Cardiopulmonary Resuscitation in an Average Brazilian Intensive Care Unit: Should We Perform Less or Better?

Miana, Leonardo Augusto; Moraes, Marcella Mendes; Moraes, Bernardo Mendes; Ponte, P; Júnior, Eduardo Venturelli; Mallosto, Rodrigo Urbano; Moreira‐Almeida, Alexander

doi:10.21470/1678-9741-2017-0036

Cited by 3 publications

(10 citation statements)

References 24 publications

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“…Non-shockable rhythms were more common in eight of nine studies reporting initial rhythm with the proportion of non-shockable rhythms ranging from 61.5 to 89.7%. The presumed aetiology of cardiac arrest was reported in four studies 21,24,25,27 with cardiac and respiratory causes accounting for 24.4–78.5% and 13.3–39.7% of arrests, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Studies that reported only a rate of incidence for ICU-CA and did not report an overall number of observations 5,21,23,27 were excluded from quantitative analyses. Similarly for analysis of outcomes, those with only a rate rather than numeric values were excluded.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven [11][12][13][14][15][16][17][18][19][20][21] of the 20 studies were prospective and 13 5,[10][11][12]14,[16][17][18][19][22][23][24] were single centre. The settings include Europe (8), 5,[12][13][14][15]17,19,25 North America (6), 11,22,23,[26][27][28] Asia (3), 10,20,24 South America (2) 18,21 and Australia 16 and study dates range from 1987 to 2017. The number of ICU admissions ranges from 112 to 362,074.…”

Section: Study Characteristics (Table 2)mentioning

confidence: 99%

“…The number of cardiac arrests reported varied from 1 to 50,514. Seventeen studies reported both the number of events and the overall number of eligible admissions, three reported rates per 1000 admissions 5,21,23 and the remaining study reported mean event rate per 1000 patient-bed days and was not included in pooled analyses. 27 The prevalence of ICU-CA varied from 0.5 to 7.8% with incidence rates of 5-78 per 1000 admissions.…”

Section: Incidence Of Cardiac Arrest (Table 2)mentioning

confidence: 99%

“…Further information is available in the supplementary appendix (supplementary appendix, Table C). 22 2 2 3 Enohumah et al 25 3 2 3 Yi et al 10 2 2 3 Galhotra et al 23 2 3 Maia et al 12 2 1 Roessler et al 13 3 2 Gershengorn et al 26 3 1 3 Schmittinger et al 14 2 2 Lee et al 24 3 1 2 Efendijev et al 15 3 2 3 Rozen et al 16 3 2 3 Haerkens et al 17 3 2 Flato et al 18 2 1 Garcia Huertas et al 19 3 1 Chanthawong et al 20 2 2 3 Perman et al 27 2 2 2 Miana et al 21 2 1 3 Cook and Thomas 5 2 1 2 Quinn et al 28 2 1 13 21/48 43.8 Gershengorn et al 26 1025/6518 15.7% Schmittinger et al 14 4/4 100.0 Lee et al 24 96/131 73.3 57/131 43.5 Efendijev et al 15 1891/4246 44.5 Rozen et al 16 29 Three studies compared survival outcomes in patients who did and did not suffer ICU-CA. 5,15,20 ICU mortality was higher in ICU-CA patients with reported rates of 69.6% versus 10.5% in a study from a mixed ICU 5 and 91.2% versus 6.4% in one SICU study.…”

Section: Cardiac Arrest Aetiology and Outcomementioning

confidence: 99%

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The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis

Armstrong

Kane

Oglesby

et al. 2018

Journal of the Intensive Care Society

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The incidence of cardiac arrest in the intensive care unit (ICU-CA) has not been widely reported. We undertook a systematic review and meta-analysis of studies reporting the incidence of cardiac arrest in adult, general intensive care units. The review was prospectively registered with PROSPERO (CRD42017079717). The search identified 7550 records, which included 20 relevant studies for qualitative analysis and 16 of these were included for quantitative analyses. The reported incidence of ICU-CA was 22.7 per 1000 admissions (95% CI: 17.4-29.6) with survival to hospital discharge of 17% (95% CI: 9.5-28.5%). We estimate that at least 5446 patients in the UK have a cardiac arrest after ICU admission. There are limited data and significant variation in the incidence of ICU-CA and efforts to synthesise these are limited by inconsistent reporting. Further prospective studies with standardised process and incidence measures are required to define this important patient group.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristics (Table 2)mentioning

confidence: 99%

Section: Incidence Of Cardiac Arrest (Table 2)mentioning

confidence: 99%

Section: Cardiac Arrest Aetiology and Outcomementioning

confidence: 99%

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The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis

