Organ support therapy in the intensive care unit and return to work in out-of-hospital cardiac arrest survivors–A nationwide cohort study

Abstract

In 30-day survivors of OHCA, number of organ support therapies and in particular need of RRT were associated with reduced rate of return to work, although more than half of these latter patients still returned to work.

Diagnostik und Therapie nach präklinischem Kreislaufstillstand

“…Neben der mechanischen Ventilation und Gabe von inotropen Substanzen stellt die kontinuierliche veno-venöse Hämofiltration (CVVH) eine der Basismaßnahmen bei Organversagen in der Intensivmedizin dar. Die Notwendigkeit zur CVVH ist jedoch mit einem um rund 10 % reduzierten Überleben nach 1 Jahr und einem mehr als doppelt so langen Krankenhausaufenthalt akut assoziiert [15]. Kommt ein Leberversagen hinzu, verdoppelt sich die Mortalität nochmals.…”

Long-Term Outcomes of Out-of-Hospital Cardiac Arrest Care at Regionalized Centers

“…In the United States, the National Death Index aggregates data from death certificates, which can be used to determine individuals’ vital status. Although some international studies have used governmental databases to estimate long-term functional status, 37 no such data source exists in America making this sort of linkage impossible. That said, any future prospective trial of post-arrest care regionalization must evaluate not only for vital status but also patient-centered outcomes including measures of quality of life and functional recovery.…”

Guidelines for post-resuscitation care should include management of acute kidney injury and use of renal replacement therapy

“…We read with interest the article recently published by Ridderholm et al [1]. The authors studied 1087 out-of-hospital cardiac arrest (OHCA) 30day survivors who were employed prior to their arrest.…”

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Guidelines for post-resuscitation care should include management of acute kidney injury and use of renal replacement therapy

Sir,We read with interest the article recently published by Ridderholm et al [1]. The authors studied 1087 out-of-hospital cardiac arrest (OHCA) 30day survivors who were employed prior to their arrest.

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“…These recommendations are especially important to follow in post-arrest AKI, to ensure haemodynamic stability, avoid rapid shifts in fluid balance and serum osmolality, and avoid unnecessary bleeding.In conclusion, we know that development of AKI and treatment with RRT is common after CA. Post-arrest patients treated with RRT have a relatively good long-time outcome; Ridderholm et al showed that many were able to return to work [1]. In these patients, we need treatment recommendations for AKI addressing topics like delayed awakening from coma, and handling of hypervolaemia, hyperkalaemia and acidosis.…”