Characterization of cardiac arrest in the emergency department of a Brazilian University Reference Hospital: A prospective study

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dc.citation.volume144
dc.contributor.authorVancini-Campanharo, Cassia Regina [UNIFESP]
dc.contributor.authorVancini, Rodrigo Luiz
dc.contributor.authorBarbosa de Lira, Claudio Andre
dc.contributor.authorAndrade, Marlia dos Santos [UNIFESP]
dc.contributor.authorLopes, Maria Carolina Barbosa Teixeira [UNIFESP]
dc.contributor.authorOkuno, Meiry Fernanda Pinto [UNIFESP]
dc.contributor.authorBatista, Ruth Ester Assayag [UNIFESP]
dc.contributor.authorAtallah, Álvaro Nagib [UNIFESP]
dc.contributor.authorGois, Aecio Flavio Teixeira de [UNIFESP]
dc.coverageMumbai
dc.date.accessioned2020-07-31T12:47:36Z
dc.date.available2020-07-31T12:47:36Z
dc.date.issued2016
dc.description.abstractBackground & objectives: Sudden cardiac arrest (CA) represents one of the greatest challenges for medicine due to the vast number of cases and its social and economic impact. Despite advances in cardiopulmonary resuscitation (CPR) techniques, mortality rates have not significantly decreased over decades. This study was undertaken to characterize patients that have suffered CA and to identify factors related to mortality. Methods: This prospective study was conducted at Emergency Department of Sao Paulo Hospital, Brazil. Two hundred and eighty five patients were followed for one year after treatment for CA. The mean age was 66.3 +/- 17.2 yr, and they were predominantly male (55.8%) and Caucasian (71.9%). Mortality rate and factors associated with mortality were the primary and secondary outcome measures. Data were collected using an in-hospital Utstein-style report. A logistic regression analysis was used to determine which variables were related to mortality. Results: Regarding the characteristics of CPR, 76.5 per cent occurred in hospital, respiratory failure was the most common presumed immediate cause of CA (30.8%) and pulseless electrical activity was the most frequent initial rhythm (58.7%). All attempts at CPR utilized chest compressions and ventilation and the most utilized interventions were epinephrine (97.2%) and intubation (68.5%). Of all patients treated, 95.4 per cent died. Patients with pulseless electrical activity had a higher risk of death than those patients with ventricular fibrillation. Interpretation & conclusions: The findings of the study highlighted that the mortality rate among CA patients was high. The variable that best explained mortality was the initial CA rhythm.en
dc.description.affiliationUniv Fed Sao Paulo, Paulista Sch Nursing, 754 Napoleao Barros St, BR-04024002 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Espirito Santo, 173 Feliciano Bicudo St, BR-02301020 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Goias, BR-74001970 Goiania, Go, Brazil
dc.description.affiliationUniv Fed Sao Paulo, 862 Botucatu St, BR-04023062 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Paulista Sch Med, 740 Botucatu St, BR-04023062 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespPaulista School of Nursing/Universidade Federal de São Paulo (UNIFESP), 754 Napoleao de Barros Street, São Paulo, SP 04024-002, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo (UNIFESP), 862 Botucatu Street, Sao Paulo, SP 04023-062, Brazil
dc.description.affiliationUnifespPaulista School of Medicine/ Universidade Federal de São Paulo (UNIFESP), 740 Botucatu Street, Sao Paulo, SP 04023-062, Brazil
dc.description.sourceWeb of Science
dc.format.extent552-559
dc.identifierhttp://www.ijmr.org.in/article.asp?issn=0971-5916;year=2016;volume=144;issue=4;spage=552;epage=559;aulast=Vancini-Campanharo
dc.identifier.citationIndian Journal Of Medical Research. Mumbai, v. 144, p. 552-559, 2016.
dc.identifier.doi10.4103/0971-5916.200898
dc.identifier.issn0971-5916
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56928
dc.identifier.wosWOS:000395983100010
dc.language.isoeng
dc.publisherMedknow Publications & Media Pvt Ltd
dc.relation.ispartofIndian Journal Of Medical Research
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCardiac arresten
dc.subjectcardiopulmonary resuscitationen
dc.subjectemergency medical servicesen
dc.subjectepidemiologyen
dc.subjectmortalityen
dc.subjectsurvivalen
dc.titleCharacterization of cardiac arrest in the emergency department of a Brazilian University Reference Hospital: A prospective studyen
dc.typeinfo:eu-repo/semantics/article
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