Publications by authors named "J T Graesner"

Informed by a series of systematic reviews, scoping reviews and evidence updates from the International Liaison Committee on Resuscitation, the 2021 European Resuscitation Council Guidelines present the most up to date evidence-based guidelines for the practice of resuscitation across Europe. The guidelines cover the epidemiology of cardiac arrest; the role that systems play in saving lives, adult basic life support, adult advanced life support, resuscitation in special circumstances, post resuscitation care, first aid, neonatal life support, paediatric life support, ethics and education.

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Objectives: Cardiac arrest (CA) in patients with acute myocardial infarction is associated with a poor prognosis. Due to the additional trauma, risk of stroke and lack of data, coronary artery bypass grafting (CABG) is a controversial revascularization strategy for patients who cannot be treated percutaneously. Against this background, we investigated the outcome of patients from our department with acute myocardial infarction undergoing CABG after CA.

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Article Synopsis
  • The study aimed to determine the minimum clinically important difference (MCID) for outcomes after out-of-hospital cardiac arrest (OHCA) through an international survey targeting emergency physicians and acute cardiovascular researchers.
  • 160 respondents from 46 countries provided insights, revealing that higher baseline outcomes correspond to higher MCIDs; for example, a population with 25% survival had median MCIDs of 5% for both survival and favorable neurologic status at discharge.
  • The findings suggest that understanding MCIDs for outcomes like ICU-free and hospital-free survival can help facilitate more rapid improvements in resuscitation care based on evidence-based practices.
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