Cardiac Arrest: Complications

The following are the major conditions or complications that may be contributed to by cardiac arrest:

Injuries, poisoning, and certain other sequelae of external causes (S00-T98).

  • Trauma (injury)
    • After fall (29% of injuries): head and neck injuries (88%; intracranial hemorrhage, severe nosebleeds, fractures of cervical vertebrae, and fractures of the facial skull); extremity fractures (12%)
    • By resuscitation (71% of all injuries): injuries of the thorax (89%; pneumothorax, hematothorax, and complicated fractures of the skeleton; hemopericardium, pneumomediastinum, and injuries of the lung)
    • Significant injuries had 91 patients (7%), 36% of trauma was life-threatening, 64% required treatment
    • 26% of injured patients were able to leave the ICU alive and were in good neurological condition
    • Elderly and women are particularly at risk: Compared with uninjured patients after cardiac arrest, the injured were older (68 vs. 62 years) and more often female (46% vs. 31%)

In the case of successful cardiopulmonary resuscitation:

  • Resumption of cardiac arrest
    • Within five years, 6.0% suffered a cardiac arrest again outside a hospital, 92% died from it
    • Age at second cardiac arrest median 69 years
    • 73% were men
    • After ten years, on average 29% of the survivors had died
    • Most common causes of death after an initial event, especially in patients with diabetes (2-fold more common) and heart failure (2.4-fold more common) and renal failure (3-fold more common)