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CorSalud (Revista de Enfermedades Cardiovasculares)

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2020, Number 1

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CorSalud 2020; 12 (1)

In-hospital cardiorespiratory arrest: a current challenge

Sosa ALA, Carmona PCR, Plaín PC, Aguiar MCA, Rodríguez HE, Gómez AEC
Full text How to cite this article

Language: Spanish
References: 9
Page: 114-116
PDF size: 212.55 Kb.


Key words:

cardiac arrest, cardiopulmonary resuscitation, in-hospital mortality.

Text Extraction

To the Editor:

In-hospital CRA is certainly a serious problem as between 0.4 and 2.0% of the patients admitted will require cardiopulmonary resuscitation. The different services available in a medical facility, the myriad of clinical settings of the patients, their morbidity and the necessary treatments will all contribute to turn this situation into a real challenge for the team of professionals who have to cope with it.
In-hospital CRAs are more likely to happen than out-of-hospital CRAs and are associated with a worse prognosis and lower survival rate despite the fact that the hospital environment should be the best setting for survival from such an adverse event. Roughly one to five adults per 1000 admissions suffer from in-hospital CRA and in the case of children the figure is 0.005 per bed on a yearly basis.


REFERENCES

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  2. Chaple La Hoz M, Calderón Mantilla D. Síndrome coronario agudo y muerte súbita en pacientes atendidos en el Servicio de Emergencias. CorSalud [Internet]. 2017 [citado 26 May 2019];9(4):286- 8. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/ar ticle/view/274/556

  3. Chan PS, Krumholz HM, Nichol G, Nallamothu BK; American Heart Association National Registry of Cardiopulmonary Resuscitation Investigators. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17.

  4. American Heart Association. 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: pediatric basic life support. Pediatrics. 2006;117(5):e989-1004.

  5. Perales N, Pérez JL, Bernat A, Cerdá M, ÁlvarezFernández JA, Arribas P, et al. La resucitación cardiopulmonar en el hospital: recomendaciones 2005. Med Intensiva. 2005;29(6):349-56.

  6. Aguirre Carvajal MM. Reanimación cardiopulmonar y Anestesiología. Rev Chil Anest. 2012;41(1):6- 8.

  7. Escobar J. Fisiopatología del paro cardiorrespiratorio. Fisiología de la reanimación cardiopulmonar. Rev Chil Anest. 2012;41(1):18-22.

  8. Caballero López A, Cárdenas Surí H, González Sánchez Y, González Alfonso O, Garzón Cabrera H, Reinoso Fernández W. Hipotermia terapéutica en el paro cardiorrespiratorio recuperado. CorSalud [Internet]. 2017 [citado 26 May 2019];9(4):236- 41. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/ar ticle/view/266/550

  9. Martínez Llópiz YI, Fernández Mesa C. Conocimientos de reanimación cardiopulmonar en el Servicio de Medicina Interna: Escenario de los carros de paro. CorSalud [Internet]. 2017 [citado 26 May 2019];9(4):263-8. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/261/544




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