• Fernando Arméstar, Juan Luis Becerra Cuñat, Yariela León Chan, Eduard Mesalles Sanjuan, José Antonio Moreno, Marta Jiménez González, and Josep Roca.
• Servicio de Medicina Intensiva, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España. Electronic address: farmestar.germanstrias@gencat.cat.
• Med Clin Barcelona. 2015 May 8; 144 (9): 397-400.

Background And ObjectivePredictors of unfavorable outcome in patients after cardiopulmonary arrest (CPA) are important to make decisions about the limitation of therapeutic efforts. The aim was to analyze the clinical variables in the prognosis of patients recovered after CPA.Material And MethodRetrospective study on comatose patients with recovered CPA. The variables were: age, sex, Glasgow Coma Score (GCS), pupillary light reflex, other variables related to CPA (cause, duration, witnessed or not witnessed), myoclonic status and electroencephalographic (EEG) patterns.ResultsFifty patients were studied. The variables associated with mortality were the absence of pupillary light reflex (hazard ratio [HR] 0.277, 95% confidence interval [95% CI] 0.103-0.741, P=.01), a low GCS (HR 0.701, 95% CI 0.542-0.908, P=.007) and myoclonic state (HR 0.38, 95% CI 0.176-0.854, P=.01). We evaluated the EEG patterns in 22 patients. No statistical significance was observed.ConclusionsThe absence of pupillary light reflex, a low GCS and myoclonic state are prognostic factors in patients recovered after a CPA. The EEG patterns showed a nonsignificant association with prognosis.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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