A correlation between anaesthesia-related cardiac arrest outcomes and country human development index: A narrative review

Braz, Leandro Gobbo; Braz, Mariana Gobbo; Tiradentes, Teófilo Augusto A.; Bráz, José Reinaldo Cerqueira

doi:10.1016/j.jclinane.2021.110273

Cited by 3 publications

(2 citation statements)

References 57 publications

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“…Owing to considerable advances in safe anesthesia care for children in recent decades, especially in high-HDI countries, and the gap in health care systems between low- and high-HDI countries, 7 , 8 , 9 , 10 we verified whether the ARCA mechanisms and risk factors in pediatric surgical patients differ in countries with different HDIs and over time.…”

Section: Introductionmentioning

confidence: 92%

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An update on the mechanisms and risk factors for anesthesia-related cardiac arrest in children: a narrative review

Braz,

Tiradentes

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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Section: Introductionmentioning

confidence: 92%

“…The relationship between surgery and anesthesia safety and the HDI value has been described in previous studies involving children, 5 older patients 6 and patients of all ages. 7 , 8 , 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

An update on the mechanisms and risk factors for anesthesia-related cardiac arrest in children: a narrative review

Braz,

Tiradentes

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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Global anaesthesia-related cardiac arrest rates in children: a systematic review and meta-analysis

Tiradentes,

Einav,

Braz

et al. 2023

British Journal of Anaesthesia

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Eighteen‐year trends in the rates of intra‐operative cardiac arrest and associated mortality at a public university hospital in Brazil*

Morais,

Braz,

Soares

et al. 2024

Anaesthesia

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SummaryBackgroundIntra‐operative cardiac arrest is a rare but life‐threatening event. Over the past two decades, various initiatives have improved the care of patients undergoing surgery at our quaternary teaching hospital in Brazil. We aimed to evaluate the epidemiology of intra‐operative cardiac arrest and associated 30‐day mortality over an 18‐year period. A secondary aim was to identify associated risk factors.MethodsWe conducted a retrospective observational study using data collected from 1 January 2005 to 31 December 2022. Factors associated with cardiac arrest and mortality were identified using multivariable logistic regression analysis.ResultsAmong the 154,178 cases, the overall rates of intra‐operative cardiac arrest (n = 297) and associated 30‐day mortality (n = 248) were 19.3 (95%CI (16.6–21.9)) and 16.1 (95% CI 13.9–18.3) per 10,000 anaesthetics, respectively. These decreased over time (2005–2010 vs. 2017–2022) from 26.3 (95%CI 21.0–31.6) to 15.4 (95%CI 12.0–18.7) per 10,000 anaesthetics, and from 23.4 (95%CI 18.8–28.1) to 13.7 (95%CI 10.8–16.7) per 10,000 anaesthetics, respectively. Factors associated with intra‐operative cardiac arrest included children aged < 1 year (adjusted OR (95%CI) 3.51 (1.87–6.57)); ASA physical status 3–5 (adjusted OR (95%CI) 13.85 (8.86–21.65)); emergency surgery (adjusted OR (95%CI) 10.06 (7.85–12.89)); general anaesthesia (adjusted OR (95%CI) 8.79 (4.60–19.64)); surgical procedure involving multiple specialities (adjusted OR (95%CI) 9.13 (4.24–19.64)); cardiac surgery (adjusted OR (95%CI) 7.69 (5.05–11.71)); vascular surgery (adjusted OR (95%CI) 6.21 (4.05–9.51)); and gastrointestinal surgery (adjusted OR (95%CI) 2.98 (1.91–4.65)).DiscussionWe have shown an important reduction in intra‐operative cardiac arrest and associated 30‐day mortality over an 18‐year period. Identification of relative risk factors associated with intra‐operative cardiac arrest can be used to improve the safety and quality of patient care, especially in a resource‐limited setting.

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A correlation between anaesthesia-related cardiac arrest outcomes and country human development index: A narrative review

Cited by 3 publications

References 57 publications

An update on the mechanisms and risk factors for anesthesia-related cardiac arrest in children: a narrative review

An update on the mechanisms and risk factors for anesthesia-related cardiac arrest in children: a narrative review

Global anaesthesia-related cardiac arrest rates in children: a systematic review and meta-analysis

Eighteen‐year trends in the rates of intra‐operative cardiac arrest and associated mortality at a public university hospital in Brazil*

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