作者
Krishna K Patel, John A Spertus, Yevgeniy Khariton, Yuanyuan Tang, Lesley H Curtis, Paul S Chan, Paul S Chan, Anne Grossestreuer, Ari Moskowitz, Dana P Edelson, Joseph P Ornato, Mary Ann Peberdy, Matthew M Churpek, Michael C Kurz, Monique Anderson Starks, Patricia Kunz Howard, Saket Girotra, Sarah M Perman, Zachary D Goldberger
发表日期
2018/5/8
期刊
Circulation
卷号
137
期号
19
页码范围
2041-2051
出版商
Lippincott Williams & Wilkins
简介
Background
Prior studies have reported higher in-hospital survival with prompt defibrillation and epinephrine treatment in patients with in-hospital cardiac arrest (IHCA). Whether this survival benefit persists after discharge is unknown.
Methods
We linked data from a national IHCA registry with Medicare files and identified 36 961 patients ≥65 years of age with an IHCA at 517 hospitals between 2000 and 2011. Patients with IHCA caused by pulseless ventricular tachycardia or ventricular fibrillation were stratified by prompt (≤2 minutes) versus delayed (>2 minutes) defibrillation, whereas patients with IHCA caused by asystole or pulseless electric activity were stratified by prompt (≤5 minutes) versus delayed (>5 minutes) epinephrine treatment. The association between prompt treatment and long-term survival for each rhythm type was assessed with multivariable hierarchical modified Poisson regression models …
学术搜索中的文章
KK Patel, JA Spertus, Y Khariton, Y Tang, LH Curtis… - Circulation, 2018