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Ann Emerg Med. 1995 Jan;25(1):58-63.

Prognosis among survivors of prehospital cardiac arrest.

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1
Division of Cardiology, Sahlgrenska University Hospital Göteborg, Sweden.

Abstract

STUDY OBJECTIVE:

To describe the prognosis in consecutive patients discharged from hospital after prehospital cardiac arrest.

PATIENTS:

All patients in the community of Göteborg who were discharged from hospital after out-of-hospital cardiac arrest between 1981 and 1991.

RESULTS:

Two hundred forty-three patients were discharged from hospital during the observation period, of whom 80% initially experienced ventricular fibrillation. Among patients discharged, 21% died during the first year; after 10 years, 82% had died. Age, sex, previous history of cardiovascular disease, circumstances at the time of cardiac arrest, complications during hospitalization, and discharge medications were assessed as predictors of 1-year mortality. Independent predictors of death during follow-up were history of myocardial infarction (P < .001), no prescription of beta-blockers at discharge (P < .01), age (P < .05), and cerebral performance category (CPC) at discharge (P < .05).

CONCLUSION:

Among patients who survived out-of-hospital cardiac arrest, one of five died during the first year and one of five survived 10 years after discharge. Prognosis was associated with a history of myocardial infarction, prescription of beta-blockers at discharge, age, and CPC at discharge.

PMID:
7802371
[Indexed for MEDLINE]
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