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.

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]

Does early withdrawal of life-sustaining treatment increase mortality after cardiac arrest?

Sandroni, Claudio
Primo
;
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.
Inglese
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]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/89068
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