Cardiac cirrhosis with cellulitis caused by Burkholderia cepacia bacteremia

中國醫藥大學機構典藏 China Medical University Repository, Taiwan > 台中附設醫院 > 期刊論文 > Item 310903500/29097

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题名:	Cardiac cirrhosis with cellulitis caused by Burkholderia cepacia bacteremia
作者:	Lau, SM;Yu, WL;Wang, JH
贡献者:	附設醫院內科部感染科;China Med Coll Hosp, Dept Internal Med, Div Infect Dis, Taichung, Taiwan
日期:	1999
上传时间:	2010-09-24 14:21:23 (UTC+8)
出版者:	UNIV CHICAGO PRESS
摘要:	Renal failure with severe uremia is still an important cause of mortality, despite effective renal replacement therapy. Cardiopulmonary arrest (CPA) is the most severe complication during hemodialysis (HD). To acquire more information about cardiopulmonary resuscitation (CPR) during HD, we retrospectively enrolled 24 patients (11 males and 13 females) who had CPR during HD in a medical center during a 3-year period. Their mean age was 66.8 +/- 16.8 years, The CPR rate of the patients from our outpatient department (0.02%) was significantly lower than that from general wards (0.11%), the intensive care unit (ICU, 0.16%), or the emergency room (ER, 0.38%). Eighteen patients (75%) were initially resuscitated successfully. Only 11 patients (45.8%) survived more than 24 h after CPR, and 2 patients (8.3%) survived more than 1 month, but none survived until discharge. The rates of surviving 24 h and surviving to discharge during HD were lower than those in the general wards, the ICU or the ER. Sepsis (33.3%) and cardiogenic shock (25%) were the two leading causes of death. For analyzing factors affecting the outcome of CPR, we divided the patients into 2 groups by survival time (less than or equal to 24 vs. >24 h). Patients with heart disease or with prolonged CPR durations (>30 min) had shorter survival. No significant survival difference between the 2 groups was found due to factors of age, sex, diabetic nephropathy, pre-arrest morbidity scores, pre-arrest laboratory data, renal failure pattern, HD duration, the preceding HD time and ultrafiltrated volume.
關聯:	CLINICAL INFECTIOUS DISEASES 29(2):447-448
显示于类别:	[台中附設醫院] 期刊論文

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