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dc.creatorTripković, Slađana
dc.creatorPavlović, Aleksandar
dc.creatorBumbaširević, Vesna
dc.creatorSekulić, Ana
dc.creatorMiličić, Biljana
dc.date.accessioned2020-07-02T12:54:58Z
dc.date.available2020-07-02T12:54:58Z
dc.date.issued2014
dc.identifier.issn0370-8179
dc.identifier.urihttps://smile.stomf.bg.ac.rs/handle/123456789/1959
dc.description.abstractIntroduction 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.en
dc.publisherSrpsko lekarsko društvo, Beograd
dc.rightsopenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.sourceSrpski arhiv za celokupno lekarstvo
dc.subjectin-hospital cardiac arresten
dc.subjectcardiopulmonary resuscitationen
dc.subjectbasic life supporten
dc.subjectadvanced life supporten
dc.titleOutcome among Patients Suffering from In-Hospital Cardiac Arresten
dc.typearticle
dc.rights.licenseBY-NC
dcterms.abstractМиличић, Биљана; Секулић, Aна; Бумбаширевић, Весна; Павловић, Aлександар; Трипковић, Слађана;
dc.citation.volume142
dc.citation.issue3-4
dc.citation.spage170
dc.citation.epage177
dc.citation.other142(3-4): 170-177
dc.citation.rankM23
dc.identifier.wos000335274800004
dc.identifier.doi10.2298/SARH1404170T
dc.identifier.pmid24839771
dc.identifier.scopus2-s2.0-84940329759
dc.identifier.fulltexthttps://smile.stomf.bg.ac.rs/bitstream/id/619/1954.pdf
dc.identifier.rcubconv_3167
dc.type.versionpublishedVersion


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