One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital
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Data
2015-06
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Resumo
Objective: To describe neurological status and associated factors of
survivors after cardiac arrest, upon discharge, and at 6 and 12 month
follow-up. Methods: A cohort, prospective, descriptive study conducted
in an emergency room. Patients who suffered cardiac arrest and
survived were included. A one-year consecutive sample, comprising 285
patients and survivors (n=16) followed up for one year after discharge.
Neurological status was assessed by the Cerebral Performance Category
before the cardiac arrest, upon discharge, and at 6 and 12 months after
discharge. The following factors were investigated: comorbidities,
presence of consciousness upon admission, previous cardiac arrest,
witnessed cardiac arrest, location, cause and initial rhythm of cardiac
arrest, number of cardiac arrests, interval between collapse and start
of cardiopulmonary resuscitation, and between collapse and end
of cardiopulmonary resuscitation, and duration of cardiopulmonary
resuscitation. Results: Of the patients treated, 4.5% (n=13) survived
after 6 and 12 months follow-up. Upon discharge, 50% of patients
remained with previous Cerebral Performance Category of the cardiac
arrest and 50% had worsening of Cerebral Performance Category. After
6 months, 53.8% remained in the same Cerebral Performance Category
and 46.2% improved as compared to discharge. After 12 months, all
patients remained in the same Cerebral Performance Category of the
previous 6 months. There was no statistically significant association
between neurological outcome during follow-up and the variables assessed. Conclusion: There was neurological worsening at discharge
but improvement or stabilization in the course of a year. There was no
association between Cerebral Performance Category and the variables
assessed.
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Heart arrest, Brain diseases, Cardiopulmonary resuscitation, Neurologic manifestations, Glasgow coma scale, Parada cardíaca, Ressuscitação cardiopulmonar, Manifestações neurológicas, Escala de coma de Glasgow, Encefalopatias
Citação
VANCINI-CAMPANHARO, Cássia Regina et al. One-year follow-up of neurological status of patients after cardiac arrest seen at the emergency room of a teaching hospital. Einstein, São Paulo, v. 13, n. 2, p. 183-188, Apr./June 2015.