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ECG-monitoring of i...
ECG-monitoring of in-hospital cardiac arrest and factors associated with survival
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- Thorén, A. (författare)
- Karolinska Institutet,Department of Clinical Physiology, Danderyd University Hospital Corp., SE-182 88 Stockholm, Sweden.
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- Rawshani, Araz, 1986 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Department of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, SE-405 30 Gothenburg, Sweden
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- Herlitz, Johan, 1949- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,PreHospen
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- Engdahl, J. (författare)
- Karolinska Institutet,Division of Cardiovascular Medicine, Department of Clinical Sciences, Danderyd University Hospital, Karolinska Institute, SE-182 88 Stockholm, Sweden
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- Kahan, T. (författare)
- Karolinska Institutet,Division of Cardiovascular Medicine, Department of Clinical Sciences, Danderyd University Hospital, Karolinska Institute, SE-182 88 Stockholm, Sweden
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- Gustafsson, L. (författare)
- Department of Internal and Emergency Medicine, Sahlgrenska University Hospital, SE-405 30 Gothenburg, Sweden
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- Djärv, T. (författare)
- Karolinska Institutet,Department of Medicine, Solna, Centre for Resuscitation Science, Karolinska Institute, SE-171 77 Stockholm, Sweden
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Karolinska Institutet Department of Clinical Physiology, Danderyd University Hospital Corp, SE-182 88 Stockholm, Sweden. (creator_code:org_t)
- Elsevier BV, 2020
- 2020
- Engelska.
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Ingår i: Resuscitation. - : Elsevier BV. - 0300-9572 .- 1873-1570. ; 150, s. 130-138
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: ECG-monitoring is a strong predictor for 30-days survival after in-hospital cardiac arrest (IHCA). The aim of the study is to investigate factors influencing the effect of ECG-monitoring on 30-days survival after IHCA and elements of importance in everyday clinical practice regarding whether patients are ECG-monitored prior to IHCA. Methods: In all, 19.225 adult IHCAs registered in the Swedish Registry for Cardiopulmonary Resuscitation (SRCR) were included. Cox-adjusted survival curves were computed to study survival post IHCA. Logistic regression was used to study the association between 15 predictors and 30-days survival. Using logistic regression we calculated propensity scores (PS) for ECG-monitoring; the PS was used as a covariate in a logistical regression estimating the association between ECG-monitoring and 30-days survival. Gradient boosting was used to study the relative importance of all predictors on ECG-monitoring. Results: Overall 30-days survival was 30%. The ECG-monitored group (n = 10.133, 52%) had a 38% lower adjusted mortality (HR 0.62 95% CI 0.60−0.64). We observed tangible variations in ECG-monitoring ratio at different centres. The predictors of most relative influence on ECG-monitoring in IHCA were location in hospital and geographical localization. Conclusion: ECG-monitoring in IHCA was associated to a 38% lower adjusted mortality, despite this finding only every other IHCA patient was monitored. The significant variability in the frequency of ECG-monitoring in IHCA at different centres needs to be evaluated in future research. Guidelines for in-hospital ECG-monitoring could contribute to an improved identification and treatment of patients at risk, and possibly to an improved survival. © 2020 Elsevier B.V.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- 30-days survival
- ECG-monitoring
- IHCA
- In-hospital cardiac arrest
- Prevention
- Rhythm monitoring
- aged
- Article
- breathing pattern
- cardiovascular mortality
- cerebrovascular accident
- controlled study
- diabetes mellitus
- disease association
- electrocardiography monitoring
- female
- heart arrest
- heart failure
- heart infarction
- heart ventricle fibrillation
- heart ventricle tachycardia
- human
- in hospital cardiac arrest
- logistic regression analysis
- major clinical study
- male
- malignant neoplasm
- practice guideline
- priority journal
- respiratory failure
- resuscitation
- survival rate
- 30-days survival
- Människan i vården
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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