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  1. Characteristics and outcome among patients with a suspected in-hospital cardiac arrest.

    Article - En anglais

    Aim 

    To describe the characteristics and outcome among patients with a suspected in-hospital cardiac arrest.

    Methods 

    All the patients who suffered from a suspected in-hospital cardiac arrest during a 14-months period, where the cardiopulmonary resuscitation (CPR) team was called, were recorded and described prospectively in terms of characteristics and outcome.

    Results 

    There were 278 calls for the CPR team.

    Of these, 216 suffered a true cardiac arrest, 16 a respiratory arrest and 46 neither.

    The percentage of patients who were discharged alive from hospital was 42% for cardiac arrest patients. 62% for respiratory arrest and 87% for the remaining patients.

    Among patients with a cardiac arrest, those found in ventricular fibrillation/ventricular tachycardia had a survival rate of 64%, those found in asystole 24% and those found in pulseless electrical activity 10%. Among patients who were being monitored at the time of arrest, the survival rate was 52% as compared with 27% for non-monitored patients (P=0.001).

    Among survivors of cardiac arrest, a cerebral performance category (CPC) of 1 (no major deficit) was observed in 81% at discharge and in 82% on admission to hospital prior to the arrest.

    Conclusion 

    We conclude that, during a 14-month period at Sahlgrenska University Hospital in Göteborg, almost half the patients with a cardiac arrest in which the CPR team was called were discharged from hospital. (...)

    Mots-clés Pascal : Arrêt cardiocirculatoire, Milieu hospitalier, Réanimation cardiocirculatoire, Taux, Survie, Pronostic, Homme, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Cardiocirculatory arrest, Hospital environment, Intensive cardiocirculatory care, Rate, Survival, Prognosis, Human, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0069572

    Code Inist : 002B27B01. Création : 31/05/1999.