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Báo cáo y học: "Clinical review: Beyond immediate survival from resuscitation – long-term outcome considerations after cardiac arrest"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Beyond immediate survival from resuscitation – long-term outcome considerations after cardiac arrest. | Available online http ccforum.eom content 11 6 235 Review Clinical review Beyond immediate survival from resuscitation -long-term outcome considerations after cardiac arrest Dilshan Arawwawala and Stephen J Brett Department of Anaesthesia and Intensive Care Medicine Hammersmith Hospital Du Cane Road London W12 0HS UK Corresponding author Stephen J Brett stephen.brett@imperial.ac.uk Published 6 December 2007 This article is online at http ccforum.com content 11 6 235 2007 BioMed Central Ltd Critical Care 2007 11 235 doi 10.1186 cc6139 Abstract A substantial body of literature concerning resuscitation from cardiac arrest now exists. However not surprisingly the greater part concerns the cardiac arrest event itself and optimising survival and outcome at relatively proximal time points. The aim of this review is to present the evidence base for interventions and therapeutic strategies that might be offered to patients surviving the immediate aftermath of a cardiac arrest excluding components of resuscitation itself that may lead to benefits in long-term survival. In addition this paper reviews the data on long-term impact physical and neuropsychological on patients and their families revealing a burden that is often underestimated and underappreciated. As greater numbers of patients survive cardiac arrest outcome measures more sophisticated than simple survival are required. Introduction Survival to a particular time after an index cardiac arrest event as recommended by the Utstein guidelines 1 is the most commonly reported outcome measure for resuscitation with hospital discharge and 1-year survival often reported. Excessive mortality risk is greatest within the first year after arrest and after 2 years approaches that of an age- and gender-matched population 2 . A retrospective review of inhospital mortality identified neurological injury as the mode of early death in two thirds of out-of-hospital cardiac arrest OOHCA patients admitted to intensive care. .