Caracterización clínica de pacientes con parada cardiorrespiratoria
Abstract
Introducción: El paro cardiorrespiratorio constituye una emergencia médica, con grave peligro de muerte en quien lo sufre.
Objetivo: Caracterizar los factores clínicos asociados al paro cardiorrespiratorio en pacientes atendidos en el servicio de urgencias.
Método: Estudio observacional transversal. Serie de 108 pacientes. Variables: edad, sexo, presencia de comorbilidad y grado de comorbilidad.
Resultados: Los factores que mayores porcentajes mostraron con el riesgo de fallecer fueron: la edad superior a los 50 años (52,9 %), el sexo masculino (57,5 %), los antecedentes de hipertensión arterial (72,4 %), cardiopatía isquémica (37,9 %) y diabetes mellitus (28,2 %), y la presencia de una comorbilidad de por lo menos dos enfermedades (44,8 %).
Conclusiones: El conocimiento de las variables clínicas y factores pronósticos identificados resultan de inestimable valor, ya que optimizan el proceso de toma de decisiones en el manejo del paro cardiorrespiratorio y por tanto en la salvación de vidas humanas.
Downloads
Download data is not yet available.
References
1. Navarro-Vargas JR, Matiz-Camacho H, Osorio-Esquivel J. Manual de práctica clínica basado en la evidencia: Reanimación cardiocerebropulmonar. Rev Colomb Anestesiol. 2015;43:9-19.
2. Ramos JV. Muerte súbita cardíaca: la importancia de la desfibrilación temprana y la resucitación cardiopulmonar. CorSalud Rev Enfermedades Cardiovasc. 2014;6(1):46-50.
3. Meaney PA, Bentley JB, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Calidad de la reanimación cardiopulmonar: mejora de los resultados de la reanimación cardíaca intra y extrahospitalaria. Circulation. 2013;128:417-35.
4. Vigo-Ramos J. Muerte súbita y emergencias cardiovasculares: problemática actual. Rev Peru Med Exp Salud Publica. 2008;25:233-6.
5. Gempeler RFE. Reanimación cardiopulmonar. Más allá de la técnica. Rev Colomb Anestesiol. 2015;43:142-6.
6. Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Part 1: Executive Summary 2010. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;12218(3):640-56.
7. Czobor P, Venturini JM, Parikh KS, Retzer EM, Friant J, Jeevanandam V, y otros Sequential organ failure assessment score at presentation predicts survival in patients treated with percutaneous veno-arterial extracorporeal membrane oxygenation. J Invasive Cardiol. 2016;28(4):133-8.
8. Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008;372(9638):554-61.
9. Sánchez García AB, Fernández Alemán JL, Alonso Pérez N, Hernández Hernández I, Navarro Valverde R, Rosillo Castro D. Materia de RCP en el personal sanitario de los servicios de urgencias hospitalarios de la Comunidad Autónoma de la Región de Murcia. Rev Colomb Anestesiol. 2017;45(2):114-21.
10. Lee SH, Shin DS, Kim JR, Kim H. Factors associated with mortality risk in critical care patients treated with veno-arterial extracorporeal membrane oxygenation. Heart & Lung. 2017;46(3):137-42.
11. Yousuf O, Chrispin J, Tomaselli GF, Berger RD. Clinical management and prevention of sudden cardiac death. Circ Res. 2015 Jun 5;116(12):2020-40.
12. Hernández-Castro MA, Conde-Mercado JM, Cañedo-Dorantes M. Paro cardiorrespiratorio. Factores pronósticos. Rev Asoc Mex Med Crit y Ter Int. 1999;13(4):127-31.
13. Porlier M, Porlier L, Lefort H. Cardiorespiratory arrest at the age of 30. Rev Infirm. 2017 Aug-Sep;66(233):26-7.
14. Hazinski MF, Nolan JP, Billi JE, y otros International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation 2010;122:250e75.
15. Sung WL, Kap SH, Jong SP, Ji SL, Su JK. Prognostic indicators of survival and survival prediction model following extracorporeal cardiopulmonary resuscitation in patients with sudden refractory cardiac arrest. Ann. Intensive Care. 2017;7:87.
16. Anuario Estadístico de Salud 2017. La Habana: Ministerio de Salud Pública (CU); 2017.
17. Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63-81.
18. Sladjana A. A prediction survival model for out-of-hospital cardiopulmonary resuscitations. J Crit Care. 2011;26(2):223.e11-8.
19. Aschauer S, Dorffner G, Sterz F, Erdogmus A, Laggner A. A prediction tool for initial out-of-hospital cardiac arrest survivors. Resuscitation. 2014;85(9):1225-31.
20. Maupain C, Bougouin W, Lamhaut L, Deye N, Diehl JL, Geri G, y otros The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest. Eur Heart J. 2016;37(42):3222-8.
21. Waldo SW, Chang L, Strom JB, O'Brien C, Pomerantsev E, Yeh RW. Predicting the Presence of an Acute Coronary Lesion Among Patients Resuscitated From Cardiac Arrest. Circ Cardiovasc Interv. 2015;8(10):e002198.
