کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3007637 1578977 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Conversion to shockable rhythms is associated with better outcomes in out-of-hospital cardiac arrest patients with initial asystole but not in those with pulseless electrical activity
ترجمه فارسی عنوان
تبدیل به ریتم تهاجمی با نتایج بهتر در بیماران قلبی خارج از بیمارستان با آسیستول اولیه همراه است، اما نه در افراد با فعالیت الکتریکی بدون پالس
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundThe prognostic implication of conversion from initially non-shockable to shockable rhythms in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Our objective is to determine whether the conversion to shockable rhythms is a reliable predictor of short- and long-term outcomes both in patients who initially presented with pulseless electrical activity (PEA) and in those with asystole.MethodsA secondary analysis was performed on non-traumatic OHCA cases ≥18 years old with PEA or asystole as initial rhythms, who were treated in the field and enrolled in the Resuscitation Outcomes Consortium (ROC) PRIMED study (clinicaltrials.gov/ct2/show/NCT00394706). We reported the characteristics and outcomes for those patients with or without shocks delivered in the field. Logistic regression analysis assessed the association of shock delivery with pre-hospital return of spontaneous circulation (ROSC), survival to hospital discharge and favorable neurological outcome as well.ResultsOf the 9902 included cases, 3415 (34.5%) were initially in PEA and 6487 (65.5%) were in asystole. 744 (21.8%) PEA and 1134 (17.5%) asystolic patients underwent rhythm conversions and received subsequent shocks. For asystolic patients, the adjusted odds ratios (ORs) of shock delivery for pre-hospital ROSC, survival to discharge and favorable neurological outcome were 1.862 (95%CI 1.590–2.180), 3.778 (95%CI 2.374–6.014) and 4.154 (95%CI 2.192–7.871) respectively, while for PEA patients they were 0.951 (95%CI 0.796–1.137), 1.115 (95%CI 0.720–1.726) and 1.373 (95%CI 0.790–2.385) respectively.ConclusionsConversion to shockable rhythms was associated with better outcomes in initially asystolic OHCA patients, whereas such associations were not observed in patients initially in PEA.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 107, October 2016, Pages 88–93
نویسندگان
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