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Introduction and objectives Decision-making regarding prognosticating out-of-hospital cardiacarrest (OHCA) remains challenging at the front door. The primary outcome was poor neurological recovery at hospital discharge, and the secondary outcome included poor neurological recovery at 6 months.
(MedPage Today) -- Therapeutic hypothermia did not improve survival or functional outcomes in unconscious patients after out-of-hospital cardiacarrest with initial nonshockable rhythm, a meta-analysis of patient-level data found. The primary.
has no memory of his own cardiacarrest in 2016. He only knows that first responders resuscitated his heart with a shock from a defibrillator, ultimately leading to his complete recovery and putting him among fewer than one in 10 people nationwide who survive cardiacarrest outside of a hospital. Joshua Lupton, M.D.,
Objective Out-of-hospital cardiacarrest (OHCA) is a major public health challenge across Europe, with a survival rate of only 8.5% Implementing a community first responder (CFR) system, including earlier Basic Life Support and defibrillation, can enhance survival rates and neurological outcomes. to hospital discharge.
Cardiacarrest was called and advanced life support was undertaken for this patient. The patient was given chest compressions while waiting for the cardiacarrest team to arrive. The morning before the cardiacarrest potassium was 4,3.mmol, After about 90 seconds of chest compressions she awoke.
A new observational study suggests the position in which responders initially place the two defibrillator pads on the body may make a significant difference in returning spontaneous blood circulation after shock from a defibrillator.
An analysis of data for more than 500,000 out-of-hospital cardiacarrests in the U.S. found key differences in outcomes between cardiacarrests caused by drug overdoses and cardiacarrests due to other causes, according to new research published today in the Journal of the American Heart Association.
People who experience out-of-hospital cardiacarrest often require care at a regional center for continued treatment after resuscitation, but many do not initially present to the hospital where they will be admitted. Circulation, Ahead of Print.
BackgroundGiven increases in drug overdose‐associated mortality, there is interest in better understanding of drug overdose out‐of‐hospital cardiacarrest (OHCA). Arrests involving patients <18 years, health care facility residents, patients with cancer diagnoses, and patients with select missing data were excluded.
Yet, overall survival among patients with out-of-hospital cardiacarrest is approximately 10%, even in well-performing emergency medical systems. The interventions that are undertaken at the scene of a cardiacarrest are the most likely interventions to improve outcomes: early.
Every 10 years, the American Heart Association (AHA) Emergency Cardiovascular Care Committee establishes goals to improve survival from cardiacarrest. Circulation, Ahead of Print.
BackgroundProteinuria is a risk factor for cardiovascular events, but its prognostic value for sudden cardiacarrest (SCA) in young individuals remains unproven. Main outcome was SCA identified byInternational Classification of Diseases, Tenth Revision (ICD10).Participants
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. AN evaluation of efficacy amonGst cOmpression only and standard CPR) trial is designed to evaluate whether compression-only cardiopulmonary resuscitation (CPR) by trained laypersons is noninferior to standard CPR in adult out-of-hospital cardiacarrest.
In a prospective, multicentre, parallel, randomised clinical trial titled ARREST, researchers aimed to evaluate the effectiveness of expedited transfer to a cardiacarrest center compared to standard care following out-of-hospital cardiacarrest. The ARREST study is the first randomized trial of its kind.
Underweight imposes significant burden on cardiovascular outcomes in patients with diabetes mellitus. However, less is known about the impact of serial change in body weight status measured as body mass index.
Michael's Hospital researchers shows that middle-aged men are the demographic most at risk for sudden cardiacarrest while playing sports, and there are ways to improve outcomes for people who experience a sudden cardiacarrest in public. A new study by St.
METHODS:The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing.
Statement Highlights: Despite significant advances in research, education, clinical practice and community-based programs, survival from cardiacarrest remains low. Significant disparities also exist in cardiacarrestoutcomes. This scientific.
The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiacarrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Original article: Lauridsen KG et al.
BackgroundOutofhospital cardiacarrest (OHCA) with initial shockable rhythm generally has a favorable prognosis. The primary outcome was rhythm conversion to nonshockable on hospital arrival. Journal of the American Heart Association, Ahead of Print.
Background In the past two decades, extracorporeal resuscitation (ECPR) has been increasingly used in the management of refractory cardiacarrest (CA) patients. Main outcomes and measures The primary outcome was survival with intact neurological status at 30 days, defined by a Cerebral Performance Category (CPC) Scale 1 and 2.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Prompt initiation of bystander cardiopulmonary resuscitation (CPR) is critical to survival for out-of-hospital cardiacarrest (OHCA).
