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Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation
OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte. METHOD: this is a retrospective, epidemiological study which analyzed 1,165 ass...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292640/ https://www.ncbi.nlm.nih.gov/pubmed/25296138 http://dx.doi.org/10.1590/0104-1169.3453.2452 |
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author | Morais, Daniela Aparecida Carvalho, Daclé Vilma Correa, Allana dos Reis |
author_facet | Morais, Daniela Aparecida Carvalho, Daclé Vilma Correa, Allana dos Reis |
author_sort | Morais, Daniela Aparecida |
collection | PubMed |
description | OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte. METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%. RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%). CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest. |
format | Online Article Text |
id | pubmed-4292640 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Escola de Enfermagem de Ribeirão Preto / Universidade de São
Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-42926402015-01-26 Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation Morais, Daniela Aparecida Carvalho, Daclé Vilma Correa, Allana dos Reis Rev Lat Am Enfermagem Original Articles OBJECTIVE: to analyze determinant factors for the immediate survival of persons who receive cardiopulmonary resuscitation from the advanced support units of the Mobile Emergency Medical Services (SAMU) of Belo Horizonte. METHOD: this is a retrospective, epidemiological study which analyzed 1,165 assistance forms, from the period 2008 - 2010. The collected data followed the Utstein style, being submitted to descriptive and analytical statistics with tests with levels of significance of 5%. RESULTS: the majority were male, the median age was 64 years, and the ambulance response time, nine minutes. Immediate survival was observed in 239 persons. An association was ascertained of this outcome with "cardiac arrest witnessed by persons trained in basic life support" (OR=3.49; p<0.05; CI 95%), "cardiac arrest witnessed by Mobile Emergency Medical Services teams" (OR=2.99; p<0.05; CI95%), "only the carry out of basic life support" (OR=0.142; p<0.05; CI95%), and "initial cardiac rhythm of asystole" (OR=0.33; p<0.05; CI 95%). CONCLUSION: early access to cardiopulmonary resuscitation was related to a favorable outcome, and the non-undertaking of advanced support, and asystole, were associated with worse outcomes. Basic and advanced life support techniques can alter survival in the event of cardiac arrest. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2014 /pmc/articles/PMC4292640/ /pubmed/25296138 http://dx.doi.org/10.1590/0104-1169.3453.2452 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Morais, Daniela Aparecida Carvalho, Daclé Vilma Correa, Allana dos Reis Out-of-hospital cardiac arrest: determinant factors for immediate survival after cardiopulmonary resuscitation |
title | Out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation
|
title_full | Out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation
|
title_fullStr | Out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation
|
title_full_unstemmed | Out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation
|
title_short | Out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation
|
title_sort | out-of-hospital cardiac arrest: determinant factors for immediate
survival after cardiopulmonary resuscitation |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292640/ https://www.ncbi.nlm.nih.gov/pubmed/25296138 http://dx.doi.org/10.1590/0104-1169.3453.2452 |
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