Frequency of intraoperative cardiac arrest and medium-term survival

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSEBBAG, Ilana
dc.contributor.authorCARMONA, Maria Jose Carvalho
dc.contributor.authorGONZALEZ, Maria Margarita Castro
dc.contributor.authorALCANTARA, Hermes Marcel
dc.contributor.authorLELIS, Rolison Gustavo Bravo
dc.contributor.authorTOLEDO, Flavia de Oliveira
dc.contributor.authorARANHA, Gustavo Fabio
dc.contributor.authorNUZZI, Rafael Ximenes do Prado
dc.contributor.authorAULER JUNIOR, Jose Otavio Costa
dc.date.accessioned2014-04-25T21:49:50Z
dc.date.available2014-04-25T21:49:50Z
dc.date.issued2013
dc.description.abstractCONTEXT AND OBJECTIVE: Although advances in surgical and anesthetic techniques have reduced perioperative morbidity-mortality, the survival rate following cardiac arrest remains low. The aim of this study was to evaluate, over the course of one year, the prevalence of intraoperative cardiac arrest and the 30-day survival rate after this event in a tertiary teaching hospital. DESIGN AND SETTING: Prospective cohort study in a tertiary teaching hospital. METHODS: Following approval by the institutional ethics committee, anesthetic procedures and cases of intraoperative cardiac arrest between January and December 2007 were evaluated. Patients undergoing cardiac surgery were excluded. The data were gathered prospectively using the modified Utstein model, with evaluation of demographic data, pre-arrest conditions, intraoperative care, care during arrest and postoperative outcome up to the 30th day. The data were recorded by the attending anesthesiologist. RESULTS: During the study period, 40,379 anesthetic procedures were performed, and 52 cases of intraoperative cardiac arrest occurred (frequency of 13: 10,000). Among these, 69% presented spontaneous return of circulation after the initial arrest, and only 25% survived for 30 days after the event. The following factors were associated with shorter survival: American Society of Anesthesiologists physical status IV and V, emergency surgery, hemorrhagic events, hypovolemia as the cause of arrest and use of atropine during resuscitation. CONCLUSIONS: Although the frequency of cardiac arrest in the surgical environment has declined and resources to attend to this exist, the survival rate is low. Factors associated with worst prognosis are more frequent in critical patients.
dc.description.indexMEDLINE
dc.identifier.citationSAO PAULO MEDICAL JOURNAL, v.131, n.5, p.309-314, 2013
dc.identifier.doi10.1590/1516-3180.2013.1315507
dc.identifier.issn1516-3180
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/5049
dc.language.isoeng
dc.publisherASSOCIACAO PAULISTA MEDICINA
dc.relation.ispartofSao Paulo Medical Journal
dc.rightsopenAccess
dc.rights.holderCopyright ASSOCIACAO PAULISTA MEDICINA
dc.subjectIntraoperative complications
dc.subjectHeart arrest
dc.subjectBlood circulation
dc.subjectSurvival rate
dc.subject.otheramerican-heart-association
dc.subject.otheraustralian-resuscitation-council
dc.subject.otheranesthesia-related mortality
dc.subject.otherhealth-care-professionals
dc.subject.otherfoundation-of-canada
dc.subject.otherstroke-foundation
dc.subject.othercardiopulmonary-resuscitation
dc.subject.otherrecommended guidelines
dc.subject.othersouthern-africa
dc.subject.otherutstein-style
dc.subject.wosMedicine, General & Internal
dc.titleFrequency of intraoperative cardiac arrest and medium-term survival
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus17
hcfmusp.contributor.author-fmusphcILANA SEBBAG
hcfmusp.contributor.author-fmusphcMARIA JOSE CARVALHO CARMONA
hcfmusp.contributor.author-fmusphcMARIA MARGARITA CASTRO GONZALEZ
hcfmusp.contributor.author-fmusphcHERMES MARCEL DE OLIVEIRA E ALCANTARA
hcfmusp.contributor.author-fmusphcROLISON GUSTAVO BRAVO LELIS
hcfmusp.contributor.author-fmusphcFLAVIA DE OLIVEIRA TOLEDO
hcfmusp.contributor.author-fmusphcGUSTAVO FABIO ARANHA
hcfmusp.contributor.author-fmusphcRAFAEL XIMENES DO PRADO NUZZI
hcfmusp.contributor.author-fmusphcJOSE OTAVIO COSTA AULER JUNIOR
hcfmusp.description.beginpage309
hcfmusp.description.endpage314
hcfmusp.description.issue5
hcfmusp.description.volume131
hcfmusp.origemWOS
hcfmusp.origem.pubmed24310799
hcfmusp.origem.scieloSCIELO:S1516-31802013000500309
hcfmusp.origem.scopus2-s2.0-84890182055
hcfmusp.origem.wosWOS:000328944800005
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-05-10
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