Characteristics and factors associated to patients discharging from hospital without an implantable cardioverter defibrillator after out-of-hospital cardiac arrest
| العنوان: | Characteristics and factors associated to patients discharging from hospital without an implantable cardioverter defibrillator after out-of-hospital cardiac arrest |
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| المؤلفون: | Ardalan Sharifzadehgan, Bamba Gaye, Julien Rischard, Wulfran Bougouin, Nicole Karam, Victor Waldmann, Kumar Narayanan, Florence Dumas, Estelle Gandjbakhch, Vincent Algalarrondo, Frankie Beganton, Fabrice Extramiana, Nicolas Lellouche, Lionel Lamhaut, Daniel Jost, Alain Cariou, Xavier Jouven, Eloi Marijon |
| المصدر: | European Heart Journal. Acute Cardiovascular Care. 11:523-531 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Death, Sudden, Cardiac, Risk Factors, Humans, General Medicine, Cardiology and Cardiovascular Medicine, Critical Care and Intensive Care Medicine, Hospitals, Out-of-Hospital Cardiac Arrest, Patient Discharge, Defibrillators, Implantable |
| الوصف: | Aims Guidelines recommend that in the absence of reversible cause for sudden cardiac arrest (SCA), implantable cardioverter defibrillator (ICD) should be performed to prevent further fatal event. We sought to describe the frequency and characteristics of patients discharged from the hospital without ICD after the SCA in the daily practice. Methods and results From 2011 to 2018, all SCAs related to a cardiac cause admitted alive across the 48 hospitals of Great Paris Area were prospectively enrolled. Two investigators thoroughly reviewed each medical report to ensure accuracy of the assigned diagnosis towards identifying the cause of SCA and ICD implantation. Out of the 4314 SCA admitted alive at hospital admission, 1064 cardiac-related SCA survivors were discharged alive from hospital, including 356 patients (33.5%) with an ICD and 708 (66.5%) without. The principal underlying cause of SCA among those discharged without an ICD was acute coronary syndrome (ACS; 602, 85%), chronic coronary artery disease (41, 5.8%), structural non-ischaemic heart disease (48, 6.8%), and non-structural heart disease (17, 2.4%). Among ACS-related SCA, 93.8% (602/642) discharged without an ICD. The unique factor associated with non-ICD implantation in the setting of ACS was immediate coronary angioplasty (odds ratio 4.22, 95% confidence interval 1.86–9.30, P Conclusion Two-thirds of SCA survivors were discharged without an ICD, mainly in the setting of ACS. The unique factor associated with non-ICD implantation among ACS was immediate coronary angioplasty emphasizing the fact that ACS definition must be precise since associated with ICD implantation or not. |
| تدمد: | 2048-8734 2048-8726 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2c144e5b386de8346670b4d4deb3734d https://doi.org/10.1093/ehjacc/zuac065 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....2c144e5b386de8346670b4d4deb3734d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20488734 20488726 |
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