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20210326104444.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1575-4146 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Tiempos de actuación en la hipotermia terapéutica tras parada cardiaca recuperada = |
| Remainder of title |
Times of action in therapeutic hypothermia after recovery from cardiac arrest / |
| Statement of responsibility, etc. |
Carme Freixedes Ordoyo, Marta Parellada Vendrell, Nuria Romeu Mirabete, Silvia García Alfaya, Elisabet Grau Navarro, Cristina Prieto Robles, Diego Abril Gea, Carme Botifoll Campos, Carme Ferreres Durán |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.42 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
• Introducción y objetivos: La hipotermia terapéutica es una práctica clínica recomendada en la cadena de supervivencia<br/>tras parada cardiaca recuperada, dado su efecto neuroprotector. Objetivo general: conocer el porcentaje de cumplimiento de<br/>los tiempos de actuación durante la hipotermia terapéutica, tras parada cardiaca recuperada. Objetivos específicos: describir<br/>el perfil del paciente y analizar si los factores de demora interfieren en los tiempos.<br/>• Material y métodos: Estudio retrospectivo observacional en pacientes que, tras parada cardiaca recuperada de origen<br/>cardiológico, fueron sometidos a hipotermia terapéutica, en un hospital de tercer nivel entre 2010-2013.<br/>• Resultados: Se incluyeron 43 pacientes: el 93% sufrió parada cardiaca extrahospitalaria; el 86% fibrilación ventricular como<br/>primer ritmo; y el 77,5% secundarias a síndrome coronario agudo con elevación ST. Tras recuperar circulación espontánea,<br/>iniciaron hipotermia en <6h 39 pacientes 90,7% (218 ± 135min). En 34 casos 79,1% se alcanzó temperatura diana en<br/><4h (180 ± 115min). Consiguieron temperatura objetivo en <6h, 19 pacientes 44,2% (398 ± 155min) tras recuperación de<br/>la circulación espontánea. Los pacientes con reanimación prolongada tuvieron menor porcentaje en el cumplimiento del<br/>intervalo inicio hipotermia - temperatura objetivo (2,9% vs. 44,5%; p<0,01). Los sometidos a angioplastia tuvieron mayor<br/>porcentaje en el cumplimento del intervalo de tiempo recuperación circulación espontánea - temperatura objetivo (82,4%<br/>vs 50,0%; p=0,05). La temperatura de ingreso fue significativamente menor en los pacientes que alcanzaron la temperatura<br/>objetivo en <6h (34,4ºC vs 35,3ºC; p<0,01) tras recuperar circulación espontánea.<br/>• Conclusiones: Los pacientes tratados con hipotermia terapéutica presentan un porcentaje elevado en el cumplimiento de<br/>los intervalos de tiempo estudiados según las guías clínicas. Ser sometido a angioplastia o tener una menor temperatura de<br/>ingreso se asocia a mayor cumplimiento de la temperatura objetivo. Por el contrario, la reanimación prolongada es motivo de<br/>incumplimiento |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
• Introduction and objectives: Therapeutic hypothermia is a recommended clinical practice in the survival chain after recovery<br/>from cardiac arrest, given its neuroprotective effect. General objective: to know the percent compliance of the times of action<br/>during therapeutic hypothermia after recovery from cardiac arrest. Specific objectives: to describe the patient’s profile and<br/>analyze whether delay factors interfere with the times.<br/>• Materials and methods: Observational retrospective study in patients who underwent therapeutic hypothermia in a third<br/>level hospital between 2010 and 2013 after recovering from a cardiological cardiac arrest.<br/>• Results: 43 patients were included: 93% had an out-of-hospital cardiac arrest; 86% ventricular fibrillation as first rhythm;<br/>and 77.5% secondary to acute coronary syndrome with ST elevation. After return of spontaneous circulation, hypothermia<br/>was initiated in 39 patients (90.7%) in <6 h (218 ± 135 min). The target temperature was reached in <4 h (180 ± 115 min) in<br/>34 cases (79.1%). 19 patients (44.2%) reached the target temperature in <6 h (398 ± 155 min) after return of spontaneous<br/>circulation. Patients with prolonged resuscitation showed a lower percent compliance of the initiation of hypothermia – target<br/>temperature interval (2.9% vs. 44.5%; p<0.01). Those undergoing angioplasty showed a higher percent compliance of the<br/>return of spontaneous circulation – target temperature time interval (82.4% vs. 50.0%; p=0.05). The temperature at admission<br/>was significantly lower in patients who achieved the target temperature in <6 hours (34.4ºC vs. 35.3ºC; p<0.01) after return of<br/>spontaneous circulation.<br/>• Conclusions: Patients treated with therapeutic hypothermia show a high percent compliance of the time intervals studied<br/>according to the clinical guidelines. Undergoing angioplasty or having a lower temperature at admission is associated with a<br/>higher compliance of the target temperature. Conversely, prolonged resuscitation is a cause of non-compliance. |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hipotermia |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
parada cardiorrespiratoria |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
síndrome coronario agudo |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
reanimación cardiopulmonar |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
fibrilación ventricular |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hypothermia |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
cardiopulmonary arrest |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
acute coronary syndrome |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
cardiopulmonary resuscitation |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
ventricular fibrillation |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2015, v. 22, n. 66, p. 35-42 |
| Title |
Enfermería en Cardiología |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="https://www.enfermeriaencardiologia.com/wp-content/uploads/66_04.pdf">https://www.enfermeriaencardiologia.com/wp-content/uploads/66_04.pdf</a> |
| Link text |
Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
