Meta-Analysis of the Factors Influencing the Restoration of Spontaneous Circulation After Cardiopulmonary Resuscitation

An, Hongyu; Han, Yi-Ran; Wang, Tianhao; Chi, Fei; Meng, Yonggang; Liang, Juhua; Li, Xianglan

doi:10.3389/fphys.2022.834352

Cited by 7 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The initial rhythm is another critical factor because timely defibrillation can increase the ROSC rate when a shockable rhythm occurs[ 16 ]. In the present study, the initial rhythm was also an essential variable of P-ROSC after adjusting for other variables ( P < 0.001).…”

Section: Discussionmentioning

confidence: 99%

Establishment of a prediction model for prehospital return of spontaneous circulation in out-of-hospital patients with cardiac arrest

Wang,

Zhou,

Huang

et al. 2023

World J Cardiol

View full text Add to dashboard Cite

The rise in incidence rates of invasive candidiasis warrants an increase in attention and efforts toward preventing and treating this virulent infection. Cardiac involvement is one of the most feared sequelae and has a poor prognosis. Despite the introduction of several novel antifungal agents over the past quarter century, complications and mortality rates due to Candida endocarditis have remained high. Although fungal endocarditis has a mechanism similar to bacterial endocarditis, no specific diagnostic criteria or algorithm exists to help guide its management. Furthermore, recent data has questioned the current guidelines recommending a combined approach of antifungal agents with surgical valve or indwelling prostheses removal. With the emergence of multidrug-resistant Candida auris , a focus on improved prophylactic measures and management strategies is necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Establishment of a prediction model for prehospital return of spontaneous circulation in out-of-hospital patients with cardiac arrest

Wang,

Zhou,

Huang

et al. 2023

World J Cardiol

View full text Add to dashboard Cite

show abstract

“…The median time between activation and EMS arrival was 13 minutes. It is important to work on decreasing the response time of the AO for OHCA assistance, given that the condition under study is time-dependent; that is, the more timely the assistance and specific interventions, the higher the probability of ROSC and hence of improved survival, since after this time range the metabolic changes become incompatible with life (13,17,24,25).…”

Section: Discussionmentioning

confidence: 99%

Características del paro cardiaco extrahospitalario atendido por operadores de ambulancias en Medellín. Estudio de cohorte retrospectivo de base poblacional

Muñoz Henao,

Giraldo Builes,

Villa Velásquez

et al. 2024

Colomb. J. Anesthesiol.

View full text Add to dashboard Cite

Introduction: Every year, five million people around the world experience an out-of-hospital cardiac arrest (OHCA) and less than 40 % receive any assistance before the arrival of the Emergency Medical Services (EMS). Ambulance operators (AO) take care of people experiencing an OHCA, stabilize and then transfer them. In Medellín, Colombia, there is a public AO and several private providers, but the information about an OHCA and the operational characteristics during the response to the event are limited. Objective: To estimate the incidence of OHCA and to explore the factors associated with survival after the event in Medellín city. Methods: Retrospective, population-based cohort study. All the medical records of patients experiencing an OHCA who were assessed and treated by ambulance operators, (AO) of the Emergency Medical Services (EMS) and private agencies in Medellin city were reviewed. Descriptive statistics were used for data analysis and the annual incidence of the event standardized for the general population was estimated. Potential survival-associated factors reported as OR with their corresponding 95% CI were explored. Results: A total of 1,447 patient records with OHCA between 2018 and 2019 were analyzed. The event incidence rate for the number of cases assessed was 28.1 (95 % CI 26.0-30.3) and 26.9 (95 % CI 24.9-29.1) cases per 100,000 inhabitants/year for 2018 and 2019, respectively; the incidence rate of treated OHCA was 2.6 (95 % CI 2.0-3.3) and 3.2 (95 % CI 2.5-4.0) per 100,000 inhabitants/year, for 2018 and 2019. Survival on arrival at hospitals of treated cases was 14.2 % (95 % CI 5.5-22.8) and 15.5 % (95 % CI 7.4-23.5) for 2018 and 2019, respectively. Conclusion: This study portrays the operating and care characteristics of the population experiencing OHCA in Medellín city. The incidence rate of the event and the survival were lower than those reported in the literature.

show abstract

“…Despite these indicators, it's important for healthcare providers to remain vigilant, as certain factors may mimic signs of ROSC without genuine circulation restoration. Therefore, a comprehensive and multifaceted approach, incorporating both clinical and technological assessments, is essential in accurately determining ROSC and guiding further interventions (9).…”

Section: Cardiopulmonary Resuscitationmentioning

confidence: 99%

Exploring the Role of Bispectral Index in Interrupting CPR for ROSC Diagnosis: A Call for Further Research

ÖZDEMİR

2023

Eurasian Journal of Critical Care

View full text Add to dashboard Cite

The current approach in cardiopulmonary resuscitation (CPR) involves interrupting the chest compressions to assess the pulse and diagnose Return of Spontaneous Circulation (ROSC). This critical step is essential for determining the effectiveness of resuscitation efforts. However, the interruption of CPR poses a challenge, prompting researchers to explore alternative methods for diagnosing ROSC without compromising the ongoing resuscitation process. One potential solution proposed in the literature is the use of the Bispectral Index (BIS). BIS is a numerical value derived from processed electroencephalogram data, providing a measure of the depth of anesthesia or sedation. Some studies have reported an increase in BIS values following successful ROSC during CPR. This observation suggests that monitoring BIS levels could offer real-time information about cerebral perfusion and neurological status, eliminating the need for pulse checks that require CPR interruption. Despite these promising indications, it is crucial to acknowledge the limited existing literature on the subject. The evidence supporting the use of BIS in diagnosing ROSC during CPR is not yet robust, and further research is warranted. Researchers are encouraged to delve into this unexplored area, conducting comprehensive studies to assess the reliability and effectiveness of BIS as a tool for continuous monitoring during resuscitation efforts. In conclusion, while the concept of using BIS to diagnose ROSC during CPR holds potential, it remains an area that requires substantial research attention. The limited existing literature underscores the need for more extensive investigations to determine the feasibility and reliability of integrating BIS into the CPR protocol. As technology advances, exploring innovative approaches for continuous assessment during resuscitation becomes imperative for improving outcomes in cardiac arrest scenarios

show abstract

Meta-Analysis of the Factors Influencing the Restoration of Spontaneous Circulation After Cardiopulmonary Resuscitation

Cited by 7 publications

References 35 publications

Establishment of a prediction model for prehospital return of spontaneous circulation in out-of-hospital patients with cardiac arrest

Establishment of a prediction model for prehospital return of spontaneous circulation in out-of-hospital patients with cardiac arrest

Características del paro cardiaco extrahospitalario atendido por operadores de ambulancias en Medellín. Estudio de cohorte retrospectivo de base poblacional

Exploring the Role of Bispectral Index in Interrupting CPR for ROSC Diagnosis: A Call for Further Research

Contact Info

Product

Resources

About