Source:http://linkedlifedata.com/resource/pubmed/id/11785590
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
2002-1-10
|
| pubmed:abstractText |
The aim of our research was to study the long-term prognosis among patients discharged alive after an out-of-hospital cardiac arrest (OHCA) in comparison with patients discharged alive after acute myocardial infarction (AMI) without OHCA, and also to study the long-term influence of AMI in connection with OHCA. Our research was conducted in the municipality of Göteborg. We retrospectively studied patients discharged from hospital 1990-91 after an OHCA of cardiac aetiology and patients discharged after an AMI without prehospital cardiac arrest. During 1980-98, we studied all patients discharged alive after OHCA of cardiac aetiology, divided into groups of precipitating AMI and no AMI. The study includes 48 patients discharged alive after an OHCA 1990-91, 30 (62%) of whom had a simultaneous AMI and 1425 patients with an AMI without OHCA. Compared with AMI survivors, survivors of an OHCA of cardiac origin were younger but had more frequently a history of congestive heart failure. Their mortality rate during the subsequent 5 years was 46%, compared with 40% among survivors of an AMI (NS). The 5-year mortality rate among patients with an OHCA precipitated by an AMI was 40%. When correcting for differences at baseline, the adjusted risk ratio for death among patients with an OHCA of cardiac origin was 1.2 (95% CI 0.8-1.8) compared with patients with an uncomplicated AMI. During 1980-98, 215 patients were judged as having an OHCA precipitated by an AMI and 115 patients had an OHCA of cardiac aetiology but no simultaneous AMI. Five-year mortality was 54% and 50% respectively (NS). It is concluded that survivors of an OHCA of cardiac origin differed from survivors of an uncomplicated AMI in that they were younger and more frequently had a history of cardiovascular disease. Their 5-year mortality after discharge was similar to that of survivors of an AMI without a prehospital cardiac arrest, even after adjusting for differences at baseline.
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| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
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| pubmed:issn |
0969-9546
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
8
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
253-61
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:11785590-Adult,
pubmed-meshheading:11785590-Age Distribution,
pubmed-meshheading:11785590-Aged,
pubmed-meshheading:11785590-Aged, 80 and over,
pubmed-meshheading:11785590-Ambulatory Care,
pubmed-meshheading:11785590-Cardiovascular Agents,
pubmed-meshheading:11785590-Cognition,
pubmed-meshheading:11785590-Comorbidity,
pubmed-meshheading:11785590-Female,
pubmed-meshheading:11785590-Heart Arrest,
pubmed-meshheading:11785590-Humans,
pubmed-meshheading:11785590-Male,
pubmed-meshheading:11785590-Middle Aged,
pubmed-meshheading:11785590-Myocardial Infarction,
pubmed-meshheading:11785590-Patient Discharge,
pubmed-meshheading:11785590-Prognosis,
pubmed-meshheading:11785590-Retrospective Studies,
pubmed-meshheading:11785590-Sex Distribution,
pubmed-meshheading:11785590-Sweden,
pubmed-meshheading:11785590-Time
|
| pubmed:year |
2001
|
| pubmed:articleTitle |
Long-term mortality among patients discharged alive after out-of-hospital cardiac arrest does not differ markedly compared with that of myocardial infarct patients without out-of-hospital cardiac arrest.
|
| pubmed:affiliation |
Division of Cardiology, Sahlgrenska University Hospital, Göteborg, Sweden.
|
| pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|