2019, Number 02
<< Back Next >>
MediSan 2019; 23 (02)
Survival prognosis factors in patients with cardiopulmonary reanimation in an emergency service
Navarro RZ, Rodríguez CRC, Bigñot FL, Romero GLI, Ramírez NCM
Language: Spanish
References: 20
Page: 246-259
PDF size: 1094.32 Kb.
ABSTRACT
Introduction: The factors influencing in the survival of the patient after a cardiopulmonary reanimation up to the hospital discharge have not been described with accuracy.
Objective: To identify the factors related to the survival at discharge in patients who received cardiopulmonary reanimation in an emergency service.
Methods: An analytic cohorts prospective study was carried out in 76 patients who received cardiopulmonary reanimation in the Intensive Care Emergent Unit from Saturnino Lora Torres Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba, from January, 2016 to same month of 2018.
Results: In the univariate analysis the associated factors to survival in an independent way were the heart origin (76.5 %), the pattern of ventricular fibrillation/ ventricular tachicardia without pulse (64.7 %), the non-continuation of ventilation and the sepsis absence (with 88.2 % each of them).
Conclusions: The neurological recovery and unnecessary use of vasoactive drugs were identified as the directly influencing factors in the survival up to the hospital discharge.
REFERENCES
Kleber C, Giesecke MT, Lindner T, Haas NP, Buschmann CT. Requirement for a structured algorithm in cardiac arrest following major trauma: epidemiology, management errors, and preventability of traumatic deaths in Berlin. Resuscitation. 2014; 85:405-10.
Soto Araujo L, Costa Parcero M, González González MD, Sánchez Santos L, Iglesias Vázquez JA, Rodríguez Núñez A. Factores pronóstico de supervivencia en la parada cardiaca extrahospitalaria atendida con desfibriladores externos semiautomáticos en Galicia. Emergencias. 2015; 27:307-12.
Kutcher ME, Forsythe RM, Tisherman SA. Emergency preservation and resuscitation for cardiac arrest from trauma. Int J Surg. 2016; 33:209-12.
Truhlář A, Deakin CD, Soar J, Khalifa GE, Alfonzo A, Bierens JJ, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances. Resuscitation. 2015; 95:148-201.
Silva Cruz D. Evolución clínica, pronóstico y supervivencia en pacientes que recibieron reanimación cardiopulmonar en el servicio de emergencia [tesis]. Lima: Universidad Nacional Mayor de San Marcos; 2003 [citado 10/10/2017]. Disponible en: http://cybertesis.unmsm.edu.pe/bitstream/handle/cybertesis/2065/silva_cd.pdf?sequence=1&isAllowed=y
Lara Latamblé NT, Masso Betancourt E, Álvarez Lambert KR, Aguilar Mendoza I, Pérez Ferreiro YC. Comportamiento de supervivencia a la reanimación cardiopulmonar en servicio de Emergencias. Rev Inf Cient. 2016; 95(1):23-32.
Viejo Moreno R, García Fuentes C, Chacón Alves S, Terceros Almanza LJ, Montejo González JC, Chico Fernández M. Factores pronóstico y resultados intrahospitalarios de la parada cardiaca traumática atendida en un servicio de urgencias. Emergencias. 2017; 28:87-92.
Cummins R, Chamberlain D, Hazinski M, Nadkarni V, Kloeck W, Kramer E, et al. Recommended guidelines for reviewing, reporting and conducting research on in-hospital resuscitation: The in-hospital “Utstein Style”: A statement for healthcare professionals from the American Heart Association, The Australian Resuscitation Council, and the Resuscitation Councils of Souther Africa. Resuscitation. 1997; 95(8):2213-39.
Teasdale G, Jennett B. Assessment of coma impaired consciousnees. A practical scale. Lancet. 1974; 2(7872):81-4.
de la Chica R, Colmenero M, Chavero MJ, Muñoz V, Tuero G, Rodrıíguez M. Factores pronósticos de mortalidad en una cohorte de pacientes con parada cardiorrespiratoria hospitalaria. Med Intensiva. 2010; 34(3):161-9.
Lombardi G, Gallangher E, Gennis P. Outcome of out Hospital Cardiac Arrest in New York City. The Pre-Hospital Arrest Survival Evaluation (PHASE) Study. JAMA. 1994; 271(9):678-83.
Chico Fernández M, Llompart Pou JA, Guerrero López F, Sánchez Casado M, García Sáez I, Mayor García MD, et al. Epidemiology of severe trauma in Spain. Registry of trauma in the ICU (RETRAUCI). Pilot phase. Med Intensiva. 2016; 40(6):327-47.
Shin SD, Kitamura T, Hwang SS, Kajino K, Song KJ, Ro YS, et al. Association between resuscitation time interval at the scene and neurological outcome after out-of-hospital cardiac arrest in two Asian cities. Resuscitation. 2014; 85(2):203-10.
Rossaint R, Bouillon B, Cerny V, Coats TJ, Duranteau J, Fernández Mondéjar E, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Crit Care. 2016 [citado 10/10/2017]; 20:100. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828865/pdf/13054_2016_Article_1265.pdf
Fontanals J, Miró O, Pastor X, Grau JM, Torres A, Zavala E. Reanimación cardiopulmonar en enfermos hospitalizados en unidades convencionales. Estudio prospectivo de 356 casos. Med Clin. 1997; 108: 441-5.
Evans CC, Petersen A, Meier EN, Buick JE, Schreiber M, Kannas D, et al. Prehospital traumatic cardiac arrest: Management and outcomes from the resuscitation outcomes consortium epistry-trauma and PROPHET registries. J Trauma Acute Care Surg. 2016; 81(2):285-93.
Harris T, Masud S, Lamond A, Abu-Habsa M. Traumatic cardiac arrest: a unique approach. Eur J Emerg Med. 2015; 22(2):72-8.
Tiel Groenestege-Kreb D, van Maarseveen O, Leenen L, Howell SJ. Trauma team. Br J Anaesth. 2015; 113(2):258-65.
Huber Wagner S, Lefering R, Qvick M, Kay MV, Paffrath T, Mutschler W, et al. Outcome in 757 severely injured patients with traumatic cardiorespiratory arrest. Resuscitation. 2007; 75(2):276-85.
Grunau B, Reynolds JC, Scheuermeyer FX, Stenstrom R, Pennington S, Cheung C, et al. Comparing the prognosis of those with initial shockable and non-shockable rhythms with increasing durations of CPR: Informing minimum durations of resuscitation. Resuscitation. 2016; 101:50-6.