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EnglishThe majority of patients who are admitted to the hospital after a successful resuscitation from out-of-hospital cardiac arrest (OHCA) die before hospital discharge. Most of these deaths are due to severe hypoxic–ischaemic brain injury1 and occur after withdrawal of life sustaining treatment (WLST) because a poor neurological prognosis is expected. When prognosticating a poor neurological outcome in patients who are unconscious after resuscitation from cardiac arrest the risk of a falsely pessimistic prediction should be minimised in order to avoid an inappropriate WLST. Since even the most robust predictors of poor neurological outcome are not 100% specific (e.g. some false positive may be expected), an integrated approach using multiple prognostic tests is recommended.
| Autori: | |
| Titolo: | Does early withdrawal of life-sustaining treatment increase mortality after cardiac arrest? |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.resuscitation.2016.02.007 |
| Data di pubblicazione: | 2016 |
| Abstract: | The majority of patients who are admitted to the hospital after a successful resuscitation from out-of-hospital cardiac arrest (OHCA) die before hospital discharge. Most of these deaths are due to severe hypoxic–ischaemic brain injury1 and occur after withdrawal of life sustaining treatment (WLST) because a poor neurological prognosis is expected. When prognosticating a poor neurological outcome in patients who are unconscious after resuscitation from cardiac arrest the risk of a falsely pessimistic prediction should be minimised in order to avoid an inappropriate WLST. Since even the most robust predictors of poor neurological outcome are not 100% specific (e.g. some false positive may be expected), an integrated approach using multiple prognostic tests is recommended. |
| Lingua: | Inglese |
| Rivista: | |
| Citazione: | Sandroni, C., Taccone, F. S., Does early withdrawal of life-sustaining treatment increase mortality after cardiac arrest?, <<RESUSCITATION>>, 2016; 102 (5): A3-A4. [doi:10.1016/j.resuscitation.2016.02.007] [http://hdl.handle.net/10807/89068] |
| Appare nelle tipologie: | Articolo in rivista, Nota a sentenza |
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