Cardiac arrest in an emergency department in Colombia during 2011–2020: A descriptive study

Q3 Medicine

International Journal of Critical Illness and Injury Science Pub Date : 2023-01-01 DOI:10.4103/ijciis.ijciis_87_22

JaimeAndres Quintero, JhonnyAlexander Medina, DavidAndres de Paz, DiegoFernando Scarpetta, CristianAndres Castro, NegirethAngell Paker, SandraMilena Carvajal

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引用次数: 0

Abstract

Background: Cardiac arrest is a public health problem related to high morbidity and mortality. In Colombia, objective data characterize in our population has been not available. The aim of this study has been to determined the epidemiological characteristics of patients with cardiorespiratory arrest treated in an emergency room. Methods: A retrospective observational cross-sectional cohort study was performed. We included adult patients admitted with a diagnostic of out-of-hospital cardiac arrest (OHCA) or who presented with in-hospital cardiac arrest while in the emergency department (ED). Results: A total of 415 patients were included 232 were men, and the median age was 67 years. OHCA was presented in 383 patients. In this group, 80.2% required orotracheal intubation, 90.1% received Epinephrine, and and 52.6% received immediate resuscitation. Survival after discharge was 43.1% in patients with non-shockable rhythm registered. Return of spontaneous circulation was achieved in 49.6%. The survival after hospital discharge was 22.2%. Cerebral performance category score <=2 was 20.4%. Conclusion: In our study, the epidemiological characteristics and outcomes of patients seen in the ED with cardiac arrest are similar to those described in the literature.

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2011-2020年期间哥伦比亚急诊科心脏骤停:一项描述性研究

背景:心脏骤停是一个与高发病率和高死亡率相关的公共卫生问题。在哥伦比亚，我们无法获得具有我国人口特征的客观数据。本研究的目的是确定在急诊室治疗的心肺骤停患者的流行病学特征。方法:采用回顾性观察横断面队列研究。我们纳入了诊断为院外心脏骤停(OHCA)或在急诊科(ED)就诊时出现院内心脏骤停的成年患者。结果:共纳入415例患者，其中男性232例，中位年龄67岁。383例患者出现OHCA。该组80.2%需要经气管插管，90.1%接受肾上腺素治疗，52.6%接受立即复苏。非震荡心律患者出院后生存率为43.1%。自然循环恢复率为49.6%。出院后生存率为22.2%。脑功能分类评分<=2的占20.4%。结论:在我们的研究中，在急诊科看到的心脏骤停患者的流行病学特征和结局与文献中描述的相似。

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来源期刊

International Journal of Critical Illness and Injury Science Medicine-Emergency Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.