PROGNOSIS AMONG SURVIVORS OF PREHOSPITAL CARDIAC-ARREST

被引：47

作者：

HERLITZ, J

EKSTROM, L

WENNERBLOM, B

AXELSSON, A

BANG, A

HOLMBERG, S

机构：

来源：

ANNALS OF EMERGENCY MEDICINE | 1995年 / 25卷 / 01期

关键词：

D O I：

10.1016/S0196-0644(95)70356-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To describe the prognosis in consecutive patients discharged from hospital after prehospital cardiac arrest. Patients: All patients in the community of Goteborg who were discharged from hospital after out-of-hospital cardiac arrest between 1981 and 1991. Results: Two hundred forty-three patients were discharged from hospital during the observation period, of whom 80% initially experienced ventricular fibrillation. Among patients discharged, 21% died during the first year; after 10 years, 82% had died. Age, sex, previous history of cardiovascular disease, circumstances at the time of cardiac arrest, complications during hospitalization, and discharge medications were assessed as predictors of 1-year mortality. Independent predictors of death during follow-up were history of myocardial infarction (P<.001), no prescription of beta-blockers at discharge (P<.01), age (P<.05), and cerebral performance category (CPC) at discharge (P<.05). Conclusion: Among patients who survived out-of-hospital cardiac arrest, one of five died during the first year and one of five survived 10 years after discharge. Prognosis was associated with a history of myocardial infarction, prescription of beta-blockers at discharge, age, and CPC at discharge.

引用

页码：58 / 63

页数：6

共 22 条

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