心脏骤停患者中脑电图的延迟恶化:一个队列研究
Lorenzo Peluso1,2,3, Serena Stropeni4, Elisabetta Macchini4
1Departement of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, 20072, Pieve Emanuele, Italy. lorenzopeluso80@gmail.com.
Neurocritical care
|July 27, 2023
概括
心脏骤停 (CA) 后延迟的脑电图 (EEG) 恶化与高密切护理单位 (ICU) 死亡率有关. 性恶化表明CA特征更差,而背景恶化表明休克和器官衰竭.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 心脏病学 心脏病学
背景情况:
- 在没有早期恶性模式的心脏骤停 (CA) 患者中评估延迟电脑电图 (EEG) 恶化至关重要.
- 了解CA后延迟EEG变化的患病率和临床关联对于预后很重要.
研究的目的:
- 为了确定心脏骤停 (CA) 幸存者的延迟EEG恶化的发生率.
- 调查延迟的EEG恶化与临床因素之间的关联,包括重症监护室 (ICU) 死亡率.
主要方法:
- 对接受ICU治疗的成年CA患者进行了回顾性研究.
- 脑电图分析包括正常电压,有限的不连续性和没有发作.
- 延迟恶化被定义为或背景变化,发生在CA后至少24小时.
主要成果:
- 分析了188名患者,46%的ICU死亡率.
- 16%的人经历了性恶化,5%的背景恶化.
- 病恶化与非医院CA相关,自发循环恢复时间较长,ICU死亡率为77%.
- 背景恶化与非心脏原因,休克和器官衰竭相关,ICU死亡率为100%.
结论:
- 延迟的EEG恶化,无论是还是背景,都与心脏骤停患者的高死亡率有关.
- 延迟EEG恶化的特定模式与不同的临床特征和结果相关.
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