Factors Influencing Outcome in Patients Admitted to a Medical Intensive Care Unit After Successful Cardiopulmonary Resuscitation

Journal of Clinical and Basic Cardiology 2002; 5 (3): 233-235

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Keywords: APA score,  Herzstillstand,  ICU,  Intensivstation,  Kardiologie,  kardiopulmonale Reanimation,  Koronare Herzkrankheit,  Laktat,  cardiac arrest,  cardiopulmonary resuscitation,  intensive care

Cardiopulmonary resuscitation is often unsuccessful or subsequently associated with a high mortality rate. We therefore desired to evaluate risk factors which could influence outcome. Out of 411 adult patients admitted to a medical intensive care unit (ICU) after cardiac arrest 52 % survived to be discharged from the ICU, and 33 % were discharged from hospital. Non-surviving patients included a high percentage of elderly persons (>= 75 yrs), patients with coronary heart disease (38 % vs. 18 % and 77 % vs. 67 %, respectively), and patients with chronic diseases (6 = median vs. 4; p < 0.001). In addition, severe acute disease as estimated by the Acute Physiology Score and high plasma lactate levels on admission to the ICU had a negative influence on hospital mortality.