"Impact of age on management and prognosis of resuscitated sudden cardiac death patients"

Background: Sudden cardiac death (SCD) has a great impact on healthcare due to cardiologic and neurological complications. Admissions of elderly people in Cardiology Intensive Care Units have increased. We assessed the impact of age in presentation, therapeutic management and in vital and neurologic...

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Detalles Bibliográficos
Autores: Sans-Roselló, Jordi|||0000-0003-3176-6191, Vidal Burdeus, María|||0000-0002-9823-5021, Loma-Osorio, Pablo, Pons Riverola, Alexandra, Bonet Pineda, Gil, El Ouaddi, Nabil|||0000-0002-5980-8915, Aboal, Jaime|||0000-0003-4631-5668, Ariza-Solé, Albert|||0000-0002-0819-6656, Scardino, Claudia, Garcia Garcia, Cosme|||0000-0001-6330-1677, Fernández-Peregrina, Estefanía|||0000-0002-3025-8251, Sionis, Alessandro|||0000-0003-0843-9512
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:273645
Acceso en línea:https://ddd.uab.cat/record/273645
https://dx.doi.org/urn:doi:10.1016/j.ijcha.2022.101036
Access Level:acceso abierto
Palabra clave:Sudden cardiac death
Elderly patients
Neurological outcomes
Descripción
Sumario:Background: Sudden cardiac death (SCD) has a great impact on healthcare due to cardiologic and neurological complications. Admissions of elderly people in Cardiology Intensive Care Units have increased. We assessed the impact of age in presentation, therapeutic management and in vital and neurological prognosis of SCD patients. Methods: We carried out a retrospective, observational, multicenter registry of patients who were admitted with a SCD in 5 tertiary hospitals from January 2013 to December 2020. We divided our cohort into two groups (patients < 80 years and ≥ 80 years). Clinical, analytical and hemodynamic variables as well as in-hospital management were registered and compared between groups. The degree of neurological dysfunction, vital status at discharge and the influence of age on them were also reviewed. Results: We reviewed 1160 patients admitted with a SCD. 11.3% were ≥ 80 years. Use of new antiplatelet agents, performance of a coronary angiography, use of pulmonary artery catheter and temperature control were less carried out in the elderly. Age, non-shockable rhythm, Killip class.

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