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Lymphopaenia in cardiac arrest patients

Author

Listed:
  • Paola Villois
  • David Grimaldi
  • Savino Spadaro
  • Claudia Righy Shinotsuka
  • Vito Fontana
  • Sabino Scolletta
  • Federico Franchi
  • Jean Louis Vincent
  • Jacques Creteur
  • Fabio Taccone

Abstract

Background: A decrease in circulating lymphocytes has been described as a marker of poor prognosis after septic shock; however, scarce data are available after cardiac arrest (CA). The aim of this study was to evaluate the impact of lymphopaenia after successful cardiopulmonary resuscitation. Methods: This is a retrospective analysis of an institutional database including all adult CA patients admitted to the intensive care unit (ICU) between January 2007 and December 2014 who survived for at least 24 h. Demographic, CA-related data and ICU mortality were recorded as was lymphocyte count on admission and for the first 48 h. A cerebral performance category score of 3–5 at 3 months was considered as an unfavourable neurological outcome. Results: Data from 377 patients were analysed (median age: 62 [IQRs: 52–75] years). Median time to return of spontaneous circulation (ROSC) was 15 [8–25] min and 232 (62%) had a non-shockable initial rhythm. ICU mortality was 58% (n = 217) and 246 (65%) patients had an unfavourable outcome at 3 months. The median lymphocyte count on admission was 1208 [700–2350]/mm3 and 151 (40%) patients had lymphopaenia (lymphocyte count

Suggested Citation

  • Paola Villois & David Grimaldi & Savino Spadaro & Claudia Righy Shinotsuka & Vito Fontana & Sabino Scolletta & Federico Franchi & Jean Louis Vincent & Jacques Creteur & Fabio Taccone, 2017. "Lymphopaenia in cardiac arrest patients," ULB Institutional Repository 2013/259619, ULB -- Universite Libre de Bruxelles.
  • Handle: RePEc:ulb:ulbeco:2013/259619
    Note: SCOPUS: ar.j
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    Keywords

    Cardiac arrest; Lymphopaenia; Outcome; Prognosis;

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