Factors affecting survival and neurological outcomes for patients who underwent cardiopulmonary resuscitation

Çolak, Tamer; Tekten, Beliz Öztok

doi:10.5455/jpma.29598

Cited by 4 publications

(3 citation statements)

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“…4 However, OHCA's prognosis is very poor, with significant mortality after resuscitation, and the nervous system-caused disability is mainly due to multiple system dysfunction caused by prolonged systemic ischaemia. 5,6 Globally, <10% of OHCA patients can survive until discharge. 7 However, a study in Australia showed an increasing trend in OHCA survival, with 30-day survival increasing from 4.2% in 2001 to 16.4% in 2018.…”

Section: Introductionmentioning

confidence: 99%

Analysis of complications after out-of-hospital cardiac arrest of target temperature management

Yun,

Lin,

Lin

2024

J Pak Med Assoc

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Objective: To analyse the prevalence of complications related to out-of-hospital cardiac arrest patients achieving target temperature management within 360 minutes compared to those taking more than 360 minutes. Method: The retrospective study was conducted at a medical centre in Taiwan, and comprised data from January 1, 2014, to December 31, 2020. Data was retrieved using the International Classification of Diseases version 10 codes I46.2, I46.8 and I46.9 related to adult patients of either gender presenting to the Emergency Medicine department with out-of-hospital cardiac arrest. Data included gender, age, medical history, body mass index, acute physiology and chronic health evaluation II score, blood glucose levels, electrocardiogram results, and complications occurring within the target temperature management timeframe. Data was divided into group A having patients who achieved target temperature management within 360 minutes, and group B having patients with delayed TTM of more than 360 minutes. Data was analysed using SPSS 22. Results: Of the 127 patients, 76(59%) were males, 51(41%) were males, 47(37%) were aged >75 years, and 13(10.3%) were aged <50 years. Of the total, 65(51.2%) patients were in group A, and 62(48.8%) were in group B. Pneumonia, urinary tract infection, septic shock and gastrointestinal bleeding had lower incidence rates in group A than group B(p<0.05). The odds of death were 2.879 times higher in group B patients than group A (95% confidence interval: 1.908-8.916). Conclusions: Hypothermia treatment should be started as soon as possible to achieve target temperature management within 360 minutes to reduce the risk of complications and mortality. Key Words: Out-of-hospital cardiac arrest, Target temperature management, Risk of death.

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Section: Introductionmentioning

confidence: 99%

Analysis of complications after out-of-hospital cardiac arrest of target temperature management

Yun,

Lin,

Lin

2024

J Pak Med Assoc

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“…Cardiopulmonary resuscitation (CPR) is performed to reverse cardiac arrest [ 3 ]. Approximately, 55.3 million individuals are reported to emergency department with cardiac arrest worldwide [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of epinephrine and methylprednisolone on cardiac arrest patients

Rafiei

Bahrami

Meisami

et al. 2022

Annals of Medicine &Amp; Surgery

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“…4 Manual CPR (M-CPR) is the main CPR method, achieves CPR by manual external chest compression (cardiac pump and chest pump). 5 However, the main disadvantages of manual external chest compression include limited auxiliary ventilation effect, insufficient compression frequency and depth and easy fatigue of the treating personnel. Interruptions during the compression may lead to cessation of blood supply to cerebral artery and coronary artery.…”

Section: Introductionmentioning

confidence: 99%

Comparison between automated cardiopulmonary resuscitation and manual cardiopulmonary resuscitation in the rescue of cardiac and respiratory arrest

Niu¹,

Gao²,

Yuan

2022

Pak J Med Sci

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Objective: To compare the efficacy of automated cardiopulmonary resuscitation (A-CPR) and manual cardiopulmonary resuscitation (M-CPR) in the rescue of cardiac and respiratory arrest. Methods: A retrospective, single-center observational study was conducted to identify 106 patients by reviewing medical records of 269 patients with cardiac and respiratory arrest treated in The Second Hospital of Hebei Medical University, Shandong Provincial Third Hospital (Jinan, China) from February 2019 to February 2021. Patients were divided into A-CPR group (n = 55) and M-CPR group (n = 51) based on the resuscitation treatment method. The groups were matched for age, gender and the cause of cardiac arrest. Rescue effects, blood gas analysis indicators, respiratory dynamics and condition improvement of the two groups were compared. Results: In terms of rescue effects, return of spontaneous circulation (ROSC) rate, successful rate of cardiopulmonary resuscitation (CPR), 24-hour survival rate and survival discharge rate in the A-CPR group were higher than M-CPR group (P<0.05). With respect to blood gas analysis indicators and respiratory dynamics, the partial pressure of carbon dioxide (PaCO2) in the A-CPR group was lower than M-CPR group at 15 and 30 minutes after CPR, while the partial pressure of oxygen (PaO2), blood oxygen saturation (SaO2), end expiratory carbon dioxide (PetCO2), coronary perfusion pressure (CPP) and mean arterial pressure (MAP) in the A-CPR group were higher than M-CPR group (P<0.05). In aspect of condition improvement, spontaneous breathing, heart rate, spontaneous circulation, blood pressure recovery time and CPR time in the A-CPR group were shorter than M-CPR group (P<0.05). Conclusion: The application effect of A-CPR in the rescue of cardiac and respiratory arrest, the improvement of blood gas analysis indexes, respiration and condition improvement are more significant than M-CPR. doi: https://doi.org/10.12669/pjms.38.8.6598 How to cite this:Gao M, Niu H, Yuan S. Comparison between automated cardiopulmonary resuscitation and manual cardiopulmonary resuscitation in the rescue of cardiac and respiratory arrest. Pak J Med Sci. 2022;38(8):2208-2214. doi: https://doi.org/10.12669/pjms.38.8.6598 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Factors affecting survival and neurological outcomes for patients who underwent cardiopulmonary resuscitation

Cited by 4 publications

References 0 publications

Analysis of complications after out-of-hospital cardiac arrest of target temperature management

Analysis of complications after out-of-hospital cardiac arrest of target temperature management

The effect of epinephrine and methylprednisolone on cardiac arrest patients

Comparison between automated cardiopulmonary resuscitation and manual cardiopulmonary resuscitation in the rescue of cardiac and respiratory arrest

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