کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5620248 1578969 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Clinical paperBystander CPR is associated with improved neurologically favourable survival in cardiac arrest following drowning
ترجمه فارسی عنوان
مقاله بالینی BSTRAND همراه با بهبود وضعیت نورولوژیکی در بازداشت قلب پس از غرق شدن
کلمات کلیدی
احیا قلب و عروق و مراقبت های اورژانسی قلبی؛ دستگیری قلب و عروق؛ مرگ و میر / بقا؛ کیفیت و نتایج غرق شدن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundCardiac arrest associated with drowning is a major public health concern with limited research available on outcome. This investigation aims to define the population at risk, and identify factors associated with neurologically favourable survival.MethodsThe Cardiac Arrest Registry for Enhanced Survival (CARES) database was queried for patients who had suffered cardiac arrest following drowning between January 1, 2013 and December 31, 2015. The primary outcomes of interest were for favourable or unfavourable neurological outcome at hospital discharge, as defined by Cerebral Performance Category (CPC).ResultsA total of 919 drowning patients were identified. Neurological outcome data was available in 908 patients. Neurologically favourable survival was significantly associated with bystander CPR (Odds Ratio (OR) = 2.94; 95% Confidence Interval (CI) 1.86-4.64; p < 0.001), witnessed drowning (OR = 2.6; 95% CI 1.69-4.01; p < 0.001) and younger age (OR = 0.97, 95% CI 0.96-0.98; p < 0.001).Public location of drowning (OR = 1.17; 95% CI 0.77-1.79; p = 0.47), male gender (OR = 0.9, 95% CI 0.57-1.43; p = 0.66), and shockable rhythm (OR = 1.54; 95% CI 0.76-3.12; p = 0.23), were not associated with favourable neurological survival. AED application prior to EMS was associated with a decreased likelihood of favourable neurological outcome (OR = 0.38; 95% CI 0.28-0.66; p < 0.001).In multivariate analysis, bystander CPR (adjusted OR 3.02, 95% CI 1.85-4.92, p < 0.001), witnessed drowning (adjusted OR 3.27, 95% CI 2.0-5.36, p < 0.001) and younger age (adjusted OR 0.97, 95% CI 0.96-0.98, p < 0.001) remained associated with neurologically favourable survival.ConclusionsNeurologically favourable survival after drowning remains low but is improved by bystander CPR. Shockable rhythms were uncommon and not associated with improved outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 115, June 2017, Pages 39-43
نویسندگان
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