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Submitted: 16 May 2007 Modified: 20 September 2019
HERDIN Record #: PCHRDPC960140

Cardiopulmonary arrest hypoxic-ischemic coma: The intesivists dilemma.

 Diaz AF,
 Cerezo FM,
 Bernardo DA

OBJECTIVE: To determine among the available clinical data at the time of cardiopulmonary arrest which factors will predict survival from post-cardiopulmonary arrest hypoxic-ischemic coma


DESIGN: Prospective study using cochram Q test


MATERIALS AND METHODS: Thirty two patients, admitted at ICU and CCU of St. Luke's Medical Center, who remained in coma at least 6 hours after successful resuscitation were evaluated in this study. Patients who had coma as a consequence of trauma, drugs or CVA without having undergone CP arrest were excluded in the study. These patients were closely followed up from the time they converted to sinus rhythm and were evaluated on days 0,1,3 and 7 post-arrest. Compartive outcome (survivor or non-survivor) was determined using the following parameters: age, sex, associated medical illnesses, initial cardiac rhythm, and neurologic response to certain tests.


RESULTS: After observation of the subjects from day 0 to 7, out of 32 patients, 11 (34.4%) survived and 21 (65.6%) expired. The mean age is 63 for survivors and 56 for the fatalities. Aystole and ventricular fibrillation were the predominant pre-resuscitation cardiac rhythms but statistics failed to identify which rhythm was a poorer indicator of prognosis. Oculocephalic response (p=0.000) and eye opening (p=0.001) significantly predicted survival.


CONCLUSION: Among the parameters included in this study, the presence of oculocephalic response, eye opening, verbal response, oculovestibular response, and spontaneous eye movement within 24 hours after resuscitation highly predicted survival from post-cardiopulmonary arrest hypoxic-ischemic coma.(Author)

Publication Type
Journal
Title
St. Luke's Medical Journal
Frequency
1995 Jan-Jun
Publication Date
Page(s)
0
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)

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