Risk factors and comorbidities associated with cardiac arrests and medical emergencies in interventional radiology patients
Rattachement africain : sa. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: To investigate the incidence, predictors, and outcomes of medical emergencies in patients undergoing IR procedures at a tertiary care center. MATERIALS AND METHODS: Seven-year retrospective review of all medical emergencies in patients undergoing IR procedures at King Abdulaziz Medical City, Riyadh, Saudi Arabia. Medical emergencies included Cardiopulmonary arrest (CPA), or emergencies that required activation of the critical care response team (CCRT). Variables included demographics, procedure details and outcome data including complications and 30-day mortality. Multivariate logistic regression analysis was conducted to identify independent predictors of CPA and 30-day mortality. RESULTS: Ninety-four patients (50% male) were included with a median age of 60.5 years. Recent or current ICU admission was recorded in 39 patients (43.8%). Comorbidities included diabetes (50%), hypertension (59.6%), coronary artery disease (25.5%), heart failure (21.5%), ESRD (28.7%), active infection 28 (31%), with ASA3 in 64 patients (68%) and ASA4 in 23 (24.5%). The incidence of CPA and CCRT activation was 0.045% and 0.049%, respectively, among 100,000 patients who underwent IR procedures during the study period. Half the events were with venous procedures, followed by non-vascular (33%) and arterial procedures (10.6%). 30-day mortality was 30.5%. Independent predictors of CPA included pulmonary disease (aOR 16.79, 95% CI 2.334-195.3, p = 0.0097), emergency procedures (aOR 11.63, 95% CI 2.517-72.46, p = 0.0035), general anesthesia (aOR 19.41, 95% CI 1.854-491.8, p = 0.0254), and sedation (aOR 13.04, 95% CI 2.081-118.8, p = 0.0108). Predictors of 30-day mortality were CPA (aOR 9.830, 95% CI 2.439-66.66, p = 0.0045) and hypotension as a complication (aOR 16.81, 95% CI 3.766-122.3, p = 0.0009). CONCLUSION: Our findings highlight the complexity of patients undergoing IR procedures and the importance of identifying high-risk patients to prevent adverse events in the IR setting.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Risk factors and comorbidities associated with cardiac arrests and medical emergencies in interventional radiology patients
- Date Crossref
- 18/12/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
King Saud bin Abdulaziz University for Health Sciences pays non établi dans la noticeUniversité ou école supérieure
-
King Abdulaziz Medical City Department of Medical Imaging pays non établi dans la noticeÉtablissement de santé
-
King Abdullah International Medical Research Center pays non établi dans la noticeStructure de recherche
-
National Guard Health Affairs pays non établi dans la noticeÉtablissement de santé
-
Alfaisal University pays non établi dans la noticeUniversité ou école supérieure
-
Security Forces Hospital pays non établi dans la noticeÉtablissement de santé
-
College of Medicine pays non établi dans la noticeUniversité ou école supérieure
King Saud bin Abdulaziz University for Health Sciences, Department of Medical Imaging — King Abdulaziz Medical City et King Abdullah International Medical Research Center, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.