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Master Thesis

Évaluation des décès en réanimation après admission pour arrêt cardiaque

Abstract : Purpose: cardiac arrest is a major health issue with a high mortality rate. Most of the studies focus on this topic or exclude it. The objective of this work is the comparison of the characteristics of patients dying in Intensive care unit (ICU) after admission for cardiac arrest and patients admitted for another cause. The secondary objective is the comparison, in the population of patients dying after admission for cardiac arrest, of patients according to the presence of a neurological failure.
Patients and methods: we retrospectively analysed data from a prospective, observational, multi-center, cohort study. 96 intensive care units participated in the study and were randomized in 12 groups to include patients who died over a one-month period. Demographic data, organ failures (Sepsis-related organ failure assessment (SOFA) subscore ≥ 3) and organ support at the time of death were collected.
Results: a total of 698 patients were included during the study period and 11 were excluded: 113 death after admission for cardiac arrest and 574 after admission for other causes. Compared to the other group, patients who died after admission for cardiac arrest presented higher severity scores and died earlier. Organ failures and supports were more frequent in the non-cardiac arrest group, except neurological failure. In the cardiac arret group, when neurolgical failure was present, it was the only failure.
Conclusions: the population of patients dying in ICU after admission for cardiac arrest is different from the general ICU population in terms of demographic data, organ failures and supports.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03113671
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Submitted on : Monday, January 18, 2021 - 3:00:48 PM
Last modification on : Tuesday, December 7, 2021 - 4:10:57 PM

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  • HAL Id : dumas-03113671, version 1

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Carole Marchandise. Évaluation des décès en réanimation après admission pour arrêt cardiaque. Médecine humaine et pathologie. 2020. ⟨dumas-03113671⟩

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