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Laura Vega Suarez DVM Steven E. Epstein DVM DACVECC Linda G. Martin DVM MS DACVECC Elizabeth B. Davidow DVM DACVECC Sabrina N. Hoehne Dr. med. vet. DACVECC DECVECC the RECOVER CPR Registry Consortium 《Journal of Veterinary Emergency and Critical Care》2023,33(5):520-533
Objective
To report the prevalence of initial shockable cardiac arrest rhythms (I-SHKR), incidence of subsequent shockable cardiac arrest rhythms (S-SHKR), and factors associated with I-SHKRs and S-SHKRs and explore their association with return of spontaneous circulation (ROSC) rates in dogs and cats undergoing CPR.Design
Multi-institutional prospective case series from 2016 to 2021, retrospectively analyzed.Setting
Eight university and eight private practice veterinary hospitals.Animals
A total of 457 dogs and 170 cats with recorded cardiac arrest rhythm and event outcome reported in the Reassessment Campaign on Veterinary Resuscitation CPR registry.Measurements and Main Results
Logistic regression was used to evaluate association of animal, hospital, and arrest variables with I-SHKRs and S-SHKRs and with patient outcomes. Odds ratios (ORs) were generated, and significance was set at P < 0.05. Of 627 animals included, 28 (4%) had I-SHKRs. Odds for I-SHKRs were significantly higher in animals with a metabolic cause of arrest (OR 7.61) and that received lidocaine (OR 17.50) or amiodarone (OR 21.22) and significantly lower in animals experiencing arrest during daytime hours (OR 0.22), in the ICU (OR 0.27), in the emergency room (OR 0.13), and out of hospital (OR 0.18) and that received epinephrine (OR 0.19). Of 599 initial nonshockable rhythms, 74 (12%) developed S-SHKRs. Odds for S-SHKRs were significantly higher in animals with higher body weight (OR 1.03), hemorrhage (OR 2.85), or intracranial cause of arrest (OR 3.73) and that received epinephrine (OR 11.36) or lidocaine (OR 18.72) and significantly decreased in those arresting in ICU (OR 0.27), emergency room (OR 0.29), and out of hospital (OR 0.38). Overall, 171 (27%) animals achieved ROSC, 81 (13%) achieved sustained ROSC, and 15 (2%) survived. Neither I-SHKRs nor S-SHKRs were significantly associated with ROSC.Conclusions
I-SHKRs and S-SHKRs occur infrequently in dogs and cats undergoing CPR and are not associated with increased ROSC rates. 相似文献42.
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Utstein‐style guidelines on uniform reporting of in‐hospital cardiopulmonary resuscitation in dogs and cats. A RECOVER statement 下载免费PDF全文
Manuel Boller Dr med vet MTR DACVECC Dan J. Fletcher DVM PhD DACVECC Benjamin M. Brainard VMD DACVECC DACVAA Kate Hopper BVSc PhD DACVECC Vinay M. Nadkarni MD MS FCCM Peter T. Morley MBBS FRACP FANZCA FCICM FERC Maureen McMichael DVM DACVECC Ryohei Nishimura DVM PhD Joris H. Robben DVM PhD DECVECC Elizabeth Rozanski DVM DACVECC DACVIM Elke Rudloff DVM DACVECC John Rush DVM MS DACVIM DACVECC Andre Shih DVM DACVAA DACVECC Sean Smarick VMD DACVECC Luis H. Tello MV MS DVM 《Journal of Veterinary Emergency and Critical Care》2016,26(1):11-34