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ITU outcome of postcardiac arrest patients
Critical Care volume 8, Article number: P300 (2004)
To assess the number of patients admitted to intensive care (ITU) post cardiac arrest (CA), their length of stay, their outcome in ITU and their hospital outcome.
A retrospective audit in a district general hospital over a 6-month period (from 1 August 2002 to 31 January 2003). Data were obtained from the ITU Acu-base, the Resuscitation Officer Data-Base and patients' medical records.
Measurements and results
Two hundred and fifty-three cardiac arrest calls were made. One hundred and ninety-eight cardiac arrests were identified and cardiopulmonary resuscitation (CPR) was performed. CPR was successful in 51 of the 198 patients (25.8%). A total of 52.9% (26 patients) were admitted to the ITU, with an average waiting time of 4.8 hours. A DNAR order was ruled out in 11 cases (21.5%) and the remaining 15 patients were transferred to the medical ward, the coronary care unit or the high-dependency unit. The length of CA was less than 10 min in 17 of the 26 patients admitted to the ITU. The mortality rate for these patients was 41.2% (seven patients). None of the nine patients (average age 74 years) whose length of CA exceed 10 min survived. Their length of stay in ITU ranged from 2 hours to 5 days. ITU outcome was 61.5% (16 patients) and hospital outcome was 19.2% (five patients).
Factors associated with a poor prognosis include patients older than 70 years old who have suffered prolonged cardiac arrest. Guidelines may help to select patients who would benefit most from admission to the ITU.
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Vizcaychipi, M., Laban, M., Bradshaw, E. et al. ITU outcome of postcardiac arrest patients. Crit Care 8 (Suppl 1), P300 (2004). https://doi.org/10.1186/cc2767