Objective: To explore factors associated with neurological recovery at 1 year relative to hospital discharge after cardiac arrest. Design: Observational, retrospective review of a prospectively collected cohort. Setting: Medical or surgical ICUs in a single tertiary care center. Patients: Older than 18 years, resuscitated following either in-hospital or out-of-hospital cardiac arrest and considered for targeted temperature management between 2007 and 2013. Interventions: None. Measurements and Main Results: Logistic regressions to determine factors associated with a poor recovery pattern after 1 year, defined as persistent Cerebral Performance Category Score 3–4 or any worsening of Cerebral Performance Category Score relative to discharge status. In total, 30% (117/385) of patients survived to hospital discharge; among those discharged with Cerebral Performance Category Score 1, 2, 3, and 4, good recovery pattern was seen in 54.5%, 48.4%, 39.5%, and 0%, respectively. Significant variables showing trends in associations with a poor recovery pattern (62.5%) in a multivariate model were age more than 70 years (odds ratio, 4; 95% CIs, 1.1–15; p = 0.04), Hispanic ethnicity (odds ratio, 4; CI, 1.2–13; p = 0.02), and discharge disposition (home needing out-patient services (odds ratio, 1), home requiring no additional services (odds ratio, 0.15; CI, 0.03–0.8; p = 0.02), acute rehabilitation (odds ratio, 0.23; CI, 0.06–0.9; p = 0.04). Conclusions: Patients discharged with mild or moderate cerebral dysfunction sustained their risk of neurological worsening within 1 year of cardiac arrest. Old age, Hispanic ethnicity, and discharge disposition of home with out-patient services may be associated with a poor 1 year neurological recovery pattern after hospital discharge from cardiac arrest.
http://ift.tt/2D9xMva
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
▼
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
-
▼
Ιανουαρίου
(5592)
-
▼
Ιαν 16
(242)
- Contribution of MLH1 constitutional methylation fo...
- Impact of preoperative anemia on outcomes in patie...
- Downregulation of CSN6 attenuates papillary thyroi...
- Clinical outcomes of carbon ion radiotherapy with ...
- Mechanism underlying the negative effect of prosta...
- Nuclear division cycle 80 promotes malignant progr...
- Editorial: tofacitinib and biologics for moderate-...
- Editorial: vedolizumab as a treatment and cause of...
- Editorial: tofacitinib and biologics for moderate-...
- Editorial: direct-acting antivirals significantly ...
- Issue Information
- Editorial: getting bullish about portal hypertensi...
- Letter: addition of azathioprine to infliximab mai...
- Editorial: direct-acting antivirals significantly ...
- Editorial: getting bullish about portal hypertensi...
- Letter: more studies are needed to elucidate the i...
- Letter: more studies are needed to elucidate the i...
- Assessment of potential risk factors for breast ca...
- Unifying control over the body: consciousness and ...
- SCO2 mutations cause early-onset axonal Charcot-Ma...
- Better characterization of vinflunine pharmacokine...
- Pharmacokinetic/pharmacodynamic drug-drug interact...
- Blind sequential detection for sparse ISI channels
- Cytological features of mixed adenoneuroendocrine ...
- Iron pill aspiration: Cytologic and histologic fin...
- Stability, integrity, and recovery rate of cellula...
- Evidence-based adequacy criteria for instrumented ...
- Optimizing outcomes in EGFR mutation-positive NSCL...
- Endovascular implantation of 125I seed combined wi...
- NrF2/ARE and NF-κB pathway regulation may be the m...
- Associations of coffee consumption and caffeine in...
- Genomic Identification and Functional Characteriza...
- Genetic Diversity, Molecular Phylogeny and Selecti...
- Repurposing tin mesoporphyrin as an immune checkpo...
- IDH1/2 mutations sensitize acute myeloid leukemia ...
- Intrapulmonary Pharmacokinetics of Lascufloxacin i...
- A Novel Piperazine-Based Drug Lead for Cryptospori...
- Early clinical assessment of the antimicrobial act...
