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One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital
OBJECTIVE: To describe neurological status and associated factors of survivors after cardiac arrest, upon discharge, and at 6 and 12 month follow-up. METHODS: A cohort, prospective, descriptive study conducted in an emergency room. Patients who suffered cardiac arrest and survived were included. A o...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Instituto de Ensino e Pesquisa Albert Einstein
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943807/ https://www.ncbi.nlm.nih.gov/pubmed/26154538 http://dx.doi.org/10.1590/S1679-45082015AO3286 |
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author | Vancini-Campanharo, Cássia Regina Vancini, Rodrigo Luiz de Lira, Claudio Andre Barbosa Lopes, Maria Carolina Barbosa Teixeira Okuno, Meiry Fernanda Pinto Batista, Ruth Ester Assayag Atallah, Álvaro Nagib de Góis, Aécio Flávio Teixeira |
author_facet | Vancini-Campanharo, Cássia Regina Vancini, Rodrigo Luiz de Lira, Claudio Andre Barbosa Lopes, Maria Carolina Barbosa Teixeira Okuno, Meiry Fernanda Pinto Batista, Ruth Ester Assayag Atallah, Álvaro Nagib de Góis, Aécio Flávio Teixeira |
author_sort | Vancini-Campanharo, Cássia Regina |
collection | PubMed |
description | OBJECTIVE: To describe neurological status and associated factors of survivors after cardiac arrest, upon discharge, and at 6 and 12 month follow-up. METHODS: A cohort, prospective, descriptive study conducted in an emergency room. Patients who suffered cardiac arrest and survived were included. A one-year consecutive sample, comprising 285 patients and survivors (n=16) followed up for one year after discharge. Neurological status was assessed by the Cerebral Performance Category before the cardiac arrest, upon discharge, and at 6 and 12 months after discharge. The following factors were investigated: comorbidities, presence of consciousness upon admission, previous cardiac arrest, witnessed cardiac arrest, location, cause and initial rhythm of cardiac arrest, number of cardiac arrests, interval between collapse and start of cardiopulmonary resuscitation, and between collapse and end of cardiopulmonary resuscitation, and duration of cardiopulmonary resuscitation. RESULTS: Of the patients treated, 4.5% (n=13) survived after 6 and 12 months follow-up. Upon discharge, 50% of patients remained with previous Cerebral Performance Category of the cardiac arrest and 50% had worsening of Cerebral Performance Category. After 6 months, 53.8% remained in the same Cerebral Performance Category and 46.2% improved as compared to discharge. After 12 months, all patients remained in the same Cerebral Performance Category of the previous 6 months. There was no statistically significant association between neurological outcome during follow-up and the variables assessed. CONCLUSION: There was neurological worsening at discharge but improvement or stabilization in the course of a year. There was no association between Cerebral Performance Category and the variables assessed. |
format | Online Article Text |
id | pubmed-4943807 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Instituto de Ensino e Pesquisa Albert Einstein |
record_format | MEDLINE/PubMed |
spelling | pubmed-49438072016-08-10 One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital Vancini-Campanharo, Cássia Regina Vancini, Rodrigo Luiz de Lira, Claudio Andre Barbosa Lopes, Maria Carolina Barbosa Teixeira Okuno, Meiry Fernanda Pinto Batista, Ruth Ester Assayag Atallah, Álvaro Nagib de Góis, Aécio Flávio Teixeira Einstein (Sao Paulo) Original Article OBJECTIVE: To describe neurological status and associated factors of survivors after cardiac arrest, upon discharge, and at 6 and 12 month follow-up. METHODS: A cohort, prospective, descriptive study conducted in an emergency room. Patients who suffered cardiac arrest and survived were included. A one-year consecutive sample, comprising 285 patients and survivors (n=16) followed up for one year after discharge. Neurological status was assessed by the Cerebral Performance Category before the cardiac arrest, upon discharge, and at 6 and 12 months after discharge. The following factors were investigated: comorbidities, presence of consciousness upon admission, previous cardiac arrest, witnessed cardiac arrest, location, cause and initial rhythm of cardiac arrest, number of cardiac arrests, interval between collapse and start of cardiopulmonary resuscitation, and between collapse and end of cardiopulmonary resuscitation, and duration of cardiopulmonary resuscitation. RESULTS: Of the patients treated, 4.5% (n=13) survived after 6 and 12 months follow-up. Upon discharge, 50% of patients remained with previous Cerebral Performance Category of the cardiac arrest and 50% had worsening of Cerebral Performance Category. After 6 months, 53.8% remained in the same Cerebral Performance Category and 46.2% improved as compared to discharge. After 12 months, all patients remained in the same Cerebral Performance Category of the previous 6 months. There was no statistically significant association between neurological outcome during follow-up and the variables assessed. CONCLUSION: There was neurological worsening at discharge but improvement or stabilization in the course of a year. There was no association between Cerebral Performance Category and the variables assessed. Instituto de Ensino e Pesquisa Albert Einstein 2015 /pmc/articles/PMC4943807/ /pubmed/26154538 http://dx.doi.org/10.1590/S1679-45082015AO3286 Text en http://creativecommons.org/licenses/by-nc/3.0/ 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 Article Vancini-Campanharo, Cássia Regina Vancini, Rodrigo Luiz de Lira, Claudio Andre Barbosa Lopes, Maria Carolina Barbosa Teixeira Okuno, Meiry Fernanda Pinto Batista, Ruth Ester Assayag Atallah, Álvaro Nagib de Góis, Aécio Flávio Teixeira One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title | One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title_full | One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title_fullStr | One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title_full_unstemmed | One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title_short | One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
title_sort | one-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943807/ https://www.ncbi.nlm.nih.gov/pubmed/26154538 http://dx.doi.org/10.1590/S1679-45082015AO3286 |
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