Outcomes of XXXX victims with @entity1167 who survive to intensive care unit admission.

@entity1 @entity72498 @entity1167 @entity204 @entity65 @entity130
BACKGROUND: The prognosis for @entity1 with return of spontaneous circulation after @entity130 -related @entity1167 ( @entity72498 ) is unclear. Our purpose was to (1) determine outcomes for @entity1 with @entity72498 resuscitated and admitted to the intensive care unit (ICU), (2) identify ICU-based predictors of in-hospital @entity204 in this population, and (3) compare outcomes of @entity1 resuscitated from @entity72498 and atraumatic @entity1167 (ATCA). METHODS: We performed a cohort study using a registry of ICU admissions from 120 US hospitals from 2001 to 2005. Inclusion criteria were age >17 years, admission to ICU via the emergency department, and cardiopulmonary resuscitation preceding ICU arrival. The primary outcome measure was survival to hospital discharge. We compared @entity72498 and ATCA using binomial test and performed multivariable logistic regression to determine independent predictors of @entity204 among @entity130 subjects. RESULTS: A total of 4,048 subjects were included (309 @entity72498 and 3,739 nonTRCA). Forty percent of @entity130 subjects survived. Independent predictors of @entity204 among @entity130 subjects included persistent postresuscitation @entity65 in the ICU and presentation to a nontrauma center. Despite being younger and having fewer comorbidities, subjects with @entity72498 had lower survival than subjects with ATCA (40% vs. 49%, p = 0.003). CONCLUSIONS: Despite lower survival than ATCAs, a significant percentage of TRCAs surviving to ICU admission were discharged alive. This suggests aggressive support of this population is not necessarily futile. Investigation into whether optimization of postresuscitation factors would improve outcome for these @entity1 may be warranted.
