Title :

Out-of-hospital cardiac arrest in pregnant women: a 55-patient French cohort study.

Author(s) :

Baert, Valentine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Recher, Morgan [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lafrance, Martin [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Wawrzyniak, Perrine [Auteur]
Vilhelm, Christian [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Agostinucci, Jean-Marc [Auteur]
SAMU 93 [Bobigny]
Thiriez, Sylvain [Auteur]
Centre Hospitalier de Roubaix
Mansouri, Nadia [Auteur]
Hôpital Henri Mondor
Morel-Maréchal, Emanuel [Auteur]
Centre Hospitalier Intercommunal Elbeuf - Louviers - Val de Reuil
Lagadec, Steven [Auteur]
Leroy, Antoine [Auteur]
Centre hospitalier de Troyes
Vermersch, Céline [Auteur]
Javaudin, François [Auteur]
Microbiotes, Hôtes, Antibiotiques et Résistances bactériennes (MiHAR) [MiHAR]
Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

Resuscitation

Abbreviated title :

Resuscitation

Volume number :

179

Pages :

189-196

Publication date :

2022-06-29

ISSN :

1873-1570

English keyword(s) :

Pregnancy
Out-of-hospital cardiac arrest
European Resuscitation Council guidelines
Mobile intensive care units
Registry

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Aim To describe a cohort of pregnant women having suffered an out-of-hospital cardiac arrest (OHCA) and to compare them with nonpregnant women of childbearing age having suffered OHCA. Methods Study data were extracted ...
Show more >Aim To describe a cohort of pregnant women having suffered an out-of-hospital cardiac arrest (OHCA) and to compare them with nonpregnant women of childbearing age having suffered OHCA. Methods Study data were extracted from the French National OHCA Registry between 2011 and 2021. We compared patients in terms of characteristics, care and survival. Results We included 3,645 women of childbearing age (15–44) who had suffered an OHCA; 55 of the women were pregnant. Pregnant women were younger than nonpregnant victims (30 vs. 35 years, p = 0.006) and were more likely to have a medical history (76.4% vs. 50.5%, p < 0.001) and a medical cause of the OHCA (85.5% vs. 57.2%, p < 0.001). Advanced Life Support was more frequently administered to pregnant women (98.2%, vs. 72.0%; p < 0.001). In pregnant women, the median time of MICU arrival was 20 minutes for the Medical Intensive Care Unit with no difference with nonpregnant women. Survival rate on admission to hospital was higher among pregnant women (43.6% vs. 27.3%; p = 0.009). There was no difference in 30-day survival between pregnant and nonpregnant groups (14.5% vs. 7.3%; p = 0.061). Fetal survival was only observed for OHCAs that occurred during the pregnancy second or third trimester (survival rates: 10.0% and 23.5%, respectively). Conclusions Our results show that resuscitation performance does not meet European Resuscitation Council’s specific guidelines on OHCA in pregnant women. Although OHCA in pregnancy is rare, the associated prognosis is poor for both woman and fetus. Preventive measures should be reinforced, especially when pregnant women have medical history.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T03:48:00Z
2024-04-05T08:13:26Z