Academic Journal
Duration of cardiopulmonary resuscitation and outcomes for adults with in-hospital cardiac arrest:Retrospective cohort study
| العنوان: | Duration of cardiopulmonary resuscitation and outcomes for adults with in-hospital cardiac arrest:Retrospective cohort study |
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| المؤلفون: | Okubo, Masashi, Komukai, Sho, Andersen, Lars W., Berg, Robert A., Kurz, Michael C., Morrison, Laurie J., Callaway, Clifton W. |
| المصدر: | Okubo , M , Komukai , S , Andersen , L W , Berg , R A , Kurz , M C , Morrison , L J & Callaway , C W 2024 , ' Duration of cardiopulmonary resuscitation and outcomes for adults with in-hospital cardiac arrest : Retrospective cohort study ' , BMJ , vol. 384 , e076019 . https://doi.org/10.1136/bmj-2023-076019 |
| سنة النشر: | 2024 |
| المجموعة: | Aarhus University: Research |
| مصطلحات موضوعية: | Adult, Cardiopulmonary Resuscitation, Heart Arrest/therapy, Hospitals, Humans, Prospective Studies, Retrospective Studies |
| الوصف: | Objective: To quantify time dependent probabilities of outcomes in patients after in-hospital cardiac arrest as a function of duration of cardiopulmonary resuscitation, defined as the interval between start of chest compression and the first return of spontaneous circulation or termination of resuscitation. Design: Retrospective cohort study. Setting: Multicenter prospective in-hospital cardiac arrest registry in the United States. Participants: 348 996 adult patients (≥18 years) with an index in-hospital cardiac arrest who received cardiopulmonary resuscitation from 2000 through 2021. Main outcome measures: Survival to hospital discharge and favorable functional outcome at hospital discharge, defined as a cerebral performance category score of 1 (good cerebral performance) or 2 (moderate cerebral disability). Time dependent probabilities of subsequently surviving to hospital discharge or having favorable functional outcome if patients pending the first return of spontaneous circulation at each minute received further cardiopulmonary resuscitation beyond the time point were estimated, assuming that all decisions on termination of resuscitation were accurate (that is, all patients with termination of resuscitation would have invariably failed to survive if cardiopulmonary resuscitation had continued for a longer period of time). Results: Among 348 996 included patients, 233 551 (66.9%) achieved return of spontaneous circulation with a median interval of 7 (interquartile range 3-13) minutes between start of chest compressions and first return of spontaneous circulation, whereas 115 445 (33.1%) patients did not achieve return of spontaneous circulation with a median interval of 20 (14-30) minutes between start of chest compressions and termination of resuscitation. 78 799 (22.6%) patients survived to hospital discharge. The time dependent probabilities of survival and favorable functional outcome among patients pending return of spontaneous circulation at one minute's duration of cardiopulmonary resuscitation were ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1136/bmj-2023-076019 |
| الاتاحة: | https://pure.au.dk/portal/en/publications/19235f46-14b7-40d6-80f3-2e822b42566d https://doi.org/10.1136/bmj-2023-076019 http://www.scopus.com/inward/record.url?scp=85184720624&partnerID=8YFLogxK |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.77843C22 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmj-2023-076019 |
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