Epidemiology and outcome of cardiac arrest in patients with liver cirrhosis
نویسندگان
چکیده
Results Overall 47 patients (35 male, age 60 ± 11 years) with liver cirrhosis and CA with successful CPR were assessed. 17 patients had Child-Pugh A, 17 Child-Pugh B and 13 Child-Pugh C. SOFA-Score on admission was 11 ± 5, MELD-Score was 18 ± 8 on admission. Cause of liver cirrhosis was alcohol in 35 patients, viral hepatitis in 6 patients and other causes in 6 patients. Cardiac events leading to CA were observed in 21 (44%) patients. Initial rhythm was VF/VT in 10 (21%) patients, asystole in 11 (24%) patients, PEA in 24 (51%) patients and unknown in 2 (4%) patients. 31 (66%) patients suffered CA out-of-hospital. Time to ROSC was 17 ± 15 minutes. 28d-survival was overall 28%. 37 (78%) patients were dead after 1 month or had bad neurological outcome (CPC III/IV). None of the patients with Child-Pugh C cirrhosis survived 1 month with good neurologic outcome.
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