- Identification of Hsp90 inhibitors with anti-Plasm...
- Population pharmacokinetics of finafloxacin in hea...
- Efficacy and Safety of Finafloxacin versus Ciprofl...
- In vitro antibiotic susceptibility pattern of Non-...
- Combating carbapenem-resistant Acinetobacter bauma...
- Efficacy of Apramycin against Multidrug-Resistant ...
- Pterostilbene, a potential MCR-1 inhibitor that en...
- The genetic basis of emerging vancomycin, linezoli...
- In vitro susceptibility of Neisseria gonorrhoeae s...
- New shuttle vectors for gene cloning and expressio...
- A novel inhibitor of the LolCDE ABC transporter es...
- Effectiveness of an Antimicrobial Stewardship Prog...
- Phosphonium Salt Displays Cytotoxic Effects Agains...
- Body Fluids-Derived Exosomes: Paving the Novel Roa...
- Synthesis of Novel Benzothiazole-Piperazine Deriva...
- Novel N-mustard-benzimidazoles/benzothiazoles Hybr...
- The Oxime Derivatives of 1-R-1H-Naphtho[2,3-d][1,2...
- Design, Synthesis and Biological Evaluation of Nov...
- Meet Our Editorial Board Member
- Synthesis, Radiosynthesis and Metabolism of 131I-Y...
- Pharmacogenetics of Aromatase Inhibitors in Endocr...
- Design, Synthesis and Biological Evaluation of Bet...
- Enhancement of the Effect of Methyl Pyropheophorbi...
- Myc Decoy Oligodeoxynucleotide Inhibits Growth and...
- Biological Activity Evaluation of Novel 1,2,4-Tria...
- First Comprehensive Companion Diagnostic OK'd [New...
- Genes predisposed to DNA hypermethylation during a...
- Role of chromatin damage and chromatin trapping of...
- AMPK-AKT double negative feedback loop in breast c...
- PHD3 controls lung cancer metastasis and resistanc...
- E6 protein expressed by high-risk HPV activates su...
- Radio-resistant Cervical Cancers Are Sensitive to ...
- The Hippo pathway component TAZ promotes immune ev...
- STAT3/PIAS3 levels serve as "early signature" gene...
- Herbal formula YGJDSJ inhibits anchorage-independe...
- Development and validation of HPTLC fingerprints o...
- Reduced Growth Hormone Secretion is Associated wit...
- Ecotropic viral integration site 1 promotes metast...
- How BMP-2 induces EMT and breast cancer stemness t...
- MCL-1 is a prognostic indicator and drug target in...
- Plumbagin inhibits the proliferation and survival ...
- Dexamethasone alleviates allergic asthma immature ...
- Prophylactic use of non-invasive mechanical ventil...
- Correlations between CXCL13, IL-24 genes and wrist...
- Effect of Curcumin-Nanoemulsion Associated with Ph...
- The Therapeutic Effects of a Traditional Chinese M...
- Pelvic Pain and Quality of Life Before and After L...
- Mechanical Bowel Preparation Before Colorectal Sur...
- Digestive Tract Damage: A Predictor of Early Surgi...
- Laparoscopic Rectovaginopexy for Neorectal Prolaps...
- Worrying About Postoperative Functional Outcomes i...
- A National Accreditation Program for Rectal Cancer...
- Presacral (Retrorectal) Tumors: Optimizing the Man...
- Efficacy and Safety of Sodium Picosulfate/Magnesiu...
- Expert Commentary on Presacral Tumors
- The Sharp End of Pilonidal Disease
- Morbidity Following Coloanal Anastomosis: A Compar...
- Announcements
- Survival Benefit of Japanese Extended Lymphadenect...
- Rescue Diverting Loop Ileostomy: An Alternative to...
- Outcomes of Closed Versus Open Defects After Local...
- Does Ventral Rectopexy Improve Pelvic Floor Functi...
-
▼
Ιαν 16
(242)
-
►
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
Αναζήτηση αυτού του ιστολογίου
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.