da Silva Menezes Antônio, Braga Angélica L, de Souza Cruvinel Viviane
Department of Medicine, Faculty of Medicine, Pontifical Catholic University of Goiás (PUC-GO), Goiânia, Goiás, Brazil.
Indian J Crit Care Med. 2022 Jun;26(6):704-709. doi: 10.5005/jp-journals-10071-24201.
Cardiorespiratory arrest is defined as an abrupt halt in the cardiac mechanical activity that is accompanied by the loss of a detectable pulse, the cessation of breathing, and the loss of consciousness. The aim of this study is to create a clinical-epidemiological profile of patients who experienced cardiorespiratory arrest and were admitted to the intensive care unit to evaluate the associated factors and their impact on the prognosis of these patients.
From January to December 2019, the medical records of 135 patients who received cardiopulmonary resuscitation were reviewed for this cross-sectional observational study. The information was collected according to the Utstein model.
A low return of spontaneous circulation of 22.2% was observed, with a predominance of females (53.3%) and older patients (68.9%), multiple comorbidities at admission (68.4%), and asystole as the predominant rhythm. Female sex and age >60 years were statistically significant ( = 0.017), as was the association between sex and comorbidities ( = 0.036), with heart disease being the most prevalent in females ( = 0.036).
In this study, even though the resuscitation maneuver time (start of resuscitation following arrest) was very short and the defibrillation was performed promptly, there was a high prevalence of cardiac arrest and low survival rates after cardiopulmonary resuscitation.
Menezes da Silva A, Braga AL, Cruvinel de Souza V. Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2022;26(6):704-709.
心肺骤停定义为心脏机械活动突然停止，伴有可触及脉搏消失、呼吸停止和意识丧失。本研究的目的是创建经历心肺骤停并入住重症监护病房患者的临床流行病学概况，以评估相关因素及其对这些患者预后的影响。
在2019年1月至12月期间，对135例接受心肺复苏患者的病历进行回顾，以开展这项横断面观察性研究。信息收集遵循乌斯坦模型。
观察到自主循环恢复率较低，为22.2%，女性（53.3%）和老年患者（68.9%）占多数，入院时存在多种合并症（68.4%），且以心搏停止为主要节律。女性性别和年龄>60岁具有统计学意义（P = 0.017），性别与合并症之间的关联也具有统计学意义（P = 0.036），心脏病在女性中最为常见（P = 0.036）。
在本研究中，尽管复苏操作时间（骤停后开始复苏）非常短且及时进行了除颤，但心脏骤停的发生率较高，心肺复苏后的生存率较低。
梅内塞斯·达席尔瓦A、布拉加AL、克鲁维内尔·德索萨V。重症监护病房中心肺骤停的患病率、结局及危险因素：一项观察性研究。《印度重症监护医学杂志》2022；26(6):704 - 709。
