Cardiopulmonary Arrest Survival Related to Hospital Discharge in Adults

Authors

  • Daiana Terra Nacer Federal University de Mato Grosso do Sul
  • Marisa Dias Rolan Loureiro Federal University de Mato Grosso do Sul
  • Anna Letícia Miranda Hospital das Clínicas de Minas Gerais
  • Isabelle Campos de Azevedo Federal University of Rio Grande do Norte
  • Marcos Antonio Ferreira Júnior Federal University of Rio Grande do Norte

DOI:

https://doi.org/10.3823/2048

Keywords:

Heart Arrest, Cardiopulmonary Resuscitation, Survival

Abstract

Objective: To analyze the characteristics of patients surviving from a Cardiopulmonary Arrest (CPA) and identify factors related to the survival to hospital discharge in adults. Method: Analytical, prospective, quantitative study, developed in a tertiary public hospital in Campo Grande, the capital of Mato Grosso do Sul, Brazil, in the adult, general and cardiac ICU. Results: 78 survivors of CPA were evaluated, 38.5% had hospital discharge, all showed only one CPA event, while those who evolved to death had two or more events. There was an association between the number of CPA and the outcome, and the relationship between the use of vasoactive drugs and kidney failure with death. Conclusion: CPA remains a survival event and outcome variables. Currently, there are no prognostic models able to identify which patients would not benefit from resuscitation. Studies on this topic must be multiplied to increase knowledge on the subject and contribute to current statistics scarce, and increase understanding of these events.

Author Biography

Isabelle Campos de Azevedo, Federal University of Rio Grande do Norte

Nurse. Master's Student in Post-Graduate Program in Nursing of the Federal University of Rio Grande do Norte. Natal/RN, Brazil.

References

Sociedade Brasileira de Cardiologia. I Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol. 2013; 101(supp. 3):1-221.

King BP, d'Agapeyeff A, Gabbott DA. Inconsistencies in cardiac arrest reporting. Resuscitation. 2006; 68(1):85-91.

American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Circulation. 2010; 122(18 suppl 3) Available from: https://www.heart.org/idc/groups/heart-public/@wcm/@ecc/documents/downloadable/ucm_317350.pdf

American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 suppl 2) Available from: http://eccguidelines.heart.org/wp-content/uploads/2015/10/2015-AHA-Guidelines-Highlights-English.pdf

Hasegawa K, Tsugawa Y, Camargo CA Jr, Hiraide A, Brown DF. Regional variability in survival outcomes of out-of-hospital cardiac arrest: the All-Japan Utstein Registry. Resuscitation. 2013; 84(8):1099-107.

Buanes EA, Heltne JK. Comparison of in-hospital and out-of-hospital cardiac arrest outcomes in a Scandinavian community. Acta Anaesthesiol Scand. 2014; 58(3):316-22.

Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart Disease and Stroke Statistics—2013 Update A Report From the American Heart Association. Circulation. 2013; 127(1):e6-e245.

Berdowski J, Berg RA, Tijssen JG, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010; 81(11):1479-87.

Chan PS, McNally B, Tang F, Kellermann A; CARES Surveillance Group. Recent Trends in Survival From Out-of-Hospital Cardiac Arrest in the United States. Circulation. 2014; 130(21):1876-82.

Girotra S, Nallamothu BK, Spertus JA, Li Y; Krumholz HM, Chan PS. Trends in Survival After In-Hospital Cardiac Arrest. N Engl J Med. 2012; 367(20):1912–1920.

Gomes AMCG, timerman A, Souza CAM, Mendes CMC, Póvoas Filho HP, Oliveira AM, et al. In-Hospital Post-Cardiopulmonary-Cerebral Resuscitation Survival Prognostic Factors. Arq. Bras. Cardiol. 2005; 85(4):262-271.

Cummins RO, Chamberlain D, Hazinski MF, 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 European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Australian Resuscitation Council, and the Resuscitation Councils of Southern Africa. Resuscitation. 1997; 34(2):151-83.

Abelha FJ, Castro MA, Landeiro NM, Neves AM, Santos CC. Mortality and Length of Stay in a Surgical Intensive Care Unit. Rev Bras Anestesiol. 2006; 56(1):34-45.

Peberdy MA, Kaye W, Ornato JP, Larkin GL, Nadkarni V, Mancini ME, et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003; 58(3):297-308.

Laurent I, Monchi M, Chiche JD, Joly LM, Spaulding C, Bourgeois B, et al. Reversible myocardial dysfunction in survivors of out-of-hospital cardiac arrest. J Am Coll Cardiol. 2002; 40(12):2110-6.

Okamoto TY, Dias JCY, Taguti P, Sacon MF, Kauss IAM, Carrilho CMDM, et al. Acute renal injury in patients with severe sepsis: prognostic factors. Scientia Medica. 2012; 22(3):138-41.

Bartholomay E, Dias FS, Torres FA, Jacobson P, Mariante A, Wainstein R, et al. Impact of Cerebral Cardiopulmonary Resuscitation Maneuvers in a General Hospital. Prognostic Factors and Outcomes. Arq. Bras. Cardiol. 2003; 81(2):189-195.

Chica RD, Colmenero M, Chavero MJ, Muñoz V, Tuero G, Rodríguez M. Factores pronósticos de mortalidad en una cohorte de pacientes con parada cardiorrespiratoria hospitalaria. Med. Intensiva. 2010; 34(3):165-169.

Guerrer FJL. Estresse dos enfermeiros que atuam em unidades de terapia intensiva do Brasil. 2007. Dissertação (Mestrado em Enfermagem na Saúde do Adulto) - Escola de Enfermagem, Universidade de São Paulo, São Paulo; 2007. Disponível em: http://www.teses.usp.br/teses/disponiveis/7/7139/tde-20042007-102303/pt-br.php

Downloads

Published

2016-08-05

Issue

Vol. 9 (2016)

Section

Cardiology

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).

 

 

Most read articles by the same author(s)

1 2 > >>