Évaluation d’une chaîne de survie intrahospitalière dédiée à la prise en charge des détresses vitales View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-02-22

AUTHORS

A. Toutain, J. Tobarias, M. Bisbal, B. Eon, P. Pinzelli, M. Gainnier, P. Michelet

ABSTRACT

ObjectiveTo assess the activities of a medical emergency team on intra-hospital cardiac arrest and vital distress (intra-hospital chain of survival — CSIH).MethodologyIt is a retrospective study over a period of six months (from November 2010 to April 2011) in a hospital with 720 beds and 89,000 annual admissions. Epidemiological and clinical data were analyzed by a systematic survey of all procedures performed following calls on a dedicated line. Call criteria were defined by the occurrence of cardiac arrest or vital distress.Results99 patients were enrolled, with a mean age of 66 ± 17 years; 22%had a cardiac arrest, and 77%had vital distress. Themain reasons of calls were respiratory distress in 30%and cardiopulmonary arrest in 25% of cases. A therapeutic limitation has been decided for 71% of patients. In case of cardiac arrest, basic resuscitation was started by the witness in 73%, while specialized resuscitation has been started 4.5 min [3–6.5] after the first call. Mortality at 48 hours was 100% for cardiac arrest and 29% for vital distress.ConclusionThe occurrence of intra-hospital cardiac arrest in our study was associated with 100% mortality. The significantly lower mortality following intra-hospital vital distress supports the development of a dedicated team for both cardiac arrest and vital distress, with a logic of prevention. More... »

PAGES

84-92

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13341-012-0173-1

DOI

http://dx.doi.org/10.1007/s13341-012-0173-1

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180 schema:name Hôpital de la Timone, 264, rue Saint-Pierre, F-13385, Marseille, France
181 Service de réanimation des urgences et médicale, pôle réanimation urgence Samu hyperbarie, hôpital de la Timone, 264, rue Saint-Pierre, F-13385, Marseille, France
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183 grid-institutes:grid.5399.6 schema:alternateName Aix-Marseille université, UMR D2, F-13005, Marseille, France
184 schema:name Aix-Marseille université, UMR D2, F-13005, Marseille, France
185 Service de réanimation des urgences et médicale, pôle réanimation urgence Samu hyperbarie, hôpital de la Timone, 264, rue Saint-Pierre, F-13385, Marseille, France
186 rdf:type schema:Organization
 




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