Prognostication after out-of-hospital cardiac arrest, a clinical survey.
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- Prognostication after out-of-hospital cardiac arrest, a clinical survey.
- Scandinavian journal of trauma, resuscitation and emergency medicine 2008, 16 (1):9
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|dc.identifier.citation||Scandinavian journal of trauma, resuscitation and emergency medicine 2008, 16 (1):9||en|
|dc.description.abstract||ABSTRACT: BACKGROUND: Numerous parameters and tests have been proposed for outcome prediction in comatose out-of-hospital cardiac arrest survivors. We conducted a survey of clinical practice of prognostication after therapeutic hypothermia (TH) became common practice in Norway. METHODS: By telephone, we interviewed the consultants who were in charge of the 25 ICUs admitting cardiac patients using 6 structured questions regarding timing, tests used and medical specialties involved in prognostication, as well as the clinical importance of the different parameters used and the application of TH in these patients. RESULTS: Prognostication was conducted within 24-48 hours in the majority (72%) of the participating ICUs.The most commonly applied parameters and tests were a clinical neurological examination (100%), prehospital data (76%), CCT (56%) and EEG (52%). The parameters and tests considered to be of greatest importance for accurate prognostication were prehospital data (56%), neurological examination (52%), and EEG (20%).In 76% of the ICUs, a multidisciplinary approach to prognostication was applied, but only one ICU used a standardised protocol. Therapeutic hypothermia was in routine use in 80% of the surveyed ICUs. CONCLUSION: Despite the routine use of TH, outcome prediction was performed early and was mainly based on prehospital information, neurological examination and CCT and EEG evaluation. Somatosensory evoked potentials appear to be underused and underrated, while the importance of prehospital data, CCT and EEG to appear to be overrated as methods for making accurate predictions.More evidence-based protocols for prognostication in cardiac arrest survivors, as well as additional studies on the effect of TH on known prognostic parameters are needed.||en|
|dc.subject||VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Kardiologi: 771||en|
|dc.subject||VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783||en|
|dc.title||Prognostication after out-of-hospital cardiac arrest, a clinical survey.||en|
|dc.contributor.department||Dept, of Anaesthesiology and Intensive Care, Stavanger University Hospital, Postboks 8100, 4068 Stavanger, Norway. firstname.lastname@example.org.||en|
|dc.identifier.journal||Scandinavian journal of trauma, resuscitation and emergency medicine||en|
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