Abstract 18933: Extracorporeal Life Support and Survival of Patients With Cardiac Arrest Developed During or After Office-Based Cosmetic Surgery
Introduction: Cardiac arrest during or after office-based cosmetic surgery has been reported rarely. Little is known about the prognosis after cardiac arrest developed during or after cosmetic surgery at clinics.
Hypothesis: Our aim is to assess the clinical outcomes of patients who occurred cardiac arrest during or after cosmetic surgery in office-based clinics.
Methods: From May 2009 to March 2016, thirty-two patients developed cardiac arrest during or after cosmetic surgery at clinics were collected consecutively. The hospital was located nearby over 200 office-based cosmetic surgery clinics, usually its distance within 15-20 minutes by ambulance. We compared clinical outcomes including complications between the survivor (n=19) and the deceased (n=13) and accessed prognostic factors for mortality.
Results: All 32 patients were female and mean age was 30.40 ± 11.87 years. Of 32 patients, extracorporeal life support (ECLS) was utilized more in the deceased than in the survivor (92.3% vs 47.4%, p=0.009). Cardiopulmonary resuscitation (CPR) duration at hospital was longer in the deceased than in the survivor (31.55±33.87 min vs 7.59±9.07, p=0.01). APACHE score was also higher in the deceased than in the survivor (23.85±6.68 vs 16.79±7.44, p=0.01). Of 19 the survivor, 9 patients (47.4%) had serious complications (8 hypoxic brain damage and 1 lower leg ischemia). In a logistic regression analysis, there was no important prognostic factor predicting the mortality.
Conclusion: Patients with cardiac arrest developed at cosmetic surgery clinics showed poor prognosis despite of support of ECLS. Survivors also had serious complications. Careful monitoring and active cardiopulmonary resuscitation at cosmetic surgery clinics during or after surgery might be crucial.
Author Disclosures: D. Bang: None. B. Park: None. M. Lee: None. M. Hyon: None. W. Chang: None. Y. Park: None.
- © 2016 by American Heart Association, Inc.