Methods: A
retrospective analysis of consecutive hospitalized patients that
underwent CPR between 4/2012 to 12/2013 at Beaumont Hospital.
Patients with CPR perioperatively, in the setting of trauma, during
pregnancy and postpartum were excluded, also patients or their
surrogates who elected palliative care/hospice were excluded.
Univariable and a step-down logistic regression multivariable
analysis were performed…
Pre-arrest clinical
factors and CPR characteristics associated with survival on
univariable analysis were: History of PCI in 36.4% of survivors
compared to 16.5% of those who did not survive (p=0.013).
Hyperlipidemia was more common in survivors (68.2% versus 32.5%,
p=0.001), as well as being on statins (76.7% versus 43%, p=0.0004).
Those who did not survive were more likely to have active cancer
(16.3% versus 2.3%, p=0.018), less likely to have a shockable rhythm
(7.9% versus 27.9%, p=0.003), and more likely to have CPR greater
than or equal to 15 minutes (82.4% versus 19.5%, p less than 0.0001).
On multivariable analysis, CPR duration and statin therapy were the
only factors associated with survival. Those who did not survive were
more likely to have CPR greater than or equal to 15 minutes (Adjusted
OR 18.08, 95% CI 6.5-50.5, p less than 0.001) and less likely to be
on statin therapy before cardiac arrest ( Adjusted OR 0.29, 95% CI :
0.10-0.83 p= 0.021) with C-Statistic of 0.86.
No comments:
Post a Comment