Predicting good outcomes after in-hospital resuscitation

In this large analysis of the Get-With-The-Guidelines registry, 11 variables predicted favorable neurologic survival (which occurred in 25% of the patients); these included patient characteristics (younger age, baseline neurologic status without disability, not intubated, normal renal/liver function, not septic, no cancer, and no hypotension before the arrest) resuscitation characteristics (initial Vfib/Vtach, defib time <2 minutes, shorter resuscitation duration) and hospital characteristics (arrest location in a monitored unit). Patients in the top decile had a 71% chance of favorable neurological survival, compared to 3% among patients in the lowest decile. These characteristics can help decision making during resuscitation (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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