Universität zu Köln

Adler, C., Paul, C., Hinkelbein, J., Michels, G., Pfister, R., Krings, A., Lechleuthner, A. and Stangl, R. (2018). Which patients benefit from transport with ongoing cardiopulmonary resuscitation? Retrospective analysis of 70 patients with refractory preclinical cardiac arrest. Anaesthesist, 67 (5). S. 343 - 351. NEW YORK: SPRINGER. ISSN 1432-055X

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Abstract

Background. Mortality in patients with out-of-hospital cardiac arrest (OHCA) remains very high despite advances in resuscitation algorithms. Most of these patients die at the scene and do not reach hospital. It is currently the subject of discussion whether transport to hospital with ongoing cardiopulmonary resuscitation (CPR) improves survival and neurological outcome in patients with OHCA. Objective. The aim of this study was to identify predictors of survival and good neurological outcome in patients after OHCA who were transported to hospital with ongoing CPR. Patients and methods. A total of 70 consecutive patients with refractory OHCA (mean age 54.7 +/- 15 years) transported to hospital with ongoing CPR were retrospectively analyzed. Neurological outcome was assessed after 30 days based on the Glasgow-Pittsburgh cerebral performance category (CPC). Results. After 30 days 82.9% of the patients enrolled in the trial died (CPC score of 5), 8 patients (11.4%) showed a good neurological recovery with CPC scores of 1-2 and 4 patients (5.7%) had a poor neurological outcome with CPC scores of 3-4. Predictors of good neurological outcome were witnessed arrest, initial defibrillatable rhythm and serum lactate levels on admission. In all patients with good outcome, the index event for OHCA was from cardiac causes. Conclusion. Selected patient collectives can benefit from transport to hospital with ongoing cardiopulmonary resuscitation (CPR).

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Adler, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Paul, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Michels, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfister, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Krings, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechleuthner, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Stangl, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-187971
DOI:	10.1007/s00101-018-0441-6
Journal or Publication Title:	Anaesthesist
Volume:	67
Number:	5
Page Range:	S. 343 - 351
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-055X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AMERICAN-HEART-ASSOCIATION; EMERGENCY CARDIOVASCULAR CARE; RECOMMENDED GUIDELINES; STROKE-FOUNDATION; UTSTEIN STYLE; TASK-FORCE; PROFESSIONALS; HYPOTHERMIA; STATEMENT; SURVIVAL Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18797