital settings, including emergency rooms and wards in addition to coronary units and ICUs, and the monitoring of patients with CA may be delayed outside intensive care settings.…”

Section: Discussionmentioning

confidence: 57%

“…(14) Other Brazilian studies of 150 and 452 patients showed 28% (15) and 5% (16) hospital discharge rates, respectively, although only 28% and 30.5% patients experienced CA in ICUs, respectively. Although immediate survival was 78.6% in the present study, the short-term and 6-month survival rates were low.…”

Section: Discussionmentioning

confidence: 95%

“…(7,15,16,18,20) Furthermore, a meta-analysis of CA in the ICU showed that most studies were retrospective, (27) which also compromised the analysis of these data. In turn, the duration of CPR, a datum assessed in the entire population, was similar to the duration reported in other studies.…”

Section: Discussionmentioning

confidence: 99%

“…In turn, the duration of CPR, a datum assessed in the entire population, was similar to the duration reported in other studies. (7,15,16) …”

Section: Discussionmentioning

confidence: 99%

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Cardiopulmonary resuscitation of adults with in-hospital cardiac arrest using the Utstein style

Silva¹,

Silva²,

Silva³

et al. 2016

Revista Brasileira De Terapia Intensiva

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ObjectiveThe objective of this study was to analyze the clinical profile of patients with in-hospital cardiac arrest using the Utstein style.MethodsThis study is an observational, prospective, longitudinal study of patients with cardiac arrest treated in intensive care units over a period of 1 year.ResultsThe study included 89 patients who underwent cardiopulmonary resuscitation maneuvers. The cohort was 51.6% male with a mean age 59.0 years. The episodes occurred during the daytime in 64.6% of cases. Asystole/bradyarrhythmia was the most frequent initial rhythm (42.7%). Most patients who exhibited a spontaneous return of circulation experienced recurrent cardiac arrest, especially within the first 24 hours (61.4%). The mean time elapsed between hospital admission and the occurrence of cardiac arrest was 10.3 days, the mean time between cardiac arrest and cardiopulmonary resuscitation was 0.68 min, the mean time between cardiac arrest and defibrillation was 7.1 min, and the mean duration of cardiopulmonary resuscitation was 16.3 min. Associations between gender and the duration of cardiopulmonary resuscitation (19.2 min in women versus 13.5 min in men, p = 0.02), the duration of cardiopulmonary resuscitation and the return of spontaneous circulation (10.8 min versus 30.7 min, p < 0.001) and heart disease and age (60.6 years versus 53.6, p < 0.001) were identified. The immediate survival rates after cardiac arrest, until hospital discharge and 6 months after discharge were 71%, 9% and 6%, respectively.ConclusionsThe main initial rhythm detected was asystole/bradyarrhythmia; the interval between cardiac arrest and cardiopulmonary resuscitation was short, but defibrillation was delayed. Women received cardiopulmonary resuscitation for longer periods than men. The in-hospital survival rate was low.

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