Influence of age on the survival rate of out-of-hospital and in-hospital resuscitation

Juchems, R; Wahlig, G.; Frese, Werner

doi:10.1016/0300-9572(93)90159-n

Cited by 57 publications

(11 citation statements)

References 12 publications

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“…Advanced age has been variously reported to reduce survival (8,24) or as having no effect (14), as we observed. These conflicting results are not surprising.…”

Section: Survivalsupporting

confidence: 61%

In‐hospital cardiopulmonary resuscitation

Skogvoll

Isern

Sangolt

et al. 1999

Acta Anaesthesiol Scand

116

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“…Advanced age has been variously reported to reduce survival (8,24) or as having no effect (14), as we observed. These conflicting results are not surprising.…”

Section: Survivalsupporting

confidence: 61%

In‐hospital cardiopulmonary resuscitation

Skogvoll

Isern

Sangolt

et al. 1999

Acta Anaesthesiol Scand

116

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“…We did not find age to be an important factor for survival. This is in agreement with several previous studies, ( [21][22][23] but in contrast to the BRESUS study, (24) which reported age to be of importance for OHCA outcome. Our study sample consisted of patients experiencing OHCA regardless of the cause, which makes our study unbiased and objective and the sample itself representative in regard to both patient characteristics and sample size.…”

Section: Discussioncontrasting

confidence: 53%

Out-of-hospital cardiopulmonary resuscitation in four Serbian university cities: outcome follow-up according to the «Utstein style»

Andjelic¹,

Djordjević²

2010

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“…There are conflicting data regarding the impact of age on the prognosis of patients who have sustained OHCA related to VF [19,20]. Most studies which have assessed this potential relationship have been performed before the initiation of MTH and coronary angiography [21] or involved only patients < 75 years of age [8].…”

Section: Discussionmentioning

confidence: 99%

Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular fibrillation

et al. 2011

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IntroductionSince 2003, we have routinely used percutaneous coronary intervention (PCI) and mild therapeutic hypothermia (MTH) to treat patients < 80 years of age after out-of-hospital cardiac arrest (OHCA) related to ventricular fibrillation. The aim of our study was to evaluate the prognostic impact of routine PCI in association with MTH and the potential influence of age.MethodsWe studied 111 consecutive patients resuscitated successfully following OHCA related to shock-sensitive rhythm. They were divided into five groups according to age: < 45 years (n = 22, group 1), 45 to 54 years (n = 27, group 2), 55 to 64 years (n = 22, group 3), 65 to 74 years (n = 23, group 4) and ≥75 years (n = 17, group 5). Emergency coronary angiography was performed in hemodynamically stable patients < 80 years old, regardless of the electrocardiogram pattern. MTH was targeted to a core temperature of 32°C to 34°C for 24 hours.ResultsMost patients (73%) had coronary heart disease, although its incidence in group 1 was lower than in other groups (41% versus 81%; P = 0.01). In group 1, all patients but one underwent coronary angiography, and 33% of them underwent associated PCI. In group 5, only 53% of patients underwent a coronary angiography and 44% underwent PCI. Overall in-hospital survival was 54%, ranging between 52% and 64% in groups 1 to 4 and 24% in group 5. Time from collapse to return of spontaneous circulation was associated with mortality (odds ratio (OR) = 1.05 (25th to 75th percentile range, 1.03 to 1.08); P < 0.001), whereas PCI was associated with survival (OR = 0.30 (25th to 75th percentile range, 0.11 to 0.79); P = 0.01).ConclusionsWe suggest that routine coronary angiography with potentially associated PCI may favorably alter the prognosis of resuscitated patients with stable hemodynamics who are treated with MTH after OHCA related to ventricular fibrillation. Although age was not an independent cause of death, the clinical relevance of this therapeutic strategy remains to be determined in older people.

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Influence of age on the survival rate of out-of-hospital and in-hospital resuscitation

Cited by 57 publications

References 12 publications

In‐hospital cardiopulmonary resuscitation

In‐hospital cardiopulmonary resuscitation

Out-of-hospital cardiopulmonary resuscitation in four Serbian university cities: outcome follow-up according to the «Utstein style»

Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular fibrillation

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