Survival in sudden cardiac arrest in emergency room: case-control study
INTRODUCTION: Systematic analysis of risk factors, causes of sudden death and patient survivability allows implementation of increasingly effective methods and procedures for emergency cardiac arrest (SCA). The conditions of the emergency room (ER) allow for initial medical imaging and laboratory di...
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| Format: | Article |
| Language: | English |
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Towarzystwo Pomocy Doraźnej
2019-09-01
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| Series: | Critical Care Innovations |
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| Online Access: | https://www.irdim.net/cci/2(3)1-10.html |
| _version_ | 1818863047036370944 |
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| author | Oliwia Sosnowska-Mlak Nicolas Curt Luis M. Pinet Peralta |
| author_facet | Oliwia Sosnowska-Mlak Nicolas Curt Luis M. Pinet Peralta |
| author_sort | Oliwia Sosnowska-Mlak |
| collection | DOAJ |
| description | INTRODUCTION: Systematic analysis of risk factors, causes of sudden death and patient survivability allows implementation of increasingly effective methods and procedures for emergency cardiac arrest (SCA). The conditions of the emergency room (ER) allow for initial medical imaging and laboratory diagnostics, which facilitate the assessment of critical parameters that may be a predictor of SCA. The aim of the study is to determine the survival level of patients with SCA that were staying in ER and to indicate the factors that increase the likelihood of SCA. MATERIAL AND METHODS: The study was conducted in 2018 based on medical records of SOR in 73 patients with sudden cardiac arrest in SOR. Descriptive statistics and data analysis were performed using parametric tests (Pearson test). The level of significance was determined for p <0,05. RESULTS: The average age of SOR patients was 72 years (SD ± 16.29). In most cases, the patients were brought to the ER by the EMS. Sinus rhythm dominated in ECG tests,before the onset of SCA,. The ECG mechanisms in which SCA occurred were: asystole (50.7%), PEA (32.9%) and VF / pVT (16.4%), respectively. Among half of the patients (50.7%) of ER spontaneous circulation was restored, while 49.3% of ER patients were fatal. The relationship between mortality and O2 partial pressure, methanol, MPV, D-dimer, pH and HCO3 has been demonstrated. CONCLUSIONS: In the examined group of patients with SCA,non-defibrillatory rhythms (asystole, PEA) dominate. Half of the patients manage to achieve ROSC under ER conditions. There are predictors of SCA in patients in ER. |
| first_indexed | 2024-12-19T10:09:32Z |
| format | Article |
| id | doaj.art-7674893d14bf4220a4b44bd83894056c |
| institution | Directory Open Access Journal |
| issn | 2545-2533 2545-2533 |
| language | English |
| last_indexed | 2024-12-19T10:09:32Z |
| publishDate | 2019-09-01 |
| publisher | Towarzystwo Pomocy Doraźnej |
| record_format | Article |
| series | Critical Care Innovations |
| spelling | doaj.art-7674893d14bf4220a4b44bd83894056c2022-12-21T20:26:25ZengTowarzystwo Pomocy DoraźnejCritical Care Innovations2545-25332545-25332019-09-012311010.32114/CCI.2019.2.3.1.10Survival in sudden cardiac arrest in emergency room: case-control studyOliwia Sosnowska-Mlak 0https://orcid.org/0000-0002-4995-4783Nicolas Curt 1https://orcid.org/0000-0001-8853-8195Luis M. Pinet Peralta 2https://orcid.org/0000-0002-4864-3705Department of Nursing and Emergency Medicine, Siedlce University of Natural Sciences, and Humanities, Siedlce, PolandCollège des Cordeliers, Oloron-Sainte-Marie, FranceMaryland Institute for Emergency Medical Services Systems / University of Maryland School of Medicine, College Park, United StatesINTRODUCTION: Systematic analysis of risk factors, causes of sudden death and patient survivability allows implementation of increasingly effective methods and procedures for emergency cardiac arrest (SCA). The conditions of the emergency room (ER) allow for initial medical imaging and laboratory diagnostics, which facilitate the assessment of critical parameters that may be a predictor of SCA. The aim of the study is to determine the survival level of patients with SCA that were staying in ER and to indicate the factors that increase the likelihood of SCA. MATERIAL AND METHODS: The study was conducted in 2018 based on medical records of SOR in 73 patients with sudden cardiac arrest in SOR. Descriptive statistics and data analysis were performed using parametric tests (Pearson test). The level of significance was determined for p <0,05. RESULTS: The average age of SOR patients was 72 years (SD ± 16.29). In most cases, the patients were brought to the ER by the EMS. Sinus rhythm dominated in ECG tests,before the onset of SCA,. The ECG mechanisms in which SCA occurred were: asystole (50.7%), PEA (32.9%) and VF / pVT (16.4%), respectively. Among half of the patients (50.7%) of ER spontaneous circulation was restored, while 49.3% of ER patients were fatal. The relationship between mortality and O2 partial pressure, methanol, MPV, D-dimer, pH and HCO3 has been demonstrated. CONCLUSIONS: In the examined group of patients with SCA,non-defibrillatory rhythms (asystole, PEA) dominate. Half of the patients manage to achieve ROSC under ER conditions. There are predictors of SCA in patients in ER.https://www.irdim.net/cci/2(3)1-10.htmlsudden cardiac arrestemergency roomacute coronary syndromeheart failure |
| spellingShingle | Oliwia Sosnowska-Mlak Nicolas Curt Luis M. Pinet Peralta Survival in sudden cardiac arrest in emergency room: case-control study Critical Care Innovations sudden cardiac arrest emergency room acute coronary syndrome heart failure |
| title | Survival in sudden cardiac arrest in emergency room: case-control study |
| title_full | Survival in sudden cardiac arrest in emergency room: case-control study |
| title_fullStr | Survival in sudden cardiac arrest in emergency room: case-control study |
| title_full_unstemmed | Survival in sudden cardiac arrest in emergency room: case-control study |
| title_short | Survival in sudden cardiac arrest in emergency room: case-control study |
| title_sort | survival in sudden cardiac arrest in emergency room case control study |
| topic | sudden cardiac arrest emergency room acute coronary syndrome heart failure |
| url | https://www.irdim.net/cci/2(3)1-10.html |
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