Document Detail


Prediction of death and neurologic outcome in the emergency department in out-of-hospital cardiac arrest survivors.
MedLine Citation:
PMID:  9462599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the hospital records of 127 consecutive patients who were resuscitated from cardiac arrest in a retrospective cohort analysis. A cardiac arrest score utilizing time to return of spontaneous circulation, systolic blood pressure at the time of presentation, and initial neurologic exam were calculated. This score was analyzed with 39 other clinical variables for significance with regard to mortality or neurologic survival using multivariate analysis. Combining these variables into a cardiac arrest score (levels 0, 1, 2, 3, from least to most favorable) allowed prediction of neurologic outcomes and mortality from a single variable in an independent fashion (p < 0.0001). Logistic regression models found scores of 0, 1, 2, and 3 predicted in-hospital mortality rates of 90%, 71%, 42%, 18%, and neurologic recovery in 3%, 17%, 57%, and 89%, respectively. The cardiac arrest score was able to predict in-hospital mortality and neurologic outcomes in those who survived to emergency department arrival. This scoring scheme may aide in selection of patients for early aggressive measures, including triage coronary angiography and angioplasty.
Authors:
R J Thompson; P A McCullough; J K Kahn; W W O'Neill
Related Documents :
8227809 - Active compression-decompression resuscitation: analysis of transmitral flow and left v...
1510009 - Circadian rhythm of heart rate variability in survivors of cardiac arrest.
2919909 - Penetrating wounds to the heart: a wartime experience.
20627529 - Comparison of the efficacy of nifekalant and amiodarone in a porcine model of cardiac a...
16987579 - Colon ischaemia and necrosis as a complication of prolonged but successful cpr.
430749 - Hyperthermia potentiates doxorubicin-related cardiotoxic effects.
17670339 - Salvage of left cabrol limb occlusion by minimally invasive direct coronary bypass graf...
15389239 - Routine intravascular ultrasound scanning guidance of coronary stenting is not associat...
18374769 - Surgery for atrial fibrillation in patients with mitral valve disease: results at five ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  81     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-19     Completed Date:  1998-02-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  17-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Brain Damage, Chronic / etiology*
Emergency Service, Hospital
Female
Heart Arrest / complications*,  mortality*,  therapy
Hospital Mortality*
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Predictive Value of Tests
Resuscitation / standards*
Retrospective Studies
Severity of Illness Index
Survival Analysis
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Comparison of patients with anterior wall healed myocardial infarction with and without exercise-ind...
Next Document:  Comparison of plasma tissue factor levels in unstable and stable angina pectoris.