Registro prospectivo de pacientes que presentan paro cardiorrespiratorio extrahospitalario en Santiago, Chile / A registry of out-of-hospital cardiac arrest in Chile
Rev. med. Chile
;
150(10): 1283-1290, oct. 2022. ilus, tab
Article
Dans Espagnol
| LILACS
| ID: biblio-1431856
ABSTRACT
BACKGROUND:
The rate of survival to hospital discharge is less than 10% for out-of-hospital cardiac arrest (OHCA).AIM:
To develop and implement a Chilean prospective, standardized cardiac arrest registry following the Utstein criteria. MATERIAL ANDMETHODS:
We conducted a prospective registry for patients presenting at an urban, academic, high complexity emergency department (ED) after having an OHCA. The facility serves approximately 10% of the national population. Data were registered and analyzed following the Utstein criteria for reporting OHCA.RESULTS:
For three years, 289 patients aged 59 ± 19 years (63% men) were included. Fifty seven percent of patients were taken to a health care facility for the first medical assessment by relatives or witnesses and 34% was assisted and transferred by prehospital personnel. In the subgroup of non-traumatic OHCA, 28% (n = 54) received bystander cardiopulmonary resuscitation (CPR). The registered cardiac rhythms were asystole (61%), pulseless electrical activity (PEA) (25%) and ventricular tachycardia (VT) or ventricular fibrillation (VF) (11%). The overall survival rate to discharge from the hospital was 10%, while survival with mRankin score 0-1 was 5%. The median hospitalization length of stay was 18 days among those who survived, compared with five days for the group of patients that died during the hospital stay.CONCLUSIONS:
OHCA is an important cause of death in Chile. The development of a national registry that follows the International Liaison Committee on Resuscitation guidelines is the first step to assess the profile of OHCA in the region. It will provide crucial information to identify prognostic factors and variables that can help develop standards of care and set up the basis to optimize cardiac arrest management within our country and region.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Réanimation cardiopulmonaire
/
Services des urgences médicales
/
Arrêt cardiaque hors hôpital
Type d'étude:
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Mâle
Pays comme sujet:
Amérique du Sud
/
Chili
langue:
Espagnol
Texte intégral:
Rev. med. Chile
Thème du journal:
Médicament
Année:
2022
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Hospital Dr. Sótero del Río/CL
/
Hospital base de Valdivia/CL
/
Pontificia Universidad Católica de Chile/CL
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