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The Assessment of Lactate, Apache II Scores and the Revised Lactate Score to Predict Severity of Illness in Critically Ill Patients by R. Bilkovski; P. Coghlan; M. Smith; E. Boyar; A.J. Garcia; M. DeMott is a Medicine article available to read on EtoBox.

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patients experiencing a single CA (RR=0.66 95%CI: (0.54,0.82)) Mean time to recurrence was 17hrs (SD 42.2 hrs) but median time to recurrence was only 2.7 hours (IQR: 0.87-8.48 hours). While 58% of recurrences occurred in the ICU, 29% occurred in the ED. Controlling for other factors, ED arrest survivors were significantly more likely to survive until hospital discharge if their second arrest occurred in a cardiac catheterization lab (48%) than if it occurred in the ED or ICU (14%; RR=3.5 95% CI: (2.3,5.5)). Factors associated with sustaining recurrent cardiopulmonary arrest include younger age (60.9 vs. 64.1 years; p=0.000) and female gender (RR=1.2 95%CI: (1.0,1.4)). Initial rhythm was not associated with arrest recurrence, although patients who sustained a shockable rhythm initially were significantly more likely to have shockable rhythm on recurrence. Conclusion: Recurrent cardiac arrest is common in ED arrest survivors, and 75% of recurrent arrests occur within 8.5 hours. Patient factors and discharge survival outcome are different for single vs recurrent cardiac arrest patients in the ED.

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Author

R. Bilkovski; P. Coghlan; M. Smith; E. Boyar; A.J. Garcia; M. DeMott

Publisher

Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1097-6760)

Published

2005

Language

EN

Field

Medicine (Health Sciences)