Pulseless electrical activity vs. asystole in adult in-hospital cardiac arrest: Predictors and outcomes
نویسندگان
چکیده
AimThis observational cohort study aimed to identify factors associated with pulseless electrical activity (PEA) and asystole in in-hospital cardiac arrest (IHCA) patients determine whether differences outcome based on the initial rhythm were explained by patient- characteristics.MethodsAdults IHCA from 2017 2018 included Danish Registry (DANARREST). Additional data came population-based registries. Unadjusted (RRs) adjusted risk ratios (aRRs) estimated for predictors of rhythm, return spontaneous circulation (ROSC), survival.ResultsWe 1495 PEA 1285 patients. The did not differ substantially patient characteristics. Female sex, age>90 years, pulmonary disease, obesity asystole. Ischemic heart disease witnessed monitored PEA. In unadjusted analyses, was increased ROSC (aRR = 1.21, 95% confidence interval [CI] 1.10; 1.33). also 30-day 1-year survival analysis, while there no clear association between 0.88, CI 0.71; 1.11) 0.85, 0.69; 1.04) when characteristics for.ConclusionIn presenting or asystole, major demographics comorbidities. differed Initial higher ROSC, but difference survival.
منابع مشابه
Outcome of out-of-hospital postcountershock asystole and pulseless electrical activity versus primary asystole and pulseless electrical activity.
OBJECTIVE In the prehospital setting, countershock terminates ventricular fibrillation (VF) in about 80% of cases. However, countershock is most commonly followed by asystole or pulseless electrical activity (PEA). The consequences of such a countershock outcome have not been well studied. The purpose of this investigation was to compare the outcome of prehospital VF victims shocked into asysto...
متن کاملOutcomes following out-of-hospital cardiac arrest with an initial cardiac rhythm of asystole or pulseless electrical activity in Victoria, Australia.
BACKGROUND While internationally reported survival from out-of-hospital cardiac arrest (OHCA) is improving, much of the increase is being observed in patients presenting to emergency medical services (EMS) in shockable rhythms. The purpose of this study was to assess survival and 12-month functional recovery in patients presenting to EMS in asystole or pulseless electrical activity (PEA). MET...
متن کاملApplication of ultrasound in pulseless electrical activity (PEA) cardiac arrest
____________________________________________________________________________________________________________________ . MD, Researcher, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. [email protected] . (Corresponding author) MD, Professor of Neurosurgery, Research Vice Chancellor of Sina Trauma and Surgery Research Center, Department of Neuro...
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ژورنال
عنوان ژورنال: Resuscitation
سال: 2021
ISSN: ['1873-1570', '0300-9572']
DOI: https://doi.org/10.1016/j.resuscitation.2021.05.036