Cardiopulmonary resuscitation duration and ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Cardiopulmonary resuscitation duration and survival in out-of-hospital cardiac arrest patients
Auteur(s) :
Adnet, Frédéric [Auteur]
Triba, Mohamed N. [Auteur]
Borron, Stephen W. [Auteur]
Lapostolle, Frédéric [Auteur]
Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Gueugniaud, Pierre-Yves [Auteur]
Escutnaire, Josephine [Auteur]
Santé publique : épidémiologie et qualité des soins - EA 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Guenin, Aurelien [Auteur]
Hoogvorst, Astrid [Auteur]
Marbeuf-Gueye, Carol [Auteur]
Reuter, Paul-Georges [Auteur]
Javaud, Nicolas [Auteur]
Vicaut, Eric [Auteur]
Chevret, Sylvie [Auteur]
Triba, Mohamed N. [Auteur]
Borron, Stephen W. [Auteur]
Lapostolle, Frédéric [Auteur]
Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Gueugniaud, Pierre-Yves [Auteur]
Escutnaire, Josephine [Auteur]
Santé publique : épidémiologie et qualité des soins - EA 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Guenin, Aurelien [Auteur]
Hoogvorst, Astrid [Auteur]
Marbeuf-Gueye, Carol [Auteur]
Reuter, Paul-Georges [Auteur]
Javaud, Nicolas [Auteur]
Vicaut, Eric [Auteur]
Chevret, Sylvie [Auteur]
Titre de la revue :
Resuscitation
Nom court de la revue :
Resuscitation
Numéro :
111
Pagination :
74-81
Date de publication :
2017-02-01
ISSN :
0300-9572
Mot(s)-clé(s) en anglais :
Cardiopulmonary resuscitation
Out of hospital cardiac arrest no-flow
Low-flow
Out of hospital cardiac arrest no-flow
Low-flow
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
Relationship between cardiopulmonary arrest and resuscitation (CPR) durations and survival after out-of-hospital cardiac arrest (OHCA) remain unclear. Our primary aim was to determine the association between survival without ...
Lire la suite >Relationship between cardiopulmonary arrest and resuscitation (CPR) durations and survival after out-of-hospital cardiac arrest (OHCA) remain unclear. Our primary aim was to determine the association between survival without neurologic sequelae and cardiac arrest intervals in the setting of witnessed OHCA. We analyzed 27,301 non-traumatic, witnessed OHCA patients in France included in the national registry from June 1, 2011 through December 1, 2015. We analyzed cardiac arrest intervals, designated as no-flow (NF; from collapse to start of CPR) and low-flow (LF; from start of CPR to cessation of resuscitation) in relation to 30-day survival without sequelae. We determined the influence of recognized prognostic factors (age, gender, initial rhythm, location of cardiac arrest) on this relation. For the entire cohort, the area delimited by a value of NF greater than 12min (95% confidence interval: 11-13min) and LF greater than 33min (95% confidence interval: 29-45min), yielded a probability of 30-day survival of less than 1%. These sets of values were greatly influenced by initial cardiac arrest rhythm, age, sex and location of cardiac arrest. Extended CPR duration (greater than 40min) in the setting of initial shockable cardiac rhythm is associated with greater than 1% survival with NF less than 18min. The NF interval was highly influential on the LF interval regardless of outcome, whether return of spontaneous circulation (p<0.001) or death (p<0.001). NF duration must be considered in determining CPR duration in OHCA patients. The knowledge of (NF, LF) curves as function of age, initial rhythm, location of cardiac arrest or gender may aid in decision-making vis-à-vis the termination of CPR or employment of advanced techniques.Lire moins >
Lire la suite >Relationship between cardiopulmonary arrest and resuscitation (CPR) durations and survival after out-of-hospital cardiac arrest (OHCA) remain unclear. Our primary aim was to determine the association between survival without neurologic sequelae and cardiac arrest intervals in the setting of witnessed OHCA. We analyzed 27,301 non-traumatic, witnessed OHCA patients in France included in the national registry from June 1, 2011 through December 1, 2015. We analyzed cardiac arrest intervals, designated as no-flow (NF; from collapse to start of CPR) and low-flow (LF; from start of CPR to cessation of resuscitation) in relation to 30-day survival without sequelae. We determined the influence of recognized prognostic factors (age, gender, initial rhythm, location of cardiac arrest) on this relation. For the entire cohort, the area delimited by a value of NF greater than 12min (95% confidence interval: 11-13min) and LF greater than 33min (95% confidence interval: 29-45min), yielded a probability of 30-day survival of less than 1%. These sets of values were greatly influenced by initial cardiac arrest rhythm, age, sex and location of cardiac arrest. Extended CPR duration (greater than 40min) in the setting of initial shockable cardiac rhythm is associated with greater than 1% survival with NF less than 18min. The NF interval was highly influential on the LF interval regardless of outcome, whether return of spontaneous circulation (p<0.001) or death (p<0.001). NF duration must be considered in determining CPR duration in OHCA patients. The knowledge of (NF, LF) curves as function of age, initial rhythm, location of cardiac arrest or gender may aid in decision-making vis-à-vis the termination of CPR or employment of advanced techniques.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
CHU Lille
Université de Lille
Université de Lille
Date de dépôt :
2019-12-09T18:16:11Z