Rehospitalization in surviving patients of out-of-hospital ventricular fibrillation (the CASCADE study)
Surviving patients of out-of-hospital ventricular fibrillation (VF) often need rehospitalization after initial hospital discharge, but little is known regarding the frequency of or reasons for rehospitalization. Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle...
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Published in | The American journal of cardiology Vol. 72; no. 17; pp. 1295 - 1300 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.12.1993
Elsevier Elsevier Limited |
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Abstract | Surviving patients of out-of-hospital ventricular fibrillation (VF) often need rehospitalization after initial hospital discharge, but little is known regarding the frequency of or reasons for rehospitalization. Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle: Conventional Amiodarone Drug Evaluation (CASCADE) study, a randomized clinical trial comparing amiodarone with other antiarrhythmic drug therapy in survivors of out-of-hospital VF. The annual rate of rehospitalization was
79
100
patients/ year; 168 of 224 patients (75%) were hospitalized at least once before censoring or cardiac mortality. Baseline toft ventricular ejection fraction was significantly lower in patients who were rehospitalized. Rehospitalization rates were lower in patients randomized to amiodarone therapy and in those with the automatic implantable cardioverter-defibrillator, although neither difference was statistically significant. However, length of stay for the first rehospitalization was shorter for patients with automatic implantable cardioverterdefibrillators (p = 0.005). More than 50% of patients were rehospitalized in the first year after enrollment; 65% with ejection fractions ≤0.3 were rehospitalized in the first year. Rehospitalization was a frequent occurrence for surviving patients of out-of-hospital VF, particularly in those with low ejection fractions. |
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AbstractList | Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle: Conventional Amiodarone Drug Evaluation (CASCADE) study. Evidence indicates that rehospitalization was a common occurrence in surviving patients of out-of-hospital ventricular fibrillation and was particularly frequent in those with a low ejection fraction. Surviving patients of out-of-hospital ventricular fibrillation (VF) often need rehospitalization after initial hospital discharge, but little is known regarding the frequency of or reasons for rehospitalization. Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle: Conventional Amiodarone Drug Evaluation (CASCADE) study, a randomized clinical trial comparing amiodarone with other antiarrhythmic drug therapy in survivors of out-of-hospital VF. The annual rate of rehospitalization was 79 100 patients/ year; 168 of 224 patients (75%) were hospitalized at least once before censoring or cardiac mortality. Baseline toft ventricular ejection fraction was significantly lower in patients who were rehospitalized. Rehospitalization rates were lower in patients randomized to amiodarone therapy and in those with the automatic implantable cardioverter-defibrillator, although neither difference was statistically significant. However, length of stay for the first rehospitalization was shorter for patients with automatic implantable cardioverterdefibrillators (p = 0.005). More than 50% of patients were rehospitalized in the first year after enrollment; 65% with ejection fractions ≤0.3 were rehospitalized in the first year. Rehospitalization was a frequent occurrence for surviving patients of out-of-hospital VF, particularly in those with low ejection fractions. |
Author | The CASCADE Investigators Maynard, Charles |
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Cites_doi | 10.1016/0002-9149(93)90673-Z 10.1016/0735-1097(90)90563-5 10.1300/J261v02n02_04 10.1111/j.1749-6632.1984.tb14524.x 10.1161/01.CIR.85.6.2316 10.1056/NEJM197508072930601 10.1161/01.CIR.81.1.91 10.1016/0735-1097(92)90341-J 10.1016/0735-1097(89)90310-0 10.1016/0002-9149(91)90895-R 10.1161/01.CIR.84.2.558 |
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Keywords | Human Arrhythmia Heart disease At home Cardiovascular disease Frequency Hospitalization Epidemiology Survival Excitability disorder Ventricular fibrillation |
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References | Levine, Mellits, Baumgardner, Veltri, Mower, Grunwald, Guarnieri, Aarons, Griffith (BIB9) 1991; 84 Saksena, Camm (BIB12) 1992; 85 Winkle, Mead, Ruder, Gaudiana, Smith, Buch, Schmidt, Shipman (BIB8) 1989; 13 Hallstrom, Cobb (BIB4) 1984; 2 Cobb, Werner, Trobaugh (BIB3) 1980; 49 Larsen, Manolis, Sonnenberg, Beshansky, Estes, Pauker (BIB13) 1992; 19 O'Donoghue, Platia, Brooks-Robinson, Mispireta (BIB10) 1990; 16 Cobb, Hallstrom, Weaver, Trobaugh, Greene (BIB5) 1984; 432 Kupperman, Luce, McGovern, Podrid, Bigger, Ruskin (BIB11) 1990; 81 CASCADE Investigators (BIB6) 1991; 67 Schaffer, Cobb (BIB1) 1975; 293 Cobb, Baum, Alvarez, Schaffer (BIB2) 1975; 52 CASCADE Investigators (BIB7) 1993; 72 Cobb (10.1016/0002-9149(93)90300-2_BIB3) 1980; 49 Winkle (10.1016/0002-9149(93)90300-2_BIB8) 1989; 13 Levine (10.1016/0002-9149(93)90300-2_BIB9) 1991; 84 CASCADE Investigators (10.1016/0002-9149(93)90300-2_BIB6) 1991; 67 Kupperman (10.1016/0002-9149(93)90300-2_BIB11) 1990; 81 CASCADE Investigators (10.1016/0002-9149(93)90300-2_BIB7) 1993; 72 Larsen (10.1016/0002-9149(93)90300-2_BIB13) 1992; 19 Hallstrom (10.1016/0002-9149(93)90300-2_BIB4) 1984; 2 Cobb (10.1016/0002-9149(93)90300-2_BIB2) 1975; 52 O'Donoghue (10.1016/0002-9149(93)90300-2_BIB10) 1990; 16 Saksena (10.1016/0002-9149(93)90300-2_BIB12) 1992; 85 Cobb (10.1016/0002-9149(93)90300-2_BIB5) 1984; 432 Schaffer (10.1016/0002-9149(93)90300-2_BIB1) 1975; 293 |
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Snippet | Surviving patients of out-of-hospital ventricular fibrillation (VF) often need rehospitalization after initial hospital discharge, but little is known... Rehospitalization was examined in 224 patients enrolled in the Cardiac Arrest in Seattle: Conventional Amiodarone Drug Evaluation (CASCADE) study. Evidence... |
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SubjectTerms | Biological and medical sciences Cardiac arrhythmia Cardiac dysrhythmias Cardiology. Vascular system Drug therapy Heart Medical sciences Patients |
Title | Rehospitalization in surviving patients of out-of-hospital ventricular fibrillation (the CASCADE study) |
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