Long‐and Short‐Term Mortality Rates in Patients who Primarily Survive Cardiac Arrest Compared with a Normal Population

Long‐and Short‐Term Mortality Rates in Patients who Primarily Survive Cardiac Arrest Compared with a Normal Population
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心脏骤停后幸存的患者与正常人群的长期和短期死亡率

DOI:
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发表时间:
1979
影响因子:
2.1
通讯作者:
A. Thomassen
A. Thomassen
中科院分区:
医学4区
文献类型:
--
作者:
M. Wernberg;A. Thomassen

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这是一项针对 180 名重症监护室和冠心病监护室外心脏骤停幸存者的后续研究。原发性心脏骤停后随访时间延长了 0.5 至 8.5 年(平均 4.3 年)。其中 72 例(40%)患者出院,其中 13 例出现缺氧性脑损伤。 31%的出院患者在第一年内死亡; 43%的人在2年后死亡,50%的人在3年后死亡。此后,死亡率与可比较的正常人群相似。研究结束时,34 名患者仍然活着,其中 8 名患有神经系统后遗症。大多数(59%)属于美国心脏协会分类 I 组或 II 组的患者目前的心功能是令人满意的。然而,他们的社会状况却不尽如人意,因为只有 50% 的人完全或部分恢复了之前的活动水平。
This is a follow‐up study of 180 survivors after cardiac arrest outside intensive care and coronary care units. The follow‐up extended over 0.5 to 8.5 years (average 4.3 years) after the primary cardiac arrest. Of the patients, 72 (40%) were discharged from hospital, 13 with anoxic brain damage. Thirty‐one per cent of the discharged patients died within the first year; death had occurred in 43% after 2 years, and in 50% after 3 years. After that time, the mortality was similar to that of a comparable normal population. At the end of the study, 34 patients were still alive, including eight with neurological sequelae. Their present cardiac function was satisfactory in the majority (59%) of the patients falling into group I or II of the American Heart Association classification. Their social situation, however, left much to be desired, as only 50% had fully or partly regained their previous level of activity.