[Prognostic factors of survival in post-cardiopulmonary-cerebral resuscitation in general hospital].
OBJECTIVE
To assess clinical and demographic characteristics of patients who had cardiopulmonary resuscitation and identify short- and long-term survival prognostic factors.


METHODS
Four hundred and fifty-two (452) resuscitated patients in general hospitals from Salvador were prospectively assessed through bivariate and stratified analysis in associations between variables and survival curve for a nine-year evolution assessment.


RESULTS
Age ranged from 14 to 93 years old, mean of 54.11 years old. Male gender patients prevailed and half of them had at least a base disease. Cardiovascular disease was the responsible etiology in 50% of cases. Cardiac arrest was observed in 77% of cases and only 69% of patients were immediately resuscitated. Initial cardiac rhythm was not diagnosed in 59% of patients. Asystole was the most frequent rhythm (42%), followed by ventricular arrhythmia (35%). Immediate survival was 24% and hospital discharge survival 5%. Cardiac arrest etiology, initial cardiac rhythm diagnosis, ventricular fibrillation or tachycardia as arrest mechanism, pre-resuscitation estimated time lower than or equal to 15 minutes and resuscitation time lower than or equal to 5 minutes were recognized as short-term prognostic factors. Non-administration of epinephrine, being resuscitated in private hospital and resuscitation time lower than or equal to 15 minutes were nine-year evolution survival prognostic factors.


CONCLUSIONS
Data may help healthcare professionals decide when start or stop in-hospital resuscitation.
Gomes
André Mansur de Carvalho Guanaes
AM
Instituto do Coração do Hospital das Clínicas-FMUSP, Instituto Dante Pazzanese de Cardiologia, Rua Pelotas 323/113, 04012-001 São Paulo, SP. andreguanaes@hospitaldacidade.com.br
Timerman
Ari
A
Souza
Carlos Alfredo Marcílio de
CA
Mendes
Carlos Maurício Cardeal
CM
Póvoas Filho
Heitor Portella
HP
Oliveira
Adriano Martins de
AM
Souza
José Antonio de Almeida
JA
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001938:Brazil / Q000453:epidemiology; D016887:Cardiopulmonary Resuscitation / Q000401:mortality*; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D017678:Sex Distribution; D016019:Survival Analysis; D015996:Survival Rate; D013997:Time Factors