Ninety-five percent of CPR training manikins on the global market are flat-chested, possibly contributing to disproportionate survival outcomes for women after cardiacarrest, according to a study published Nov. 21 in Health Promotional International.
The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiacarrest (OHCA) due to ventricular arrhythmias.
The stress hyperglycaemic ratio (SHR), a new marker that reflects the true hyperglycaemic state of patients with acute coronary syndrome (ACS), is strongly associated with adverse clinical outcomes in these pa.
Starting with the good news, GLP-1s lowered risks for 42 health outcomes while increasing risks for 19 outcomes. As expected, GLP-1s reduced MI risk by 9%, cardiacarrest by 22%, incident HF by 11%, ischemic stroke by 7%, and hemorrhagic stroke by 14%. year follow-up.
Arrhythmogenic cardiomyopathy (ACM) is associated with an increased risk of sudden cardiacarrest (SCA).1 2 We sought to determine the prevalence, clinical features, and outcomes of patients with genotype-positive ACM (G+ACM) who presented with SCA.
BackgroundDespite the wellknown importance of witnessed arrest and bystander cardiopulmonary resuscitation (CPR) for outofhospital cardiacarrestoutcomes, previous studies have shown significant statistical inconsistencies. The outcome measure was prehospital return of spontaneous circulation (ROSC).
Introduction Immune checkpoint inhibitors have advanced the outcomes of many different types of cancer. years and was admitted after an out-of-hospital cardiacarrest due to ventricular fibrillation. years and was admitted after an out-of-hospital cardiacarrest due to ventricular fibrillation.
Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiacarrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.
Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?
Although PAD can substantially increase the survival of cardiacarrest, PAD use remains low. The primary outcomes were the rate of bystander PAD use, sustained return of spontaneous circulation, survival to discharge, and favorable neurological outcomes. The rate of favorable neurological outcomes increased from 4.4%
BACKGROUND:In patients with out-of-hospital cardiacarrest who present with an initial shockable rhythm, a longer delay to the first shock decreases the probability of survival, often attributed to cerebral damage. This may explain the worse outcomes in patients with a long delay to defibrillation. Circulation, Ahead of Print.
BackgroundCoronary angiography (CAG) and targeted temperature management (TTM) may improve clinical outcomes after outofhospital cardiacarrest. We investigated the associations between the timing of interventions and whether CAG was performed before TTM initiation (CAGfirst) and good neurological outcomes.
Background Data on the management of patients with cancer presenting with sudden cardiacarrest (SCA) are scarce. We aimed to assess the characteristics and outcomes of SCA according to cancer history. Still, in-hospital outcomes remain similar even in patients with known cancer.
BackgroundSocial determinants of health such as residential segregation have been identified as drivers of disparities in health outcomes; however, this has been understudied for outofhospital cardiacarrest (OHCA). The primary predictor for this study was the Index of Concentration at the Extremes.
BackgroundAlthough they are fastgrowing populations in the United States, little is known about survival outcomes of Hispanic and Asian patients after inhospital cardiac arrest.Methods and ResultsIn Get With The GuidelinesResuscitation, we identified Asian, Hispanic, and White adults with inhospital cardiacarrest during 2005 to 2023.
In a patient-level analysis of data from two recent trials, patients with out-of-hospital cardiacarrest and an initial nonshockable rhythm treated with hypothermia did not have increased survival or improved functional outcome compared with normothermia.
Cardiacarrest can cause diffuse subendocardial ischemia, usually transient (it often resolves as time goes by after ROSC). Also, anterior MI could result from 1) ACS, but also from 2) severe ischemia due to combination of a hemodynamically significant LAD stenosis + severe hypotension during cardiacarrest.
Background:Out-of-hospital cardiacarrest (OHCA) is associated with unfavourable survival rates and neurological outcomes. This study aims to investigate the impact of BPV within the first 48 hours on the outcomes in patients experiencing OHCA.Methods:A retrospective analysis was conducted on data from OHCA patients.
I was there and said, "No, I think this is all due to severe chronic cardiomyopathy and cardiacarrest due to primary ventricular fibrillation, not due to ACS." _ Why did I say that? Here is the troponin profile overnight: This is consistent with cardiacarrest without acute coronary occlusion. The QRS is extremely wide.
Bystander-delivered cardiopulmonary resuscitation (CPR) can significantly improve survival outcomes from sudden cardiacarrest (SCA), but bystander involvement in the US lags behind other developed nations.
Background:Patients with diabetes have lower survival and worse neurological outcome after cardiopulmonary resuscitation (CPR) compared with non-diabetes. Previous studies have mentioned the aberrant autophagy in diabetic mice. The neurological prognosis was assessed by open field test (OPT), novel object recognition (NOR) and Y-maze.
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