Long-term survival and quality of life after cardiac resuscitation following coronary artery bypass grafting

Karhunen, Janne; Jokinen, Jukka; Raivio, Peter; Salminen, Ulla‐Stina

doi:10.1016/j.ejcts.2010.10.042

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…Khaladj et al (7) focused on neurological outcome and HRQoL (SF-36) after aortic root surgery with HCA. The RAND 36-Item Health Survey (8), which is almost identical with the SF-36 questionnaire (9), has also been used (10, 11) in elderly patients with acute type A aortic dissection, as well as in patients after cardiac resuscitation following coronary artery bypass grafting (12). Generally, the HRQoL after thoracic aortic and cardiac surgery has been acceptable and often even comparable to an age- and sex-matched general population (4).…”

Section: Introductionmentioning

confidence: 99%

Long-Term Survival and Quality of Life After Hypothermic Circulatory Arrest in Aortic Surgery

et al. 2018

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After hypothermic circulatory arrest, patients undergoing surgery of the thoracic aorta achieve a similar long-term life expectancy and health-related quality of life as do patients undergoing coronary surgery without hypothermic circulatory arrest, and a health-related quality of life similar to the national reference population with chronic illnesses. These results justify operative treatment in this high-risk patient population.

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Section: Introductionmentioning

confidence: 99%

Long-Term Survival and Quality of Life After Hypothermic Circulatory Arrest in Aortic Surgery

et al. 2018

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“…In this study 58% of patients who underwent OCCPR within 4 min recovered without impaired neurological function [33]. In 2011, Karhunen et al reported 76 patients who had cardiac arrest, with 62 (82%) survivors recorded after immediate OCCPR [29].…”

Section: Discussionmentioning

confidence: 83%

“…In addition, human studies showed that a short CCCPR time before OCCPR is significantly associated with higher ROSC rates [28]. Studies have showed that success rates can increase to 80% in cardiac arrest patients who performed OCCPR immediately [22, 29]. In the present meta-analysis, OCCPR in the vast majority of patients was performed after failure of CCCPR, and CCCPR duration varied from 2 min to 2 h, which may greatly reduce the success rate of OCCPR.…”

Section: Discussionmentioning

confidence: 99%

Open-chest cardiopulmonary resuscitation versus closed-chest cardiopulmonary resuscitation in patients with cardiac arrest: a systematic review and meta-analysis

Mao

Gong

et al. 2019

Scand J Trauma Resusc Emerg Med

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BackgroundCardiopulmonary resuscitation is the most urgent and critical step in the rescue of patients with cardiac arrest. However, only about 10% of patients with out-of-hospital cardiac arrest survive to discharge. Surprisingly, there is growing evidence that open-chest cardiopulmonary resuscitation is superior to closed-chest cardiopulmonary resuscitation. Meanwhile, The Western Trauma Association and The European Resuscitation Council encouraged thoracotomy in certain circumstances for trauma patients. But whether open-chest cardiopulmonary resuscitation is superior to closed-chest cardiopulmonary resuscitation remains undetermined. Therefore, the aim of this study was to summarize current studies on open-chest cardiopulmonary resuscitation in a systematic review, comparing it to closed-chest cardiopulmonary resuscitation, in a meta-analysis.MethodsIn this systematic review and meta-analysis, we searched the PubMed, EmBase, Web of Science, and Cochrane Library databases from inception to May 2019 investigating the effect of open-chest cardiopulmonary resuscitation and closed-chest cardiopulmonary resuscitation in patients with cardiac arrest, without language restrictions. Statistical analysis was performed using Stata 12.0 software. The primary outcome was return of spontaneous circulation. The secondary outcome was survival to discharge.ResultsSeven observational studies were eligible for inclusion in this meta-analysis involving 8548 patients. No comparative randomized clinical trial was reported in the literature. There was no significant difference in return of spontaneous circulation and survival to discharge between open-chest cardiopulmonary resuscitation and closed-chest cardiopulmonary resuscitation in cardiac arrest patients. The odds ratio (OR) were 0.92 (95%CI 0.36–2.31, P > 0.05) and 0.54 (95%CI 0.17–1.78, P > 0.05) for return of spontaneous circulation and survival to discharge, respectively. Subgroup analysis of cardiac arrest patients with trauma showed that closed-chest cardiopulmonary resuscitation was associated with higher return of spontaneous circulation compared with open-chest cardiopulmonary resuscitation (OR = 0.59 95%CI 0.37–0.94, P < 0.05). And subgroup analysis of cardiac arrest patients with non-trauma showed that open-chest cardiopulmonary resuscitation was associated with higher ROSC compared with closed-chest cardiopulmonary resuscitation (OR = 3.12 95%CI 1.23–7.91, P < 0.05).ConclusionsIn conclusion, for patients with cardiac arrest, we should implement closed-chest cardiopulmonary resuscitation as soon as possible. However, for cardiac arrest patients with chest trauma who cannot perform closed-chest cardiopulmonary resuscitation, open-chest cardiopulmonary resuscitation should be implemented as soon as possible.

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“…In 2011 Karhunen et al described 76 patients who suffered cardiac arrest following coronary artery bypass grafting. After immediate resternotomy and OC-CPR there were 62(82%) survivors [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

Resuscitative thoracotomies and open chest cardiac compressions in non-traumatic cardiac arrest

Kornhall

Dolven

2014

World J Emerg Surg

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Since the popularisation of closed chest cardiac compressions in the 1960s, open chest compressions in non-traumatic cardiac arrest have become a largely forgotten art. Today, open chest compressions are only rarely performed outside operating theatres. Early defibrillation and high quality closed chest compressions is the dominating gold standard for the layman on the street as well as for the resuscitation specialist. In this paper we argue that the concept of open chest direct cardiac compressions in non-traumatic cardiac arrest should be revisited and that it might be due for a revival. Numerous studies demonstrate how open chest cardiac compressions are superior to closed chest compressions in regards to physiological parameters and outcomes. Thus, by incorporating resuscitative thoracotomies and open chest compressions in our algorithms for non-traumatic cardiac arrest we may improve outcomes.

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Long-term survival and quality of life after cardiac resuscitation following coronary artery bypass grafting

Cited by 10 publications

References 18 publications

Long-Term Survival and Quality of Life After Hypothermic Circulatory Arrest in Aortic Surgery

Long-Term Survival and Quality of Life After Hypothermic Circulatory Arrest in Aortic Surgery

Open-chest cardiopulmonary resuscitation versus closed-chest cardiopulmonary resuscitation in patients with cardiac arrest: a systematic review and meta-analysis

Resuscitative thoracotomies and open chest cardiac compressions in non-traumatic cardiac arrest

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