Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation
Abstract Background Chest compression is a decisive element of cardio-pulmonary resuscitation (CPR). By applying a mechanical CPR device, compression interruptions can be minimised. We examined the efficiency of manual and device-assisted resuscitation as well as the effects of cardiovascular risk f...
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doaj-55a3c76f88114ed89bcfa7b7da594fdd2020-11-25T03:55:37ZengBMCBMC Cardiovascular Disorders1471-22612018-12-011811710.1186/s12872-018-0962-6Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitationDóra Ujvárosy0Veronika Sebestyén1Tamás Pataki2Tamás Ötvös3István Lőrincz4György Paragh5Zoltán Szabó6Department of Emergency Medicine, Faculty of Medicine, University of DebrecenDepartment of Emergency Medicine, Faculty of Medicine, University of DebrecenDepartment of Emergency Medicine, Faculty of Medicine, University of DebrecenDepartment of Emergency Medicine, Faculty of Medicine, University of DebrecenDepartment of Emergency Medicine, Faculty of Medicine, University of DebrecenDepartment of Internal Medicine, Division of Metabolism, Faculty of Medicine, University of DebrecenDepartment of Emergency Medicine, Faculty of Medicine, University of DebrecenAbstract Background Chest compression is a decisive element of cardio-pulmonary resuscitation (CPR). By applying a mechanical CPR device, compression interruptions can be minimised. We examined the efficiency of manual and device-assisted resuscitation as well as the effects of cardiovascular risk factors on the outcome of resuscitation. Methods In our retrospective, randomised 3-year study the data of adult patients suffering non-traumatic, out-of-hospital, sudden cardiac death (SCD) were analysed (n = 287). The data were retrieved by processing case reports, Utstein sheets and acute coronary syndrome sheets. We compared the data of patients undergoing manual (n = 232) and device-assisted resuscitation (LUCAS-2, n = 55). The primary endpoint was the on-site restoration of spontaneous circulation (ROSC). Results and conclusion In 37% of the cases ROSC happened. With respect to ROSC an insignificantly more favourable tendency was demonstrated in the case of device-assisted resuscitation (p = 0.072). In the Lucas group, a higher success rate occurred even in the case of prolonged resuscitation. We found a better outcome in the Lucas group in the case of CPR started a longer time after the SCD (p < 0.05). A positive correlation was established between age and unsuccessful resuscitation (p = < 0.017; r = 0.125). An unfavourable correlation was observed between hypertension and the outcome of resuscitation (p = 0.018; r = 0.143). According to our results the presence of left ventricular hypertrophy poses 5.1-fold risk of unsuccessful CPR (CI: 4.97–5.29). Advanced age and structural heart diseases can play a role in the genesis of SCD. Importantly, left ventricular hypertrophy and hypertension negatively affect survival.http://link.springer.com/article/10.1186/s12872-018-0962-6ResuscitationSudden cardiac deathChest compression |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dóra Ujvárosy Veronika Sebestyén Tamás Pataki Tamás Ötvös István Lőrincz György Paragh Zoltán Szabó |
spellingShingle |
Dóra Ujvárosy Veronika Sebestyén Tamás Pataki Tamás Ötvös István Lőrincz György Paragh Zoltán Szabó Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation BMC Cardiovascular Disorders Resuscitation Sudden cardiac death Chest compression |
author_facet |
Dóra Ujvárosy Veronika Sebestyén Tamás Pataki Tamás Ötvös István Lőrincz György Paragh Zoltán Szabó |
author_sort |
Dóra Ujvárosy |
title |
Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
title_short |
Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
title_full |
Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
title_fullStr |
Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
title_full_unstemmed |
Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
title_sort |
cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation |
publisher |
BMC |
series |
BMC Cardiovascular Disorders |
issn |
1471-2261 |
publishDate |
2018-12-01 |
description |
Abstract Background Chest compression is a decisive element of cardio-pulmonary resuscitation (CPR). By applying a mechanical CPR device, compression interruptions can be minimised. We examined the efficiency of manual and device-assisted resuscitation as well as the effects of cardiovascular risk factors on the outcome of resuscitation. Methods In our retrospective, randomised 3-year study the data of adult patients suffering non-traumatic, out-of-hospital, sudden cardiac death (SCD) were analysed (n = 287). The data were retrieved by processing case reports, Utstein sheets and acute coronary syndrome sheets. We compared the data of patients undergoing manual (n = 232) and device-assisted resuscitation (LUCAS-2, n = 55). The primary endpoint was the on-site restoration of spontaneous circulation (ROSC). Results and conclusion In 37% of the cases ROSC happened. With respect to ROSC an insignificantly more favourable tendency was demonstrated in the case of device-assisted resuscitation (p = 0.072). In the Lucas group, a higher success rate occurred even in the case of prolonged resuscitation. We found a better outcome in the Lucas group in the case of CPR started a longer time after the SCD (p < 0.05). A positive correlation was established between age and unsuccessful resuscitation (p = < 0.017; r = 0.125). An unfavourable correlation was observed between hypertension and the outcome of resuscitation (p = 0.018; r = 0.143). According to our results the presence of left ventricular hypertrophy poses 5.1-fold risk of unsuccessful CPR (CI: 4.97–5.29). Advanced age and structural heart diseases can play a role in the genesis of SCD. Importantly, left ventricular hypertrophy and hypertension negatively affect survival. |
topic |
Resuscitation Sudden cardiac death Chest compression |
url |
http://link.springer.com/article/10.1186/s12872-018-0962-6 |
work_keys_str_mv |
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