TY  - JOUR
AU  - Tripković, Slađana
AU  - Pavlović, Aleksandar
AU  - Bumbaširević, Vesna
AU  - Sekulić, Ana
AU  - Miličić, Biljana
PY  - 2014
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1959
AB  - Introduction In relation to pre-hospital treatment of patients with cardiac arrest (CA) in the field where resuscitation is often started by nonprofessionals, resuscitation in hospital is most commonly performed by well-trained personnel. Objective The aim was to define the factors associated with an improved outcome among patients suffering from the in hospital CA (INCA). Methods The prospective study included a total of 100 patients in the Emergency Center over two-year period. The patterns by the Utstein-Style guidelines recorded the following: age, sex, reason for hospital admission, comorbidity, cause and origin of CA, continuous monitoring, time of arrival of the medical emergency team and time of delivery of the first defibrillation shock (DC). Results Most patients (61%) had cardiac etiology. Return of spontaneous circulation (ROSC) was achieved in 58% of patients. ROSC was more frequently achieved in younger patients (57.69 +/- 11.37), (p lt 0.05), non-surgical patients (76.1%), (p lt 0.01) and in patients who were in continuous monitoring (66.7%) (p lt 0.05).The outcome of CPR was significantly better in patients who received advanced life support (ALS) (76.6%) (p lt 0.01).Time until the delivery of the first DC shock was significantly shorter in patients who achieved ROSC (1.67 +/- 1.13 min), (p lt 0.01). A total of 5% of IHCA patients survived to hospital discharge. Conclusion In our study, the outcome of CPR was better in patients who were younger and with non-surgical diseases, which are prognostic factors that we cannot control. Factors associated with better outcome of IHCA patients were: continuous monitoring, shorter time until the delivery of the first DC and ALS. This means that better education of medical staff, better organization and up-to-dated technical equipment are needed.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Outcome among Patients Suffering from In-Hospital Cardiac Arrest
VL  - 142
IS  - 3-4
SP  - 170
EP  - 177
DO  - 10.2298/SARH1404170T
ER  - 

@article{
author = "Tripković, Slađana and Pavlović, Aleksandar and Bumbaširević, Vesna and Sekulić, Ana and Miličić, Biljana",
year = "2014",
abstract = "Introduction In relation to pre-hospital treatment of patients with cardiac arrest (CA) in the field where resuscitation is often started by nonprofessionals, resuscitation in hospital is most commonly performed by well-trained personnel. Objective The aim was to define the factors associated with an improved outcome among patients suffering from the in hospital CA (INCA). Methods The prospective study included a total of 100 patients in the Emergency Center over two-year period. The patterns by the Utstein-Style guidelines recorded the following: age, sex, reason for hospital admission, comorbidity, cause and origin of CA, continuous monitoring, time of arrival of the medical emergency team and time of delivery of the first defibrillation shock (DC). Results Most patients (61%) had cardiac etiology. Return of spontaneous circulation (ROSC) was achieved in 58% of patients. ROSC was more frequently achieved in younger patients (57.69 +/- 11.37), (p lt 0.05), non-surgical patients (76.1%), (p lt 0.01) and in patients who were in continuous monitoring (66.7%) (p lt 0.05).The outcome of CPR was significantly better in patients who received advanced life support (ALS) (76.6%) (p lt 0.01).Time until the delivery of the first DC shock was significantly shorter in patients who achieved ROSC (1.67 +/- 1.13 min), (p lt 0.01). A total of 5% of IHCA patients survived to hospital discharge. Conclusion In our study, the outcome of CPR was better in patients who were younger and with non-surgical diseases, which are prognostic factors that we cannot control. Factors associated with better outcome of IHCA patients were: continuous monitoring, shorter time until the delivery of the first DC and ALS. This means that better education of medical staff, better organization and up-to-dated technical equipment are needed.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Outcome among Patients Suffering from In-Hospital Cardiac Arrest",
volume = "142",
number = "3-4",
pages = "170-177",
doi = "10.2298/SARH1404170T"
}

Tripković, S., Pavlović, A., Bumbaširević, V., Sekulić, A.,& Miličić, B.. (2014). Outcome among Patients Suffering from In-Hospital Cardiac Arrest. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 142(3-4), 170-177.
https://doi.org/10.2298/SARH1404170T

Tripković S, Pavlović A, Bumbaširević V, Sekulić A, Miličić B. Outcome among Patients Suffering from In-Hospital Cardiac Arrest. in Srpski arhiv za celokupno lekarstvo. 2014;142(3-4):170-177.
doi:10.2298/SARH1404170T .

Tripković, Slađana, Pavlović, Aleksandar, Bumbaširević, Vesna, Sekulić, Ana, Miličić, Biljana, "Outcome among Patients Suffering from In-Hospital Cardiac Arrest" in Srpski arhiv za celokupno lekarstvo, 142, no. 3-4 (2014):170-177,
https://doi.org/10.2298/SARH1404170T . .