3 avril 2019
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info:eu-repo/semantics/altIdentifier/doi/10.1186/s13054-019-2405-x
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info:eu-repo/semantics/altIdentifier/pmid/30944013
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info:eu-repo/semantics/altIdentifier/eissn/1466-609X
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_768A71DB6FD88
info:eu-repo/semantics/openAccess , CC BY 4.0 , https://creativecommons.org/licenses/by/4.0/
F.S. Taccone et al., « Death after awakening from post-anoxic coma: the "Best CPC" project. », Serveur académique Lausannois, ID : 10.1186/s13054-019-2405-x
In patients who recover consciousness after cardiac arrest (CA), a subsequent death from non-neurological causes may confound the assessment of long-term neurological outcome. We investigated the prevalence and causes of death after awakening (DAA) in a multicenter cohort of CA patients. Observational multicenter cohort study on patients resuscitated from CA in eight European intensive care units (ICUs) from January 2007 to December 2014. DAA during the hospital stay was extracted retrospectively from patient medical records. Demographics, comorbidities, initial CA characteristics, concomitant therapies, prognostic tests (clinical examination, electroencephalography (EEG), somatosensory evoked potentials (SSEPs)), and cause of death were identified. From a total 4646 CA patients, 2478 (53%) died in-hospital, of whom 196 (4.2%; ranges 0.6-13.0%) had DAA. DAA was less frequent among out-of-hospital than in-hospital CA (82/2997 [2.7%] vs. 114/1649 [6.9%]; p