• Something wrong with this record ?

Treatment and outcome of patients after cardiopulmonary resuscitation admitted to the intensive cardiac care unit

V Pechman, R Jr Rokyta, P Gajdos, J Pesek

. 2009 ; 30 (3) : 363-367.

Language English Country Sweden

Document type Research Support, Non-U.S. Gov't

Persistent link   https://www.medvik.cz/link/bmc12009109

OBJECTIVES: Sudden circulatory arrest is most often of cardiac origin. Our aim was to evaluate circulatory arrest etiology and treatment strategies in patients after cardiopulmonary resuscitation (CPR) with persistent impairment of consciousness in relation to survival and the subsequent quality of life. DESIGN: Retrospective analysis of patients after CPR treated according to the local protocol including mild hypothermia in the intensive cardiac care unit. RESULTS: Over 2 years, we admitted 57 mechanically ventilated patients after CPR. 47 patients (82%) were resuscitated outside the hospital. In 33 patients (58%) the initial rhythm was ventricular fibrillation; in the remaining patients (42%) asystole/pulseless electrical activity. Urgent coronary angiography was performed in 36 patients and percutaneous coronary intervention in 25 of them. The admission APACHE II score was 32,4 +/- 3,4 with predicted mortality of 77,1%. The hospital survival rate was 54% and 47% of the patients were discharged home in a good state of health (Glasgow outcome score 4-5). CONCLUSION: Our results suggest that comprehensive post-resuscitation care including therapeutic hypothermia and percutaneous coronary intervention in selected cases may have a positive impact on the prognosis of patients after CPR.

000      
02898naa a2200457 a 4500
001      
bmc12009109
003      
CZ-PrNML
005      
20130726103951.0
008      
120319s2009 sw eng||
009      
AR
035    __
$a (PubMed)19855360
040    __
$d ABA008 $a ABA008 $b cze
041    0_
$a eng
044    __
$a sw
100    1_
$a Pechman, Vratislav $7 xx0141631 $u Dept of Internal Medicine I, University Hospital Plzen, Faculty of Medicine, School of Medicine Plzen, Charles University Prague
245    10
$a Treatment and outcome of patients after cardiopulmonary resuscitation admitted to the intensive cardiac care unit / $c V Pechman, R Jr Rokyta, P Gajdos, J Pesek
520    9_
$a OBJECTIVES: Sudden circulatory arrest is most often of cardiac origin. Our aim was to evaluate circulatory arrest etiology and treatment strategies in patients after cardiopulmonary resuscitation (CPR) with persistent impairment of consciousness in relation to survival and the subsequent quality of life. DESIGN: Retrospective analysis of patients after CPR treated according to the local protocol including mild hypothermia in the intensive cardiac care unit. RESULTS: Over 2 years, we admitted 57 mechanically ventilated patients after CPR. 47 patients (82%) were resuscitated outside the hospital. In 33 patients (58%) the initial rhythm was ventricular fibrillation; in the remaining patients (42%) asystole/pulseless electrical activity. Urgent coronary angiography was performed in 36 patients and percutaneous coronary intervention in 25 of them. The admission APACHE II score was 32,4 +/- 3,4 with predicted mortality of 77,1%. The hospital survival rate was 54% and 47% of the patients were discharged home in a good state of health (Glasgow outcome score 4-5). CONCLUSION: Our results suggest that comprehensive post-resuscitation care including therapeutic hypothermia and percutaneous coronary intervention in selected cases may have a positive impact on the prognosis of patients after CPR.
590    __
$a bohemika - dle Pubmed
650    02
$a senioři $7 D000368
650    02
$a kardiopulmonální resuscitace $x škodlivé účinky $7 D016887
650    02
$a ženské pohlaví $7 D005260
650    02
$a srdeční zástava $x mortalita $x terapie $7 D006323
650    02
$a lidé $7 D006801
650    02
$a terapeutická hypotermie $7 D007036
650    02
$a péče o pacienty v kritickém stavu $7 D003422
650    02
$a jednotky intenzivní péče $7 D007362
650    02
$a mužské pohlaví $7 D008297
650    02
$a lidé středního věku $7 D008875
650    02
$a kvalita života $7 D011788
650    02
$a retrospektivní studie $7 D012189
650    02
$a míra přežití $7 D015996
650    02
$a výsledek terapie $7 D016896
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Rokyta, Richard, $d 1965- $7 nlk20050170777
700    1_
$a Gajdoš, Petr $7 xx0126424
700    1_
$a Pešek, Jan $7 xx0101986
773    0_
$t Neuroendocrinology Letters $p Neuroendocrinol Lett $g Roč. 30, č. 3 (2009), s. 363-367 $x 0172-780X $w MED00168352
773    0_
$p Neuroendocrinol Lett $g 30(3):363-7, 2009 $x 0172-780X
910    __
$a ABA008 $b x $y 4
990    __
$a 20120319150900 $b ABA008
991    __
$a 20130726104444 $b ABA008
999    __
$a ok $b bmc $g 902333 $s 766015
BAS    __
$a 3
BMC    __
$a 2009 $b 30 $c 3 $d 363-367 $i 0172-780X $m Neuro-endocrinology letters $x MED00168352
LZP    __
$a 2012-1Q10/

Find record

Citation metrics

Archiving options