Armstrong

Kane

Oglesby

et al. 2018

Journal of the Intensive Care Society

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Incidence and Predictors of Cardiac Arrest Among Patients Admitted to the Intensive Care Units of a Comprehensive Specialized Hospital in Central Ethiopia

Ashine,

Heliso,

Babore

et al. 2024

PROM

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Background Cardiac arrest (CA) is a common public health problem. Worldwide, cardiac arrest ranks highly among hospitalised patients’ public health concerns, particularly in low-income nations. Data on cardiac arrest in intensive care units in low-income countries are relatively scarce. Determining the incidence and predictors of cardiac arrest among ICU patients will be a very crucial and fruitful clinical practice in resource-limited areas like Ethiopia. Methods A retrospective cohort study was conducted by reviewing charts of 422 systematically selected patients admitted to the ICU from 2018 to 2022 in Wachemo University Comprehensive Specialized Hospital. The extraction tool was used for the data collection, Epi-data version 4.6.0 for data entry, and STATA version 14 for data cleaning and analysis. Kaplan-Meier, log rank test, and life table were used to describe the data. The Cox proportional hazard regression model was used for analysis. Results The findings of this study revealed that the overall occurrence of cardiac arrest among critically ill ICU patients was 27% (95% CI: 23, 32). The incidence density rate of cardiac arrest among intensive care unit patients was 19.6 per 1000 person-days of observation. In a multivariable analysis, patients with chronic kidney disease, oxygen saturation <90%, delirium, intubation, and patients admitted to the ICU with cardiovascular disease were found to be independent predictors of cardiac arrest in the Intensive Care Unit. Conclusion The incidence density rate of cardiac arrest among intensive care unit patients was high. This study also revealed that chronic kidney disease, delirium, intubation, oxygen saturation level below 90% and patients admitted with cardiovascular disease were independent predictors of the occurrence of cardiac arrest among intensive care unit patients. Finally, we recommend that clinician pays attention to those identified as preventable risk factors for early interventions to improve the recovery process of patients in the ICU.

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Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

Menezes¹,

Braga²,

Cruvinel³

2022

Indian Journal of Critical Care Medicine

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A bstract Background Cardiorespiratory arrest is defined as an abrupt halt in the cardiac mechanical activity that is accompanied by the loss of a detectable pulse, the cessation of breathing, and the loss of consciousness. The aim of this study is to create a clinical–epidemiological profile of patients who experienced cardiorespiratory arrest and were admitted to the intensive care unit to evaluate the associated factors and their impact on the prognosis of these patients. Patients and methods From January to December 2019, the medical records of 135 patients who received cardiopulmonary resuscitation were reviewed for this cross-sectional observational study. The information was collected according to the Utstein model. Results A low return of spontaneous circulation of 22.2% was observed, with a predominance of females (53.3%) and older patients (68.9%), multiple comorbidities at admission (68.4%), and asystole as the predominant rhythm. Female sex and age >60 years were statistically significant ( p = 0.017), as was the association between sex and comorbidities ( p = 0.036), with heart disease being the most prevalent in females ( p = 0.036). Conclusion In this study, even though the resuscitation maneuver time (start of resuscitation following arrest) was very short and the defibrillation was performed promptly, there was a high prevalence of cardiac arrest and low survival rates after cardiopulmonary resuscitation. How to cite this article Menezes da Silva A, Braga AL, Cruvinel de Souza V. Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study. Indian J Crit Care Med 2022;26(6):704–709.

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Cardiopulmonary Resuscitation in an Average Brazilian Intensive Care Unit: Should We Perform Less or Better?

Cited by 3 publications

References 24 publications

The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis

The incidence of cardiac arrest in the intensive care unit: A systematic review and meta-analysis

Incidence and Predictors of Cardiac Arrest Among Patients Admitted to the Intensive Care Units of a Comprehensive Specialized Hospital in Central Ethiopia

Prevalence, Outcomes, and Risk Factors for Cardiorespiratory Arrest in the Intensive Care Unit: An Observational Study

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