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Date Published: 02/01/2024
Abstract Views: 139
Views PDF: 85
DOI: https://doi.org/10.51298/vmj.v533i1.7705
Issue
Vol. 533 No. 1 (2023)
Section
Các bài báo
How to Cite
Nguyễn , V. C. ., Bùi , M. C., Phạm , X. T. ., & Nguyễn , T. Đạt . (2024). EVALUATION OF THE TREATMENT OUTCOME OF THERAPEUTIC HYPOTHERMIA IN PATIENTS WITH CARDIAC ARREST DUE TO CARDIOVASCULAR CAUSES. Vietnam Medical Journal, 533(1). https://doi.org/10.51298/vmj.v533i1.7705

EVALUATION OF THE TREATMENT OUTCOME OF THERAPEUTIC HYPOTHERMIA IN PATIENTS WITH CARDIAC ARREST DUE TO CARDIOVASCULAR CAUSES

Văn Chi Nguyễn 1,, Mạnh Cường Bùi 2, Xuân Thắng Phạm 3, Tuấn Đạt Nguyễn 3
1 Bach Mai hospital
2 HMU
3 Bach mai hospital

Main Article Content

Abstract

Target: The study aimed to evaluate the treatment outcomes of hypothermia therapy in patients with cardiac arrest as the underlying cause. Methods: This cross-sectional retrospective study analyzed the medical records of a total of 35 patients who experienced cardiac arrest due to cardiac causes from May 2015 to December 2018. Results: The mortality rate of patients at the time of discharge was 40%, which increased to 48.6% after 30 days. The proportion of patients with good neurological recovery at discharge was 37.1%, and it increased to 40% after 30 days. The lactate levels decreased from 7.5 ± 3.6 (range: 0.6-16.6) mmol/L at admission to 7.2 ± 3.7 (range: 1.5-16) after hypothermia therapy. Blood gas parameters showed the following changes: at admission, the average pH was 7.2 ± 0.1 (range: 7.1-7.5), and HCO3 was 16.6 ± 3.6 (range: 9.9-27.1). At the end of the hypothermia phase, the pH averaged 7.4 ± 0.1 (range: 7.2-7.6), and HCO3 averaged 21.2 ± 3.6 (range: 11.5-26.4). Conclusion: The study results provide data on the current mortality rates of patients, serving as a basis for deciding on hypothermia therapy for patients with cardiac arrest as the underlying cause.

Article Details

Keywords

hypothermia therapy, cardiac arrest, cardiac causes.

References

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