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Doctoral Thesis
DOI
https://doi.org/10.11606/T.5.2004.tde-06102014-105945
Document
Author
Full name
André Mansur de Carvalho Guanaes Gomes
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2004
Supervisor
Committee
Timerman, Ari (President)
Caramelli, Bruno
Gonçalves Junior, Iran
Schmidt, Andre
Terzi, Renato Giuseppe Giovanni
Title in Portuguese
Fatores prognósticos de sobrevida pós-reanimação cardiorrespiratória cerebral em hospital geral
Keywords in Portuguese
Estudos de coortes
Estudos transversais
Hospitais gerais
Parada cardíaca/epidemiologia
Prognóstico
Ressuscitação cardiopulmonar
Salvador (BA)
Sobrevivência
Abstract in Portuguese
Realizamos este estudo com o objetivo de analisar as principais variáveis clínicas dos pacientes que sofreram parada cardiorrespiratória e detectar fatores prognósticos de sobrevivência a curto e longo prazos, tentando oferecer subsídios aos profissionais de saúde que estão envolvidos com reanimação. Analisamos prospectivamente 452 pacientes que receberam reanimação em hospitais gerais de Salvador. Utilizou-se análise bivariada e estratificada nas associações entre as variáveis e a curva de sobrevida para análise de nove anos de evolução. Observamos 24% de sobrevida imediata e 5% de sobrevida à alta hospitalar. Os fatores prognósticos de sobrevida imediata foram: ter doença de base, a enfermidade cardiovascular, diagnosticar o ritmo cardíaco , ritmo de fibrilação ou taquicardia ventricular, tempo estimado pré-reanimação menor ou igual a cinco minutos; tempo de reanimação menor ou igual a 15 minutos. As variáveis prognósticas sobrevida a longo prazo foram: não usar adrenalina; ser reanimado em hospital privado;tempo de reanimação menor ou igual a 15 minutos
Title in English
Prognostic factors on post cardiopulmonary cerebral resuscitation in general hospitals
Keywords in English
Cardiopulmonary resuscitation
Cohort studies
Cross-sectional studies
General hospitals
Heart arrest /epidemiology
Prognosis
Salvador (BA)
Survival
Abstract in English
The objectives of this study are to analyze the main clinical and demographic characteristics of patients who suffer cardiac arrest and identify variables involved in survival outcomes. The study enrolled 452 patients, which received cardiopulmonary resuscitation in general hospitals. We prospectively analyzed the main variables associated with ROSC and survival to hospital discharge utilizing bivariate and stratified. The Kaplan-Meier technique was used to analyze the survival curves after nine years. Of the 452 resuscitation attempts, 107 (24%) patients had ROSC and only 22 (5%) were discharge from hospital. The variables with greatest prognostic value for immediate survival were: having a co-morbid condition, cardiovascular disease as the etiology, determination of cardiac rhythm, ventricular arrhythmia as rhythm of arrest, estimated pre-resuscitation time less than or equal to 5 minutes and the resuscitation effort duration less than or equal to 15 minutes. The variables associated with better long term survival were: not using adrenaline, being resuscitated in a private hospital and resuscitation efforts lasting less than or equal to 15 minutes
 
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Publishing Date
2014-10-07
 
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