A systematic diagnostic and therapeutic approach for the treatment of patients after cardio-pulmonary resuscitation: a prospective evaluation of 212 patients over 5 years
| Autor: | Dierk Vagts, Stefan Gruene, Bernward Lauer, Victor Stefan, Marc Ohlow, Jan Hemker, Hubertus von Korn, Reyn van Ewijk, Burkhard Sanwald, Ulrich Hink, Kamalesh Chakraborty, Thomas Münzel |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Resuscitation Cardiac Catheterization Time Factors Adolescent medicine.medical_treatment 030204 cardiovascular system & hematology Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Internal medicine Germany Internal Medicine medicine Humans 030212 general & internal medicine Cardiopulmonary resuscitation Prospective Studies Prospective cohort study Survival rate Cardiac catheterization Aged Aged 80 and over Chi-Square Distribution Intra-Aortic Balloon Pumping business.industry Middle Aged medicine.disease Survival Analysis Cardiopulmonary Resuscitation Surgery Treatment Outcome Ventricular fibrillation Conventional PCI Emergency Medicine Cardiology Female business TIMI Out-of-Hospital Cardiac Arrest |
| Zdroj: | Internal and emergency medicine. 12(4) |
| ISSN: | 1970-9366 |
| Popis: | A literature on systematic treatment protocols for patients after resuscitation for cardiac arrest is lacking. We evaluated a systematic protocol, including ECG, echocardiogram, urgent cardiac catheterisation ("STEMI-like" workflow), CT scans, laboratory findings, IABP, hypothermia, and cMRI, prospectively over 5 years. The primary endpoint was the Cerebral Performance Category Scale (CPCS). During the period from January 2008 to December 2012, 212 patients were included. The mean age was 66.7 years, n = 151 (71.2 %) were male, mean time from the first medical contact to start of catheterisation was 76.6 min, and ventricular fibrillation (VF) was present in n = 99 (46.7 %). A significant coronary artery stenosis was seen in n = 130 (61.3 %), PCI was performed in n = 101 (47.6 %), an ACS was found in n = 100 (47.2 %), n = 91 patients (42.9 %) had another cardiac cause, an extra-cardiac cause was found in n = 12 (5.7 %, mostly a cerebral process), and in 9 patients (4.3 %), no cause was identifiable. A significant difference in mortality was found for patients with TIMI flow 2/3 vs. 0/1 (65.4 vs. 95.7 %, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink