Halálozásikockázat-becslő pontrendszerek alkalmazhatóságának előzetes vizsgálata újraélesztett betegek körében

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Kiss , B , Fekete-Györ , A , Szakal-Toth , Z , Parkanyi , A , Jenei , Z , Nyeki , P , Becker , D , Molnar , L , Ruzsa , Z , Der , G , Kovacs , E , Pilecky , D , Geller , L , Harjola , V-P , Merkely , B & Zima , E 2021 , ' Halálozásikockázat-becslő pontrendszerek alkalmazhatóságának előzetes vizsgálata újraélesztett betegek körében ' , Orvosi hetilap: honi és külföldi gyógyászat és kórbulvárlat közlönye , vol. 162 , no. 2 , pp. 52-60 . https://doi.org/10.1556/650.2021.31949

Title: Halálozásikockázat-becslő pontrendszerek alkalmazhatóságának előzetes vizsgálata újraélesztett betegek körében
Author: Kiss, Boldizsar; Fekete-Györ, Alexandra; Szakal-Toth, Zsofia; Parkanyi, Anna; Jenei, Zsigmond; Nyeki, Peter; Becker, David; Molnar, Levente; Ruzsa, Zoltan; Der, Gabor; Kovacs, Enikö; Pilecky, David; Geller, Laszlo; Harjola, Veli-Pekka; Merkely, Bela; Zima, Endre
Contributor: Helsingin yliopisto, HUS Akuten
Date: 2021-01
Language: hun
Number of pages: 9
Belongs to series: Orvosi hetilap: honi és külföldi gyógyászat és kórbulvárlat közlönye
ISSN: 0030-6002
URI: http://hdl.handle.net/10138/328847
Abstract: Introduction: Sudden cardiac death is one of the most significant cardiovascular causes of death worldwide. Although there have been immense methodological and technical advances in the field of cardiopulmonary resuscitation and following intensive care in the last decade, currently there are only a few validated risk-stratification scoring systems for the quick and reliable estimation of the mortality risk of these patients at the time of admission to the intensive care unit. Objective: Our aim was to correlate the mortality prediction risk points calculated by CardShock Risk Score (CSRS) and modified (m) CSRS based on the admission data of the post-cardiac arrest syndrome (PCAS) patients. Methods: The medical records of 172 out-of-hospital resuscitated cardiac arrest patients, who were admitted at the Heart and Vascular Centre of Semmelweis University, were screened retrospectively. Out of the 172 selected patients, 123 were eligible for inclusion to calculate CSRS and mCSRS. Based on CSRS score, we generated three different groups of patients, with scores 1 to 3, 4 to 6, and 7+, respectively. Mortality data of the groups were compared by log-rank test. Results: Mean age of the patients was 63.6 years (69% male), the cause of sudden cardiac death was acut coronary syndrome in 80% of the cases. The early and late mortality was predicted by neurological status, serum lactate level, renal function, initial rhythm, and the need of catecholamines. Using mCSRS, a significant survival difference was proven in between the groups "1-3" vs "4-6" (p Conclusion: Compared to the CSRS, the mCSRS expanded with the 2 additional weighting points differentiates more specifically the low-moderate and high survival groups in the PCAS patient population treated in our institute.
Subject: resuscitation
post-resuscitation care
mortality
risk
HOSPITAL CARDIAC-ARREST
COUNCIL GUIDELINES
EUROPEAN-SOCIETY
SURVIVAL
ASSOCIATION
DEATH
CARE
EPINEPHRINE
PREDICTION
CARDIOLOGY
3121 General medicine, internal medicine and other clinical medicine
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