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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Autores: Sans Roselló, Jordi, Vidal Burdeus, Maria, Loma Osorio, Pablo, Pons Riverola, Alexandra, Bonet Pineda, Gil, El Ouaddi, Nabil, Aboal, Jaime, Ariza Solé, Albert, Scardino, Claudia, García García, Cosme, Fernández Peregrina, Estefanía, Sionis, Alessandro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/224142
Acceso en línea:https://hdl.handle.net/2445/224142
Access Level:acceso abierto
Palabra clave:Reanimació cardíaca
Mort sobtada
Urgències cardiovasculars
Cardiac resuscitation
Sudden death
Cardiovascular emergencies
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spelling Impact of age on management and prognosis of resuscitated sudden cardiac death patientsSans Roselló, JordiVidal Burdeus, MariaLoma Osorio, PabloPons Riverola, AlexandraBonet Pineda, GilEl Ouaddi, NabilAboal, JaimeAriza Solé, AlbertScardino, ClaudiaGarcía García, CosmeFernández Peregrina, EstefaníaSionis, AlessandroReanimació cardíacaMort sobtadaUrgències cardiovascularsCardiac resuscitationSudden deathCardiovascular emergenciesBackground: 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 (pa-tients < 80 years and > 80 years). Clinical, analytical and hemodynamic variables as well as in-hospital man-agement 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 > 1 at admission, time to CPR initiation > 5 min, time to ROSC > 20 min and lactate > 2 mmol/L were independent predictors for in-hospital mortality. Non-shockable rhythm, Killip class > 1 at admission, time to CPR initiation > 5 min and time to ROSC > 20 min but not age were independent predictors for poor neurological outcomes.Conclusions: Age determined a less aggressive management and it was associated with a worse vital prognosis in patients admitted with a SCD. Nevertheless, age was not associated with worse neurological outcomes.Elsevier2025202520222025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion9 p.application/pdfhttps://hdl.handle.net/2445/224142Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1016/j.ijcha.2022.101036IJC Heart & Vasculature, 2022, vol. 40, 101036https://doi.org/10.1016/j.ijcha.2022.101036cc-by-nc-nd (c) Sans Roselló, Jordi et al., 2022http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2241422026-05-29T05:05:01Z
dc.title.none.fl_str_mv Impact of age on management and prognosis of resuscitated sudden cardiac death patients
title Impact of age on management and prognosis of resuscitated sudden cardiac death patients
spellingShingle Impact of age on management and prognosis of resuscitated sudden cardiac death patients
Sans Roselló, Jordi
Reanimació cardíaca
Mort sobtada
Urgències cardiovasculars
Cardiac resuscitation
Sudden death
Cardiovascular emergencies
title_short Impact of age on management and prognosis of resuscitated sudden cardiac death patients
title_full Impact of age on management and prognosis of resuscitated sudden cardiac death patients
title_fullStr Impact of age on management and prognosis of resuscitated sudden cardiac death patients
title_full_unstemmed Impact of age on management and prognosis of resuscitated sudden cardiac death patients
title_sort Impact of age on management and prognosis of resuscitated sudden cardiac death patients
dc.creator.none.fl_str_mv Sans Roselló, Jordi
Vidal Burdeus, Maria
Loma Osorio, Pablo
Pons Riverola, Alexandra
Bonet Pineda, Gil
El Ouaddi, Nabil
Aboal, Jaime
Ariza Solé, Albert
Scardino, Claudia
García García, Cosme
Fernández Peregrina, Estefanía
Sionis, Alessandro
author Sans Roselló, Jordi
author_facet Sans Roselló, Jordi
Vidal Burdeus, Maria
Loma Osorio, Pablo
Pons Riverola, Alexandra
Bonet Pineda, Gil
El Ouaddi, Nabil
Aboal, Jaime
Ariza Solé, Albert
Scardino, Claudia
García García, Cosme
Fernández Peregrina, Estefanía
Sionis, Alessandro
author_role author
author2 Vidal Burdeus, Maria
Loma Osorio, Pablo
Pons Riverola, Alexandra
Bonet Pineda, Gil
El Ouaddi, Nabil
Aboal, Jaime
Ariza Solé, Albert
Scardino, Claudia
García García, Cosme
Fernández Peregrina, Estefanía
Sionis, Alessandro
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Reanimació cardíaca
Mort sobtada
Urgències cardiovasculars
Cardiac resuscitation
Sudden death
Cardiovascular emergencies
topic Reanimació cardíaca
Mort sobtada
Urgències cardiovasculars
Cardiac resuscitation
Sudden death
Cardiovascular emergencies
description 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 (pa-tients < 80 years and > 80 years). Clinical, analytical and hemodynamic variables as well as in-hospital man-agement 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 > 1 at admission, time to CPR initiation > 5 min, time to ROSC > 20 min and lactate > 2 mmol/L were independent predictors for in-hospital mortality. Non-shockable rhythm, Killip class > 1 at admission, time to CPR initiation > 5 min and time to ROSC > 20 min but not age were independent predictors for poor neurological outcomes.Conclusions: Age determined a less aggressive management and it was associated with a worse vital prognosis in patients admitted with a SCD. Nevertheless, age was not associated with worse neurological outcomes.
publishDate 2022
dc.date.none.fl_str_mv 2022
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/224142
url https://hdl.handle.net/2445/224142
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.ijcha.2022.101036
IJC Heart & Vasculature, 2022, vol. 40, 101036
https://doi.org/10.1016/j.ijcha.2022.101036
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Sans Roselló, Jordi et al., 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Sans Roselló, Jordi et al., 2022
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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