Prevalence and factors associated with initial and subsequent shockable cardiac arrest rhythms and their association with patient outcomes in dogs and cats undergoing cardiopulmonary resuscitation: A RECOVER registry study

IF 1.1 3区农林科学 Q3 VETERINARY SCIENCES

Journal of veterinary emergency and critical care Pub Date : 2023-08-12 DOI:10.1111/vec.13320

Laura Vega Suarez DVM, Steven E. Epstein DVM, DACVECC, Linda G. Martin DVM, MS, DACVECC, Elizabeth B. Davidow DVM, DACVECC, Sabrina N. Hoehne Dr. med. vet., DACVECC, DECVECC, the RECOVER CPR Registry Consortium

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引用次数: 0

Abstract

Objective

To report the prevalence of initial shockable cardiac arrest rhythms (I-SHKR), incidence of subsequent shockable cardiac arrest rhythms (S-SHKR), and factors associated with I-SHKRs and S-SHKRs and explore their association with return of spontaneous circulation (ROSC) rates in dogs and cats undergoing CPR.

Design

Multi-institutional prospective case series from 2016 to 2021, retrospectively analyzed.

Setting

Eight university and eight private practice veterinary hospitals.

Animals

A total of 457 dogs and 170 cats with recorded cardiac arrest rhythm and event outcome reported in the Reassessment Campaign on Veterinary Resuscitation CPR registry.

Measurements and Main Results

Logistic regression was used to evaluate association of animal, hospital, and arrest variables with I-SHKRs and S-SHKRs and with patient outcomes. Odds ratios (ORs) were generated, and significance was set at P < 0.05. Of 627 animals included, 28 (4%) had I-SHKRs. Odds for I-SHKRs were significantly higher in animals with a metabolic cause of arrest (OR 7.61) and that received lidocaine (OR 17.50) or amiodarone (OR 21.22) and significantly lower in animals experiencing arrest during daytime hours (OR 0.22), in the ICU (OR 0.27), in the emergency room (OR 0.13), and out of hospital (OR 0.18) and that received epinephrine (OR 0.19). Of 599 initial nonshockable rhythms, 74 (12%) developed S-SHKRs. Odds for S-SHKRs were significantly higher in animals with higher body weight (OR 1.03), hemorrhage (OR 2.85), or intracranial cause of arrest (OR 3.73) and that received epinephrine (OR 11.36) or lidocaine (OR 18.72) and significantly decreased in those arresting in ICU (OR 0.27), emergency room (OR 0.29), and out of hospital (OR 0.38). Overall, 171 (27%) animals achieved ROSC, 81 (13%) achieved sustained ROSC, and 15 (2%) survived. Neither I-SHKRs nor S-SHKRs were significantly associated with ROSC.

Conclusions

I-SHKRs and S-SHKRs occur infrequently in dogs and cats undergoing CPR and are not associated with increased ROSC rates.

Abstract Image

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在接受心肺复苏的狗和猫中，与最初和随后的可电击心脏骤停节律相关的患病率和因素及其与患者结局的关系：一项RECOVER注册研究。

目的：报告在接受心肺复苏术的狗和猫中，初始可电击性心脏停搏节律（I-SHKR）的发生率、随后可电击性心动停搏节律的发生率以及与I-SHKRs和S-SHKRs相关的因素，并探讨它们与自发循环恢复率（ROSC）的关系。设计：回顾性分析2016年至2021年多机构前瞻性病例系列。设置：八所大学和八所私人执业兽医医院。动物：共有457只狗和170只猫记录了心脏骤停节律和事件结果，并在兽医复苏CPR登记处进行了重新评估。测量和主要结果：Logistic回归用于评估动物、住院和停搏变量与I-SHKRs和S-SHKRs以及患者结局的相关性。产生了比值比（OR），显著性设定为P。结论：I-SHKR和S-SHKR在接受心肺复苏术的狗和猫中很少发生，与ROSC率的增加无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of veterinary emergency and critical care 农林科学-兽医学

CiteScore

2.50

自引率

15.40%

发文量

121

审稿时长

18-36 weeks

期刊介绍： The Journal of Veterinary Emergency and Critical Care’s primary aim is to advance the international clinical standard of care for emergency/critical care patients of all species. The journal’s content is relevant to specialist and non-specialist veterinarians practicing emergency/critical care medicine. The journal achieves it aims by publishing descriptions of unique presentation or management; retrospective and prospective evaluations of prognosis, novel diagnosis, or therapy; translational basic science studies with clinical relevance; in depth reviews of pertinent topics; topical news and letters; and regular themed issues. The journal is the official publication of the Veterinary Emergency and Critical Care Society, the American College of Veterinary Emergency and Critical Care, the European Veterinary Emergency and Critical Care Society, and the European College of Veterinary Emergency and Critical Care. It is a bimonthly publication with international impact and adheres to currently accepted ethical standards.