...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The American Journal of Cardiology >Etiology and Determinants of In-Hospital Survival in Patients Resuscitated After Out-of-Hospital Cardiac Arrest in an Urban Medical Center
【24h】

Etiology and Determinants of In-Hospital Survival in Patients Resuscitated After Out-of-Hospital Cardiac Arrest in an Urban Medical Center

机译：在城市医疗中心在医院内心骤停后复苏后患者住院内生存的病因和决定因素

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Out-of-hospital cardiac arrest (OHCA) is a leading cause of mortality globally. The goals of this study were to describe common causes of OHCA in an urban US medical center, identify predictive factors for survival, and to assess whether neurological status upon return of spontaneous circulation might be predictive of outcomes: 124 consecutive patients aged 18 years and older with OHCA admitted at Advocate Illinois Masonic Medical Center were studied. All patients resuscitated in the field with return of spontaneous circulation then transferred to the emergency department were included. The Glasgow Coma Score (GCS) was evaluated immediately on hospital arrival. In the total group, 34% (42 of 124) were discharged alive. In patients with coronary artery disease (CAD), 51% (20 of 39) were discharged alive versus 26% (22 of 85) of non-CAD patients (p = 9 was highly predictive of survival: 94% (34 of 36) of patients with GCS >= 9 survived versus 9% (8 of 88) with GCS = 9 on presentation to the Emergency Department survived whereas all 13 with GCS = 9 survived, whereas only 2 of 52 with GCS = 9) regardless of etiology was a strong predictor of survival to discharge. Additional predictive factors depend on the etiology of the OHCA event. These data suggest that these straightforward factors can be helpful in predicting outcome in patients resuscitated after OHCA. (C) 2020 Elsevier Inc. All rights reserved.
机译：院外心脏骤停（OHCA）是全球死亡率的主要原因。这项研究的目的是描述美国城市医疗中心OHCA的常见原因，确定生存的预测因素，并评估自发循环恢复后的神经状态是否可以预测结果：研究了124名年龄在18岁及以上的OHCA患者，这些患者均在伊利诺伊共济会医疗中心住院。所有在现场复苏并恢复自主循环，然后转移到急诊科的患者都包括在内。格拉斯哥昏迷评分（GCS）在抵达医院后立即进行评估。在总组中，34%（124人中的42人）活着出院。在冠状动脉疾病（CAD）患者中，51%（39例中的20例）存活出院，而非CAD患者中的26%（85例中的22例）（p=9）对生存率具有高度预测性：94%（36例中的34例）GCS>=9的患者存活，而在急诊科就诊时GCS=9的患者存活率为9%（88例中的8例），而GCS=9的13例患者全部存活，而在52例GCS=9的患者中，无论病因如何，只有2例是出院存活率的有力预测因素。其他预测因素取决于OHCA事件的病因。这些数据表明，这些直接的因素有助于预测OHCA后复苏患者的预后。（C） 2020爱思唯尔公司版权所有。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号