Brain Performance Evaluation of Patients Survivors after a Cardiorespiratory Arrest

Abstract

Introduction: Cardiopulmonary arrest (CPA) is the absence of cardiac mechanical activity, confirmed by the absence of detectable pulse, lack of responsiveness and apnea or gasping, and panting. Objective: To evaluate the brain performance of the adult patients surviving the CPA before it, at discharge and after six months, and to describe the survival of patients six months after hospital discharge. Methods: This is a descriptive, analytical, prospective study with a quantitative approach, developed in a general philanthropic hospital in the city of Campo Grande, in Mato Grosso do Sul, Midwestern Brazil, with 78 patients surviving for Cardiopulmonary Arrest (CPA). Results: Regarding CPA, there were 56.4% (n=44) of cases occurring in the intra-hospital and 30 patients had their hospital discharge. Among the previous diseases, there was hypertension highlighted with 44.9% (n=35). However, there was no statistically significant difference between the previous average of Cerebral Performance Category (CPC) and CPA and at discharge. Of the 30 patients who had hospital discharge, 21 were followed up after discharge, 14 had CPC 1 at discharge, and 15 had the same index six months later. The average CPC at discharge was 1.47 and six months after, it was 1.42. Conclusion: These results enable to understand the gaps in the knowledge of the topic. It is suggested to carry out further research monitoring such patients and recognize the results to facilitate comparisons and contributions to the quality of care in health and decision-making.