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MEDISAN
On-line version ISSN 1029-3019
Abstract
NAVARRO RODRIGUEZ, Zadis et al. Survival prognosis factors in patients with cardiopulmonary reanimation in an emergency service. MEDISAN [online]. 2019, vol.23, n.2, pp.246-259. ISSN 1029-3019.
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 : heart attack; cardiopulmonary reanimation; prognosis factors; survival; intensive care unit.