LONG-TERM SURVIVAL AFTER SUCCESSFUL OUT-OF-HOSPITAL RESUSCITATION

RESUSCITATION

卷:28

Article

KIMMAN, GP ; IVENS, EMA ; HARTMAN, JAM ; HART, HN ; SIMOONS, ML

关键词: RESUSCITATION;    PROGNOSIS;    AMBULANCE SERVICE;    BYSTANDER;    OUT-OF-HOSPITAL CARDIAC ARREST;   

DOI  :  10.1016/0300-9572(94)90068-X

来源: Elsevier

【 摘 要 】

Between 1983 and 1989, 962 patients in Rotterdam were resuscitated outside hospital, of whom 240 (25%) could be discharged alive, A follow-up study was performed to determine prognosis in these patients. Of the 240 survivors of out-of-hospital resuscitation 80% survived after 1 year and 61% after 5 years. During the first year, 9% suffered from myocardial (re)infarction and 13% underwent coronary bypass surgery or angioplasty. Within the first 3 years after resuscitation 60% of the patients were readmitted to hospital. Permanent or temporary neurological deficits were observed in 30 patients (14%). Patients with a primary arrhythmia without myocardial infarction had a worse prognosis than patients with a cardiac arrest in the context of an infarct. Survival was better in patients in whom resuscitation was initiated by physicians or ambulance-nurses, than in patients resuscitated by lay-people. Multivariate analysis revealed that this difference could be explained by a larger proportion of patients with a primary arrhythmia in the latter group. Since long-term prognosis after out-of-hospital resuscitation is satisfactory, programmes for resuscitation courses should be stimulated. Such programmes should aim predominantly at relatives of patients with known heart disease, police officers and children.

【 授权许可】

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