• André Mansur de Carvalho Guanaes Gomes, Ari Timerman, Carlos Alfredo Marcílio de Souza, Carlos Maurício Cardeal Mendes, Heitor Portella Póvoas Filho, Adriano Martins de Oliveira, and José Antonio de Almeida Souza.
• Instituto do Coração do Hospital das Clínicas-FMUSP, Instituto Dante Pazzanese de Cardiologia, Rua Pelotas 323/113, 04012-001 São Paulo, SP. andreguanaes@hospitaldacidade.com.br
• Arq. Bras. Cardiol. 2005 Oct 1; 85 (4): 262-71.

ObjectiveTo assess clinical and demographic characteristics of patients who had cardiopulmonary resuscitation and identify short- and long-term survival prognostic factors.MethodsFour hundred and fifty-two (452) resuscitated patients in general hospitals from Salvador were prospectively assessed through bivariate and stratified analysis in associations between variables and survival curve for a nine-year evolution assessment.ResultsAge ranged from 14 to 93 years old, mean of 54.11 years old. Male gender patients prevailed and half of them had at least a base disease. Cardiovascular disease was the responsible etiology in 50% of cases. Cardiac arrest was observed in 77% of cases and only 69% of patients were immediately resuscitated. Initial cardiac rhythm was not diagnosed in 59% of patients. Asystole was the most frequent rhythm (42%), followed by ventricular arrhythmia (35%). Immediate survival was 24% and hospital discharge survival 5%. Cardiac arrest etiology, initial cardiac rhythm diagnosis, ventricular fibrillation or tachycardia as arrest mechanism, pre-resuscitation estimated time lower than or equal to 15 minutes and resuscitation time lower than or equal to 5 minutes were recognized as short-term prognostic factors. Non-administration of epinephrine, being resuscitated in private hospital and resuscitation time lower than or equal to 15 minutes were nine-year evolution survival prognostic factors.ConclusionData may help healthcare professionals decide when start or stop in-hospital resuscitation.

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