Long-term neurological outcomes in patients aged over 90 years who are admitted to the intensive care unit following cardiac arrest

Resuscitation
Kevin RoedlJakob Müller

Abstract

The number of cardiac arrests (CA) in the group of very elderly patients (≥ 90 years) is expected to increase markedly due to the world`s rapidly ageing population. However, only little is known about long term outcome, CA- and intensive care unit (ICU) characteristics of patient's ≥ 90 years (nonagenarians) suffering from CA. This single-center retrospective study included all adult patients ≥ 90 years after CA and return of spontaneous circulation (ROSC) which were treated at our ICU between January 1st 2008 and September 15th 2016. Patients were followed at least 1-Year after ICU discharge for assessment of survival and neurological outcome. Aim of the study was to evaluate CA- and patients characteristics, as well as ICU- and neurological outcome after CA in patient's ≥ 90 years. 657 patients ≥ 90 years were treated at our ICU during the study period, of these we could identify 48 patients with CA and successful resuscitation. 27 (56%) were female and the median age was 91.7 (90.7 - 92.6) years. 41 (85%) patient suffered from in-hospital CA. Cardiac events leading to CA were observed in 19 (40%) patients. Initial rhythm was shockable (VT/VF) in 12 (25%) patients and time to ROSC was median 4 (1.6 - 9.5) minutes. Patients af...Continue Reading

Citations

Mar 30, 2019·JAMA Network Open·George F Glass, William J Brady
Aug 4, 2021·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Kevin Roedl
Jul 22, 2020·Physiology International·E KovácsE Zima
Jan 11, 2022·Wiener medizinische Wochenschrift·Hans Jürgen Heppner, Hag Haitham

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