Epidemiology, Risk Factors, and Outcomes of Out-of-Hospital Cardiac Arrest Caused by Stroke

Fukuda, Tatsuma; Ohashi-Fukuda, Naoko; Kondo, Yutaka; Sera, Toshiki; Doi, Kent; Yahagi, Naoki

doi:10.1097/md.0000000000003107

Cited by 19 publications

(12 citation statements)

References 41 publications

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“…Die Mortalität nach 30 Tagen betrug 82,1 % bei Patienten mit Schlaganfall mit Kreislaufstillstand gegenüber 9,3 % bei Patienten mit Schlaganfall ohne Kreislaufstillstand. Daten aus dem gesamtjapanischen Utstein-Register berichteten, dass 7,7 % der OHCA-Fälle einen schlaganfallbedingten Kreislaufstillstand hatten [ 602 ]. Diese Gruppe hatte ein schlechteres Outcome als Patienten mit primären Kreislaufstillstand.…”

Section: Evidenz Die In Die Leitlinien Einfließtunclassified

Kreislaufstillstand unter besonderen Umständen

Lott

Truhlář

Alfonzo

et al. 2021

Notfall Rettungsmed

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Diese Leitlinien des European Resuscitation Council (ERC) für den Kreislaufstillstand unter besonderen Umständen basieren auf dem 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. Dieses Kapitel enthält Leitlinien zu den Modifikationen der lebensrettenden Basismaßnahmen und erweiterten lebensrettenden Maßnahmen zur Vorbeugung und Behandlung von Kreislaufstillständen unter besonderen Umständen; insbesondere spezielle Ursachen (Hypoxie, Trauma, Anaphylaxie, Sepsis, Hypo‑/Hyperkaliämie und andere Elektrolytstörungen, Hypothermie, Lawinengeschehen, Hyperthermie und maligne Hyperthermie, Lungenembolie, Koronarthrombose, Herzbeuteltamponade, Spannungspneumothorax, Giftstoffe), spezielle Umstände (Operationssaal, Herzchirurgie, Herzkatheterlabor, Dialyseeinheit, Zahnkliniken, Transport während des Flugs, Kreuzfahrtschiffe, Sport, Ertrinken, Großschadensereignisse) und spezielle Patientengruppen (Asthma und chronisch obstruktive Lungenerkrankung, neurologische Erkrankungen, krankhafte Adipositas, Schwangerschaft). Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s10049-021-00891-z) enthält das originale Zusatzmaterial aus dem Artikel in Resuscitation. Beitrag und Zusatzmaterial stehen Ihnen auf www.springermedizin.de zur Verfügung. Bitte geben Sie dort den Beitragstitel in die Suche ein, das Zusatzmaterial finden Sie beim Beitrag unter „Ergänzende Inhalte“.

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Section: Evidenz Die In Die Leitlinien Einfließtunclassified

Kreislaufstillstand unter besonderen Umständen

Lott

Truhlář

Alfonzo

et al. 2021

Notfall Rettungsmed

View full text Add to dashboard Cite

show abstract

“…1,2 The main etiologies of OHCA are represented by different cardiovascular conditions, mainly attributed to ischemic heart diseases complicated by an acute coronary syndrome (ACS) or a stroke. 3 However, it was reported that between 20% and 40% of OHCA in adult patients were of non-cardiac origin, indicating that further investigations are needed to identify other risk factors involved in OHCA etiology. 4 Survival rates of OHCA patients also show considerable variability for different countries and regions depending on the standard of medical education about cardiopulmonary resuscitation (CPR), on the development of emergency medical services (EMS) and on public access to external defibrillators.…”

Section: Out-of-hospital Cardiac Arrest -A Major Healthcare Problemmentioning

confidence: 99%

New Developments in the Treatment of Acute Myocardial Infarction Associated with Out-of-Hospital Cardiac Arrest. A Review

Marton-Popovici

Glogar

2016

Journal of Cardiovascular Emergencies

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Out-of-hospital cardiac arrest (OHCA) occurring as the first manifestation of an acute myocardial infarction is associated with very high mortality rates. As in comatose patients the etiology of cardiac arrest may be unclear, especially in cases without ST-segment elevation on the surface electrocardiogram, the decision to perform or not to perform urgent coronary angiography can have a significant impact on the prognosis of these patients. This review summarises the current knowledge and recommendations for treating patients with acute myocardial infarction presenting with OHCA. New therapeutic measures for the post-resuscitation phase are presented, such as hypothermia or extracardiac life support, together with strategies aiming to restore the coronary flow in the resuscitation phase using intra-arrest percutaneous revascularization performed during resuscitation. The role of regional networks in providing rapid access to the hospital facilities and to a catheterization laboratory for these critical cardiovascular emergencies is described.

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“…Consequently, Huang et al (2021) postulated that different comorbidities of medical OHCA patients, such as hypertension, diabetes, liver disease, stroke, renal disease, and respiratory disease, affect the survival rate. Fukuda et al (2016) determined that stroke-related OHCA patients have better chances of prehospital ROSC than OHCA patients with a presumed cardiac etiology but a reduced chance of 1-month survival or desirable results. The authors also a rmed that having a younger age and shockable initial documented rhythm were related to an improved survival rate and that men have a more favorable survival rate and better outcomes than women.…”

Section: Introductionmentioning

confidence: 99%

Impact of Cardiopulmonary Resuscitation Duration on Survival of Out-of-Hospital Cardiac Arrest

Albinali

Alumran

AlRayes

2021

Preprint

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Background: Patients experiencing cardiac arrest outside medical facilities are at greater risk of death and might have negative outcomes. Cardiopulmonary resuscitation duration affects survival of such patients, which suggests that duration of CPR may be vital to patient outcomes.Objectives: The study aims to evaluate the impact of cardiopulmonary resuscitation duration on survival of patients who have suffered out-of-hospital cardiac arrest.Methods: Data were collected from emergency cases handled by a secondary hospital in industrial Jubail, Saudi Arabia, between 2015 and 2020. There were 257 out-of-hospital cardiac arrest cases, 236 of which resulted in death.Results: Bivariate analysis showed no significant association between duration of CPR, gender, and cause of death whereas there is statistically significant between duration of CPR and age (p = 0.014). Hence, the results revealed that death was more likely in elderly patients. The mean and standard deviation for the duration of emergency CPR procedures specifically in surviving patients were 26.5 ± 7.20 min, whereas in patients who died after the procedure, the mean and standard deviation for the duration of CPR were 29.6 ± 9.15 min. The mean age and standard deviation in surviving patients were found to be 38 ± 18.59 years, and 49.4 ± 23.39 years for those who died.Conclusion: Cardiopulmonary Resuscitation Duration out-of-hospital cardiac arrest does not significantly influence the patient survival in the current study hospital. Other variables may have a more significant effect.

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Epidemiology, Risk Factors, and Outcomes of Out-of-Hospital Cardiac Arrest Caused by Stroke

Abstract: Supplemental Digital Content is available in the text

Cited by 19 publications

References 41 publications

Kreislaufstillstand unter besonderen Umständen

Kreislaufstillstand unter besonderen Umständen

New Developments in the Treatment of Acute Myocardial Infarction Associated with Out-of-Hospital Cardiac Arrest. A Review

Impact of Cardiopulmonary Resuscitation Duration on Survival of Out-of-Hospital Cardiac Arrest

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