miércoles, 3 de febrero de 2016

Paro cardiaco y anestesia / Cardiac arrest and anaesths

Febrero 3 , 2016. No. 2226


Paro cardiaco perioperatorio y relacionado con anestesia en países de alto y bajo ingreso. Revisión sistemática con meta regresión y meta-análisis proporcional
Anesthesia-Related and Perioperative Cardiac Arrest in Low- and High-Income Countries: A Systematic Review With Meta-Regression and Proportional Meta-Analysis.
Medicine (Baltimore). 2015 Sep;94(36):e1465. doi: 10.1097/MD.0000000000001465.
The anesthesia-related cardiac arrest (CA) rate is a quality indicator to improve patient safety in the perioperative period. A systematic review with meta-analysis of the worldwide literature related to anesthesia-related CA rate has not yet been performed.This study aimed to analyze global data on anesthesia-related and perioperative CA rates according to country's Human Development Index (HDI) and by time. In addition, we compared the anesthesia-related and perioperative CA rates in low- and high-income countries in 2 time periods.A systematic review was performed using electronic databases to identify studies in which patients underwent anesthesia with anesthesia-related and/or perioperative CA rates.
Both anesthesia-related and perioperative CA rates decrease with increasing HDI but not with time. There is a clear and consistent reduction in anesthesia-related and perioperative CA rates in high-HDI countries, but an increase inperioperative CA rates without significant alteration in the anesthesia-related CA rates in low-HDI countries comparing the 2 time periods.

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