17 How far and how long to do? PCO2 and lactate as possible predictors of survival in traumatic cardiac arrest. (26th April 2019)
- Record Type:
- Journal Article
- Title:
- 17 How far and how long to do? PCO2 and lactate as possible predictors of survival in traumatic cardiac arrest. (26th April 2019)
- Main Title:
- 17 How far and how long to do? PCO2 and lactate as possible predictors of survival in traumatic cardiac arrest
- Authors:
- Camacho, C
Mancho, G
De Elias, R
Lahoz, Y
Corral, E - Abstract:
- Abstract : Background: The factors associated with the survival of Traumatic cardiac arrest (TCA) have been analyzed by many authors. Trying to define a limit on resuscitation efforts: How far and how long to do. The blood analysis has not been described until now, as possible predictor of survival in these patients. Aim: To analyze pH, lactate, bases excess (BE) and pCO2 as possible predictive factors of survival in patients who suffer TCA. Method: Observational Study of patients suffered from TCA in 2016, 2017 and 2018 assisted by our EMS. Collection data from medical records and databases of hospital follow-ups. Data processing and data analysis: quantitative variables are described by central and dispersion measures and qualitative variables by frequency distribution. COR as survival analysis. Excel and SPSS v. 20.0. Results: We analyzed 112 TCA in which CPR is performed and recovered spontaneous circulation 49 (43.75%). After 7 days, 7.14% survived. At the arrival EMS, mean pH was 7.14 (SD 0.15), pCO2 66.57 (ED 20.61), BE −6.09 (ED 6.23) and Lactate 6.51 (ED 3.82). Lactate and PCO2 showed significant relationship in analysis of survival curve after 7 days (p<0, 05). Conclusion: The survival in TCA was 7.14% of patients after 7 days. - Lactate and PCO2 are related to survival at 7 days in our series. – It's necessary more robust studies that can define the factors related to the survival in TCA, but it seems that the biological clock can be one of them. Conflict ofAbstract : Background: The factors associated with the survival of Traumatic cardiac arrest (TCA) have been analyzed by many authors. Trying to define a limit on resuscitation efforts: How far and how long to do. The blood analysis has not been described until now, as possible predictor of survival in these patients. Aim: To analyze pH, lactate, bases excess (BE) and pCO2 as possible predictive factors of survival in patients who suffer TCA. Method: Observational Study of patients suffered from TCA in 2016, 2017 and 2018 assisted by our EMS. Collection data from medical records and databases of hospital follow-ups. Data processing and data analysis: quantitative variables are described by central and dispersion measures and qualitative variables by frequency distribution. COR as survival analysis. Excel and SPSS v. 20.0. Results: We analyzed 112 TCA in which CPR is performed and recovered spontaneous circulation 49 (43.75%). After 7 days, 7.14% survived. At the arrival EMS, mean pH was 7.14 (SD 0.15), pCO2 66.57 (ED 20.61), BE −6.09 (ED 6.23) and Lactate 6.51 (ED 3.82). Lactate and PCO2 showed significant relationship in analysis of survival curve after 7 days (p<0, 05). Conclusion: The survival in TCA was 7.14% of patients after 7 days. - Lactate and PCO2 are related to survival at 7 days in our series. – It's necessary more robust studies that can define the factors related to the survival in TCA, but it seems that the biological clock can be one of them. Conflict of interest: There is no conflict of interest. Funding: There is no funding. … (more)
- Is Part Of:
- BMJ open. Volume 9:Supplement 2(2019)
- Journal:
- BMJ open
- Issue:
- Volume 9:Supplement 2(2019)
- Issue Display:
- Volume 9, Issue 2 (2019)
- Year:
- 2019
- Volume:
- 9
- Issue:
- 2
- Issue Sort Value:
- 2019-0009-0002-0000
- Page Start:
- A6
- Page End:
- A7
- Publication Date:
- 2019-04-26
- Subjects:
- Medicine -- Research -- Periodicals
610.72 - Journal URLs:
- http://www.bmj.com/archive ↗
http://bmjopen.bmj.com/ ↗ - DOI:
- 10.1136/bmjopen-2019-EMS.17 ↗
- Languages:
- English
- ISSNs:
- 2044-6055
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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