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Titolo:
REHOSPITALIZATION IN SURVIVING PATIENTS OF OUT-OF-HOSPITAL VENTRICULAR-FIBRILLATION (THE CASCADE STUDY)
Autore:
MAYNARD C; GREENE HL; POOLE JE; KUDENCHUK PJ; DOLACK GL; BARDY GH; COBB LA; GRAHAMRENFROE EL; POWELL JL; GALLOWAY AC; KELLIE J; FELLOWS CL; MAIN CL; MCMAHONBUSCH M; BROUDY DR; SANDERS J; GARNI JE; GERITY D; HALLSTROM AP; MCBRIDE R;
Titolo Testata:
The American journal of cardiology
fascicolo: 17, volume: 72, anno: 1993,
pagine: 1295 - 1300
SICI:
0002-9149(1993)72:17<1295:RISPOO>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; COST-EFFECTIVENESS; RESUSCITATION; MANAGEMENT; DEATH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
C. Maynard et al., "REHOSPITALIZATION IN SURVIVING PATIENTS OF OUT-OF-HOSPITAL VENTRICULAR-FIBRILLATION (THE CASCADE STUDY)", The American journal of cardiology, 72(17), 1993, pp. 1295-1300

Abstract

Surviving patients of out-of-hospital ventricular fibrillation (VF) often need rehospitalization after initial hospital discharge, but little is known regarding the frequency of or reasons for rehospitalization. Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle: Conventional Amiodarone Drug Evaluation (CASCADE) study, a randomized clinical trial comparing amiodarone with other antiarrhythmic drug therapy in survivors of out-of-hospital VF. The annual rate of rehospitalization was 79/100 patients/year; 168 of 224 patients (75%) were hospitalized at least once before censoring or cardiac mortality. Baseline left ventricular ejection fraction was significantly lower in patients who were rehospitalized. Rehospitalization rates were lower in patients randomized to amiodarone therapy and in those with the automatic implantable cardioverter-defibrillator, although neither difference was statistically significant. However, length of stay for the first rehospitalization was shorter for patients with automatic implantable cardioverter-defibrillators (p = 0.005). More than 50% of patients were rehospitalized in the first year after enrollment;65% with ejection fractions less-than-or-equal-to 0.3 were rehospitalized in the first year. Rehospitalization was a frequent occurrence for surviving patients of out-of-hospital VF, particularly in those withlow ejection fractions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 20:17:25