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Biomedical subjects

M Alaimo

Publications and source records attributed to M Alaimo.

3 recordsLinked to original sources

[Survival of 213 patients who recovered in resuscitation from cardiac arrest].

213 patients who received in-hospital cardiopulmonary resuscitation (CPR) were studied over a period of five years (1985-89) to determine hospital and long-term survival. The following factors were evaluated in determining outcome: age, ECG on admission, clinical history, year, month, hour of admission. A 5-year survival table was complied for all discharged from hospital. The results showed that age, clinical history, month and hour of admission were not influencing factors; asystole as opposed to ventricular fibrillation was however associated with significantly higher in-hospital mortality (p less than 0.005). Hospital survival was 14.6% with an ascendant range from 1986 to 1989 (p less than 0.05); all the patients were discharged mentally unimpaired with over 50% surviving 1.5 years after discharge and 33% 5 years after. The study shows that the highest cause of cardiac arrest is ischaemic cardiopathy in male patients with an average age of 60 years. Total neurological recovery after CPR was confirmed to be a determinant predictor factor of survival.

Aged↗

Residual renal function and post dialysis urea rebound.

Kt/v is used to estimate haemodialysis prescription and treatment adequacy and usually does not include evaluation of urea rebound. In addition urea clearance provided by the presence of residual renal function (RRF) is additive to dialytic urea clearance. Rebound is a phenomenon involving other molecules such as creatinine and phosphorus. The aim of this study was to investigate the role of RRF on post dialysis urea, creatinine and phosphorus rebounds. We investigated 7 patients with RRF (group 1) and 7 uraemic anuric patients (group 2). Urea rebound was lower in group 1 than group 2: 9.5 +/- 4% vs 18 +/- 7% (p = 0.04). Creatinine rebound and phosphorus rebound were similar in both groups 15.2 +/- 9% group 1 vs 14.6 +/- 5% group 2 (p = NS) and 16.7 +/- 7% group 1 vs 20 +/- 7% group 2 (p = NS) respectively. Our data suggest Kt/v calculated without considering rebound overestimates haemodialysis efficacy.

Adult↗