Survival prognosis factors in patients with cardiopulmonary reanimation in an emergency service

Abstract

Introduction: The factors influencing in the survival of the patient after a cardiopulmonary reanimation up to the hospital discharge have not been described with accuracy. Objective: To identify the factors related to the survival at discharge in patients who received cardiopulmonary reanimation in an emergency service. Methods: An analytic cohorts prospective study was carried out in 76 patients who received cardiopulmonary reanimation in the Intensive Care Emergent Unit from Saturnino Lora Torres Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba, from January, 2016 to same month of 2018. Results: In the univariate analysis the associated factors to survival in an independent way were the heart origin (76.5%), the pattern of ventricular fibrillation/ ventricular tachicardia without pulse (64.7%), the non-continuation of ventilation and the sepsis absence (with 88.2% each of them). Conclusions: The neurological recovery and unnecessary use of vasoactive drugs were identified as the directly influencing factors in the survival up to the hospital discharge.

Keywords

• paro cardíaco
• reanimación cardiopulmonar
• factores pronóstico
• supervivencia
• unidad de cuidados intensivos.