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Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study

2022Journal article Restricted access
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dc.contributor.authorCabral, Margarida
dc.contributor.authorCastro, Diana
dc.contributor.authorPalavras, Maria João
dc.contributor.authorSantos, Flávia
dc.contributor.authorSequeira, Filipa
dc.contributor.authorPereira, Luís
dc.contributor.authorMorais, João
dc.date.accessioned2023-07-28T15:29:48Z
dc.date.available2023-07-28T15:29:48Z
dc.date.issued2022
dc.description.abstractObjective: The aim of this study was to identify the mortality rate of cardiac arrest in our insti tution and to determine the association between clinical available variables with early mortality and neurological outcomes. Design, setting, and patients: We performed a ret rospective study including all adult patients with the first diagnosis of “cardiac arrest” admitted to the intensive care unit of a Portuguese tertiary hospital, from 2015 to 2020. Outcomes were early mortality, including in-hospital and 1 month after discharge mortality, and neurological function after cardiac arrest as defined by the Cerebral Performance Category score scale. Results: 114 patients were included, 32 suffered from out-of-hospital cardiac arrest, and 82 from in-hospital cardiac arrest. In multivariate logistic analysis, a Glasgow Coma Score after the return of spontaneous circulation less than five and the existence of another cause for cardiac ar rest than ST-segment elevation myocardial infarction demonstrated to be predictive factors of early mortality. The poor neurological outcome was associated with a total cardiopulmonary resuscitation length greater than five minutes and a Glasgow Coma Score after the return of spon taneous circulation less than five. Conclusions: Cardiac arrest is still an important cause of morbimortality in our society. Efforts should be made to optimize its approach, minimizing the cardiorespiratory arrest length to reduce mortality and improve the neurologic prognosis of survivors.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCabral, M., Castro, D., Palavras, M. J., Santos, F., Sequeira, F., Pereira, L., & Morais, J. (2022). Predictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre study. Critical Care & Shock, 25(6), 293–299.pt_PT
dc.identifier.issn1410-7767
dc.identifier.urihttp://hdl.handle.net/10400.8/8717
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://web.s.ebscohost.com/ehost/detail/detail?vid=2&sid=6e3c4ad4-ddf2-4954-a492-0a8768e6f608%40redis&bdata=Jmxhbmc9cHQtcHQmc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#AN=160445231&db=rzhpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHeart disease risk factors,pt_PT
dc.subjectArrhythmiaspt_PT
dc.subjectCardiacpt_PT
dc.subjectCoronary diseasept_PT
dc.subjectMyocardial infarctionpt_PT
dc.subjectBrain deathpt_PT
dc.titlePredictors of mortality and neurological dysfunction in cardiac arrest: A retrospective single centre studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage299pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPage293pt_PT
oaire.citation.volume25pt_PT
person.familyNameCabral
person.familyNameGonçalves de Castro
person.familyNamePalavras
person.familyNamede Souza Santos
person.familyNameSequeira
person.familyNamePereira
person.familyNameMorais
person.givenNameMargarida
person.givenNameDiana Maria
person.givenNameMaria João
person.givenNameFlávia
person.givenNameFilipa
person.givenNameLuís
person.givenNameJoão
person.identifierQ-8022-2018
person.identifier.ciencia-id411C-D244-A8A6
person.identifier.ciencia-id6313-9ACD-8056
person.identifier.ciencia-id6A1B-EA21-2927
person.identifier.ciencia-idF51C-B6D1-819A
person.identifier.ciencia-id3614-652A-118E
person.identifier.orcid0000-0002-1149-016X
person.identifier.orcid0000-0002-8688-1827
person.identifier.orcid0000-0002-9649-9648
person.identifier.orcid0000-0002-6681-1282
person.identifier.orcid0000-0001-5674-711X
person.identifier.orcid0000-0003-3406-2878
person.identifier.scopus-author-id57190021544
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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