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CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH OUT-OF-HOSPITAL CARDIAC ARREST IN BACH MAI HOSPITAL
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Abstract
Objectives: To evaluate some clinical features and treatment results of patients after out-of-hospital circulatory arrest. Subjects: 35 patients comatose after circulatory arrest were treated at the emergency department of Bach Mai Hospital from August 2016 to August 2017. Methods: descriptive prospective study. Patients were clinically assessed at the time of admission and the outcomes were recorded at discharge. Quantitative variables are presented as mean and standard deviation; using parametric tests for normally distributed variables and non-parametric tests for non-normally distributed variables; The difference was statistically significant with p < 0.05. Qualitative variables are presented as percentage (%), the difference is statistically significant with p < 0.05. Results: The rate of patients receiving CPR at the scene was 5.7%; The average time from cardiac arrest to CPR was 10 minutes, with no difference in this interval between the living and the dead; The mortality rate of comatose patients after circulatory arrest was 45.7%; CPR time ≥ 28 minutes is a high predictor of mortality with ROC = 0.755, p = 0.01 (CI95% 0.597 – 0.913); The rate of patients with Glasgow coma < 9 points at the end of treatment at the department was 68.4%; 15.8% of patients finished treatment with Glasgow score > 13; 60% of patients with Glasgow score finished treatment from 9 to 15 points and still had corneal reflexes at the time of admission. Conclusion: The rate of CPR at the scene was low; The long interval of CPR until the return of circulation is a high predictor of mortality. The corneal reflex at the time of admission has a good prognosis for neurological outcomes.
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Keywords
Out-of-hospital cardiac arrest
References
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