22. Soholm H, Hassager C, Lippert F, Winther-Jensen M, Thomsen JH, Friberg H, y otros Factors Associated With Successful Resuscitation After Out-of- Hospital Cardiac Arrest and Temporal Trends in Survival and Comorbidity. Ann Emerg Med. 2015;65(5):523-31.
23. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83.
2. Ramos JV. Muerte súbita cardíaca: la importancia de la desfibrilación temprana y la resucitación cardiopulmonar. CorSalud Rev Enfermedades Cardiovasc. 2014;6(1):46-50.
3. Meaney PA, Bentley JB, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Calidad de la reanimación cardiopulmonar: mejora de los resultados de la reanimación cardíaca intra y extrahospitalaria. Circulation. 2013;128:417-35.
4. Vigo-Ramos J. Muerte súbita y emergencias cardiovasculares: problemática actual. Rev Peru Med Exp Salud Publica. 2008;25:233-6.
5. Gempeler RFE. Reanimación cardiopulmonar. Más allá de la técnica. Rev Colomb Anestesiol. 2015;43:142-6.
6. Field JM, Hazinski MF, Sayre MR, Chameides L, Schexnayder SM, Hemphill R, et al. Part 1: Executive Summary 2010. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;12218(3):640-56.
7. Czobor P, Venturini JM, Parikh KS, Retzer EM, Friant J, Jeevanandam V, y otros Sequential organ failure assessment score at presentation predicts survival in patients treated with percutaneous veno-arterial extracorporeal membrane oxygenation. J Invasive Cardiol. 2016;28(4):133-8.
8. Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet. 2008;372(9638):554-61.
9. Sánchez García AB, Fernández Alemán JL, Alonso Pérez N, Hernández Hernández I, Navarro Valverde R, Rosillo Castro D. Materia de RCP en el personal sanitario de los servicios de urgencias hospitalarios de la Comunidad Autónoma de la Región de Murcia. Rev Colomb Anestesiol. 2017;45(2):114-21.
10. Lee SH, Shin DS, Kim JR, Kim H. Factors associated with mortality risk in critical care patients treated with veno-arterial extracorporeal membrane oxygenation. Heart & Lung. 2017;46(3):137-42.
11. Yousuf O, Chrispin J, Tomaselli GF, Berger RD. Clinical management and prevention of sudden cardiac death. Circ Res. 2015 Jun 5;116(12):2020-40.
12. Hernández-Castro MA, Conde-Mercado JM, Cañedo-Dorantes M. Paro cardiorrespiratorio. Factores pronósticos. Rev Asoc Mex Med Crit y Ter Int. 1999;13(4):127-31.
13. Porlier M, Porlier L, Lefort H. Cardiorespiratory arrest at the age of 30. Rev Infirm. 2017 Aug-Sep;66(233):26-7.
14. Hazinski MF, Nolan JP, Billi JE, y otros International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation 2010;122:250e75.
15. Sung WL, Kap SH, Jong SP, Ji SL, Su JK. Prognostic indicators of survival and survival prediction model following extracorporeal cardiopulmonary resuscitation in patients with sudden refractory cardiac arrest. Ann. Intensive Care. 2017;7:87.
16. Anuario Estadístico de Salud 2017. La Habana: Ministerio de Salud Pública (CU); 2017.
17. Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63-81.
18. Sladjana A. A prediction survival model for out-of-hospital cardiopulmonary resuscitations. J Crit Care. 2011;26(2):223.e11-8.
19. Aschauer S, Dorffner G, Sterz F, Erdogmus A, Laggner A. A prediction tool for initial out-of-hospital cardiac arrest survivors. Resuscitation. 2014;85(9):1225-31.
20. Maupain C, Bougouin W, Lamhaut L, Deye N, Diehl JL, Geri G, y otros The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest. Eur Heart J. 2016;37(42):3222-8.
21. Waldo SW, Chang L, Strom JB, O'Brien C, Pomerantsev E, Yeh RW. Predicting the Presence of an Acute Coronary Lesion Among Patients Resuscitated From Cardiac Arrest. Circ Cardiovasc Interv. 2015;8(10):e002198.
22. Soholm H, Hassager C, Lippert F, Winther-Jensen M, Thomsen JH, Friberg H, y otros Factors Associated With Successful Resuscitation After Out-of- Hospital Cardiac Arrest and Temporal Trends in Survival and Comorbidity. Ann Emerg Med. 2015;65(5):523-31.
23. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83.
Published
2018-11-09
How to Cite
1.
Tamayo Blanco D, Tamayo Blanco I, Benítez Sánchez E, Carrión Castillo V, García Despaigne N. Caracterización clínica de pacientes con parada cardiorrespiratoria. Rev Cubana Med Milit [Internet]. 2018 Nov. 9 [cited 2025 Jan. 9];47(4):392-400. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/155
Issue
Section
Research Article
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.
