Abstract 317: Outcome Predictors in Substance - Related Cardiac Arrests
| العنوان: | Abstract 317: Outcome Predictors in Substance - Related Cardiac Arrests |
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| المؤلفون: | Rajeev Malhotra, Joseph T. Giacino, M.B. Westover, Brian L. Edlow, Ming Ming Ning, David M. Greer, Eric Rosenthal, Annelise Kulpanowski, Brandon L. Hancock, William A. Copen, Pamela W. Schaefer, W. T Kimberly, Edilberto Amorim, Ona Wu |
| المصدر: | Circulation. 142 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Opioid epidemic, business.industry, Physiology (medical), Internal medicine, Incidence (epidemiology), medicine, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Introduction: The incidence of substance-related cardiac arrests (SRCA) has increased due to the opioid epidemic. Previous studies have shown that SRCA present differently than non-SRCA. Weinvestigated differences in the clinical courses between the two groups for patients who were initially comatose post-resuscitation. Methods: Data from out-of-hospital arrest patients seen between 2007-2019 were retrospectively analyzed. Arrests were classified as SRCA if the patient had a positive toxicology screen, witnesses testified to substance use, or drug paraphernalia was present at the scene. Arrest types were categorized as shockable or non-shockable. Cerebral edema classifications were based on MRI or CT radiology reports. Poor outcomes were defined as Cerebral Performance Category (CPC) > 3 at discharge. Differences in demographics, presentation and outcomes were compared (Fisher’s Exact Test or Exact Wilcoxon-Mann-Whitney). Multivariable backward stepwise logistic regression was performed. Results: SRCA patients (N=90) were younger (p Discussion: SRCA patients are more likely to have non-shockable arrests which in turn leads to cerebral edema development and potentially worse outcomes. |
| تدمد: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.142.suppl_4.317 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::eb148cb3f120e30862aad66170f95095 https://doi.org/10.1161/circ.142.suppl_4.317 |
| رقم الانضمام: | edsair.doi...........eb148cb3f120e30862aad66170f95095 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244539 00097322 |
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| DOI: | 10.1161/circ.142.suppl_4.317 |