Erfassung der Prognosegüte zweier Scores in Bezug auf kardiochirurgische Patienten
Evaluation of tho predicting scores in relation to cardiac surgery patients
von Laura Miriam Heyden
Datum der mündl. Prüfung:2017-04-05
Erschienen:2017-03-30
Betreuer:Prof. Dr. Peter Neumann
Gutachter:PD Dr. Bernhard C. Danner
Gutachter:Prof. Dr. Margarete Schön
Dateien
Name:Diss für die SUB_optimiert.pdf
Size:741.Kb
Format:PDF
Zusammenfassung
Englisch
Aim of the study was the evaluation of two prognosis scores in relation of predict unsuccessfull resuscitation after cardiac surgery. We examined all datas of patients that underwent cardiac surgery and had cardiac arrest afterwards and cardiopulmonary resuscitation between February 1999 and December 2004. During the period of our study 134 patients were resuscitated. We demonstrated, that neither the MPI- nor the PAR- score were capable to predict a group of patients that did not survive resuscitation. Variables with influence on mortality after CPR were in our study creatinin over 130mmol and sytolic hypotension under 90mmHg. To calculate the score is complicated and doesn't take into consideration clinical changes. Identifying patients that will not survive resuscitation remains a challenge.
Keywords: outcome; resuscitation
Schlagwörter: Reanimation; Outcome