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Cardiac arrest in an emergency department in Colombia during 2011-2020: A descriptive study
Jhonny Alexander Medina1, Jaime Andres Quintero1,2, David Andres de Paz1
1Critical Medicine, Emergency Department, Fundación Valle del Lili, Carrera, Colombia.
Insights
This study analyzed cardiac arrest patients in Colombia, finding outcomes similar to global data. Survival after hospital discharge was 22.2%, highlighting the need for improved emergency care.
Area of Science:
- Emergency Medicine
- Cardiology
- Public Health
Background:
- Cardiac arrest presents a significant public health challenge with high morbidity and mortality.
- Limited objective data on cardiac arrest epidemiology exists for the Colombian population.
- This study addresses the need for characterizing patients with cardiorespiratory arrest in emergency settings.
Purpose of the Study:
- To determine the epidemiological characteristics of patients experiencing cardiac arrest.
- To analyze the outcomes of cardiac arrest patients treated in an emergency room.
Main Methods:
- Retrospective observational cross-sectional cohort study.
- Inclusion of adult patients with out-of-hospital cardiac arrest (OHCA) or in-hospital cardiac arrest (IHCA) in the emergency department (ED).
Main Results:
- 415 patients included; median age 67 years, 232 males.
- Out-of-hospital cardiac arrest (OHCA) in 383 patients; 80.2% orotracheal intubation, 90.1% received Epinephrine.
- Survival after hospital discharge was 22.2%; return of spontaneous circulation in 49.6%.
Conclusions:
- Epidemiological characteristics of cardiac arrest patients in this Colombian ED align with existing literature.
- Outcomes observed in this cohort are comparable to those reported internationally.
- The findings underscore the persistent challenges in managing cardiac arrest effectively.
Background:
Cardiac arrest is a public health problem related to high morbidity and mortality. In Colombia, objective data characterize in our population has been not available. The aim of this study has been to determined the epidemiological characteristics of patients with cardiorespiratory arrest treated in an emergency room.
Methods:
A retrospective observational cross-sectional cohort study was performed. We included adult patients admitted with a diagnostic of out-of-hospital cardiac arrest (OHCA) or who presented with in-hospital cardiac arrest while in the emergency department (ED).
Results:
A total of 415 patients were included 232 were men, and the median age was 67 years. OHCA was presented in 383 patients. In this group, 80.2% required orotracheal intubation, 90.1% received Epinephrine, and and 52.6% received immediate resuscitation. Survival after discharge was 43.1% in patients with non-shockable rhythm registered. Return of spontaneous circulation was achieved in 49.6%. The survival after hospital discharge was 22.2%. Cerebral performance category score <=2 was 20.4%.
Conclusion:
In our study, the epidemiological characteristics and outcomes of patients seen in the ED with cardiac arrest are similar to those described in the literature.
