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)
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June 3, 2012 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as 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 is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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