Infections in out-of-hospital and in-hospital post-cardiac arrest patients
| Autor: | Michael N. Cocchi, Michael W. Donnino, Mary MacDonald, Anne V. Grossestreuer, Mathias J Holmberg, Lauren Blewett, Maureen Chase, David S. Yassa, Amy Uber, Parth V. Patel, Meredith Hurley, Sharri J. Mortensen |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty BACTEREMIA THERAPEUTIC HYPOTHERMIA medicine.drug_class medicine.medical_treatment Urinary system UTI Antibiotics 030204 cardiovascular system & hematology Targeted temperature management Return of spontaneous circulation Infections Post-arrest care 03 medical and health sciences Post-cardiac arrest 0302 clinical medicine Internal medicine Internal Medicine medicine Humans 030212 general & internal medicine Aged Retrospective Studies RISK SURVIVORS COMPLICATIONS EARLY-ONSET PNEUMONIA business.industry Incidence (epidemiology) Bacterial Infections Pneumonia Middle Aged medicine.disease Cardiopulmonary Resuscitation Anti-Bacterial Agents Heart Arrest Bacteremia Emergency Medicine Sputum Female medicine.symptom business Out-of-Hospital Cardiac Arrest Boston |
| Zdroj: | Mortensen, S J, Hurley, M, Blewett, L, Uber, A, Yassa, D, MacDonald, M, Patel, P, Chase, M, Holmberg, M J, Grossestreuer, A V, Donnino, M W & Cocchi, M N 2020, ' Infections in out-of-hospital and in-hospital post-cardiac arrest patients ', Internal and Emergency Medicine, vol. 15, no. 4, pp. 701-709 . https://doi.org/10.1007/s11739-020-02286-3 |
| DOI: | 10.1007/s11739-020-02286-3 |
| Popis: | This study aims to describe infectious complications in both out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) patients with sustained return of spontaneous circulation (ROSC) and to compare differences in antimicrobial treatment and outcomes between the two groups. This was a retrospective, single-center, observational study. Adult patients (≥ 18 years) with OHCA or IHCA who had sustained ROSC between December 2007 to March 2015 were included. Blood, urine, sputum, and other fluid cultures, as well as radiologic imaging, were obtained at the discretion of the treating clinical teams. 275 IHCA and 318 OHCA patients were included in the analysis. We found evidence of infection in 181 IHCA and 168 OHCA patients. Significant differences were found between the IHCA and OHCA group in terms of initial rhythm, duration of arrest (10 min vs. 20, p = |
| Databáze: | OpenAIRE |
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