López CG, Pizaña DA, Morales CI, Chío MR, Rodríguez MV

Language: Spanish
References: 9
Page: 29-32
PDF size: 158.17 Kb.

ABSTRACT

Introduction: In-hospital (IH) cardiac arrest (CA) is a complication in patients with serious diseases. The intensivist doctor plays an important role in its attention. In Mexico there are no publications on IH CA. Objective: To determine the demographic and other characteristics of the episode of IH CA. Material and methods: Retrospective, descriptive study. From January 1^st, 2014 to July 31^st, 2017. Forty-two patients who presented IH CA were included. The statistical analysis was performed with measures of central tendency. Results: Characteristics of the patients: 23 men (55%) with a mean of 72 years ± 19.55; 19 women (45%) with a mean of 71 years ± 16.89. The most frequent electrical presentation was the electrical activity without a pulse (in 47% of the patients), asystole (in 36 %). The interventions in the cardiopulmonary resuscitation (CPR) were found to have a time of attention of 1.8 min ± 1.4 min, with a duration of the CPR of 13.2 min, with the recovery of spontaneous circulation in 23 patients (55%) and no response in 19 (45%). Discussion: Men dominated; 17% of the patients presented VT/VF and 83% PEA/asystole, as reported in the literature. Conclusions: Although the network of support and training in CPR in our hospital plays an important role in the care of patients with IH CA, we believe that integrating rapid response teams would improve their survival.

REFERENCES

1. Sandroni C, Nolan J, Cavallaro F, Antonelli M. In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med. 2007; 33 (2): 237-245.

2. Manejo inicial del paro cardiorrespiratorio en pacientes mayores de 18 años. Guía de práctica clínica. México: Secretaría de Salud; 2013.

3. Reanimación cardiopulmonar en adultos. Guía de Evidencias y recomendaciones: Guía de práctica clínica. México: CENETEC; 2017.

4. Herrera M, López F. Resultados del primer año de funcionamiento del plan de resucitación cardiopulmonar del Hospital Juan Ramón Jiménez (Huelva). Med Intensiva. 2010; 34 (3): 170-181.

5. Perman SM, Stanton E, Soar J, Berg RA, Donnino MW, Mikkelsen ME et al. Location of in-hospital cardiac arrest in the United States—variability in event rate and outcomes. J Am Heart Assoc. 2016; 5 (10): pii. e003638.

6. Nolan JP, Soar J, Smith G, Gwinnutt C, Parrot F, Power S et al. Incidence and outcome of in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2014; 85 (8): 987-992.

7. Nolan JP, Soar J, Zideman DA, Biarent D, Bossaert L, Deakin C et al. On behalf of the ERC guidelines writing group. European Resuscitation Council guidelines for resuscitation 2010. Resuscitation. 2010; 81: 1219-1276.

8. Chalkias A, Koutsovasilis A, Mystrioti D, Dragoumanos V, Xanthos T. Outcomes of cardiopulmonary resuscitation efforts in a Greek tertiary hospital. Acute Card Care. 2013; 15 (2): 34-37.

9. López JB. ¿Cuál debe ser la duración apropiada de los intentos de resucitación cardiopulmonar? Med Intensiva. 2016.