دورية أكاديمية
[Associated factors with the occurrence of in-hospital cardiac arrest in patients admitted to internal medicine wards for non-cardiovascular causes].
| العنوان: | [Associated factors with the occurrence of in-hospital cardiac arrest in patients admitted to internal medicine wards for non-cardiovascular causes]. |
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| عنوان ترانسليتريتد: | Factores asociados a la ocurrencia de paro cardiaco intrahospitalario en pacientes ingresados en salas de medicina interna por causas no cardiovasculares. |
| المؤلفون: | Carmona-Puerta R; Universidad Católica del Cibao, La Vega, República Dominicana. Electronic address: endotelio1975@gmail.com., Choque-Laura JL; Servicio de Medicina Interna, Hospital Municipal Boliviano Holandés, Provincia Murillo, El Alto, Bolivia., Chávez-González E; Servicio de Arritmología y Electrofisiología, Hospital Universitario Cardiocentro Ernesto Guevara, Santa Clara, Cuba., Peñaló-Batista J; Universidad Católica del Cibao (UCATECI), Centro de Medicina Familiar Especializada (CEMEFE), La Vega, República Dominicana., Martínez-Sánchez MDC; Escuela de Medicina, Universidad Católica del Cibao, La Vega, República Dominicana., Lorenzo-Martínez E; Escuela de Medicina, Universidad Católica del Cibao, La Vega, República Dominicana. |
| المصدر: | Medicina clinica [Med Clin (Barc)] 2024 Jun 28; Vol. 162 (12), pp. 574-580. Date of Electronic Publication: 2024 Apr 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 0376377 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-8989 (Electronic) Linking ISSN: 00257753 NLM ISO Abbreviation: Med Clin (Barc) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2009- > : Madrid : Elsevier España Original Publication: Barcelona : Ediciones Doyma, S.A. |
| مواضيع طبية MeSH: | Heart Arrest*/etiology , Heart Arrest*/epidemiology , Internal Medicine*, Humans ; Male ; Female ; Aged ; Case-Control Studies ; Aged, 80 and over ; Risk Factors ; Middle Aged ; Atrial Fibrillation/complications ; Atrial Fibrillation/epidemiology ; Hypertrophy, Left Ventricular/epidemiology ; Hypertrophy, Left Ventricular/etiology ; Hospitalization/statistics & numerical data ; Pneumonia/epidemiology ; Pneumonia/complications ; Comorbidity ; Hypertension/complications ; Hypertension/epidemiology ; Torsades de Pointes/epidemiology ; Torsades de Pointes/etiology ; Electrocardiography |
| مستخلص: | Background and Objective: In-hospital cardiac arrest (IHCA) has a low survival rate, so it is essential to recognize the cases with the highest probability of developing it. The aim of this study is to identify factors associated with the occurrence of IHCA. Material and Methods: A single-center case-control study was conducted including 65 patients admitted to internal medicine wards for non-cardiovascular causes who experienced IHCA, matched with 210 admitted controls who did not present with IHCA. Results: The main reason for admission was pneumonia. The most prevalent comorbidity was arterial hypertension. Four characteristics were strongly and independently associated with IHCA presentation, these are electrical left ventricular hypertrophy (LVH) (OR: 13.8; 95% IC: 4.7-40.7), atrial fibrillation (OR: 9.4: 95% CI: 4.3-20.6), the use of drugs with known risk of torsades de pointes (OR: 2.7; 95% CI: 1.3-5.5) and the combination of the categories known risk plus conditional risk (OR: 17.1; 95% CI: 6.7-50.1). The first two detected in the electrocardiogram taken at the time of admission. Conclusion: In admitted patients for non-cardiovascular causes, the use of drugs with a known risk of torsades de pointes, as well as the detection of electrical LVH and atrial fibrillation in the initial electrocardiogram, is independently associated with a higher probability of suffering a IHCA. (Copyright © 2024 Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Atrial fibrillation; Fibrilación auricular; Hipertrofia ventricular izquierda; In-hospital cardiac arrest; Left ventricular hypertrophy; Paro cardiaco intrahospitalario; Predictores; Predictors; Torsades de pointes |
| تواريخ الأحداث: | Date Created: 20240418 Date Completed: 20240616 Latest Revision: 20240828 |
| رمز التحديث: | 20240828 |
| DOI: | 10.1016/j.medcli.2024.01.014 |
| PMID: | 38637218 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1578-8989 |
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| DOI: | 10.1016/j.medcli.2024.01.014 |