<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472020000300118</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000156</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cardiac arrest in adult intensive care units in the Medellin metropolitan area, Colombia: observational study]]></article-title>
<article-title xml:lang="es"><![CDATA[Paro cardiaco en las unidades de cuidado intensivo de adultos del área metropolitana de Medellín, Colombia. Estudio observacional]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villa-Velásquez]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hoyos-Vanegas]]></surname>
<given-names><![CDATA[Natalia Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Echeverry]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Payares-Benítez]]></surname>
<given-names><![CDATA[Airton]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casas-Arroyave]]></surname>
<given-names><![CDATA[Fabián David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Medical School Anesthesia and Resuscitation Section]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia IPS Universitaria ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Vicente Fundación Anesthesia and Resuscitation Section ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>118</fpage>
<lpage>125</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472020000300118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472020000300118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472020000300118&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In-hospital cardiac arrest (CA) is a rare but life-threatening event. However, the epidemiology of this event in intensive care units (ICU) is not clear.  Objective: To determine the clinical characteristics of CA in adult patients hospitalized in several ICU of the Metropolitan Area of the Aburrá Valley, Colombia, over a period of 1 year.  Methods: Observational study for a limited period of 1 year for adult patients with CA in the ICU of the hospitals of the Metropolitan Area of the Aburrá Valley, Colombia: San Vicente Foundation University Hospital, IPS University, and Manuel Uribe Ángel Hospital.  Results: Of 3710 eligible patients who were treated in 91 beds, 646 CA events occurred during this period, of which 151 were candidates for resuscitation maneuvers. The overall incidence of CA in the ICU was 17.1%, without differences between the 3 hospitals included and the incidence of resuscitable CA was 39.9 cases per 1000 admissions to the ICU. The most common CA rhythm was asystole 54.3% and the overall survival at hospital discharge was 3.3%.  Conclusion: In the analyzed ICU, CA was an infrequent event, but it presents a high mortality at discharge from the ICU and hospital. However, the few patients who survive have a good neurological prognosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El paro cardiaco intrahospitalario es un evento poco frecuente, pero potencialmente mortal. No obstante, no es clara su epidemiología en las unidades de cuidado intensivos.  Objetivo: Determinar las características clínicas del paro cardiorrespiratorio en pacientes adultos hospitalizados en varias unidades de cuidado intensivo (UCI) del Área Metropolitana del Valle de Aburrá, Colombia, en un período de 12 meses.  Métodos: Estudio observacional por período limitado a un año para pacientes adultos con paro cardiorrespiratorio en las UCI de los hospitales del Área Metropolitana del Valle de Aburrá, Colombia: Hospital Universitario San Vicente Fundación, IPS Universitaria, y Hospital Manuel Uribe Ángel.  Resultados: De 3710 pacientes elegibles que fueron atendidos en 91 camas se presentaron en este período 646 eventos de paro cardiorrespiratorio, de los cuales 151 fueron candidatos a man iobras de reanimación. La incidencia global de paro en UCI fue de 17,1% (IC 95%: 15,9%-18,3%), sin diferencias entre los tres hospitales incluidos y una incidencia de paro cardiorrespiratorio susceptible de recibir reanimación cardiopulmonar de 39,9 casos por cada 1000 admisiones a la UCI. El ritmo de paro más común fue la asistolia (54,3%) y la sobrevida global al alta hospitalaria fue de 3,3%.  Conclusión: El paro cardiorrespiratorio no fue un evento frecuente en las UCI analizadas, pero presenta una alta mortalidad al alta de UCI y hospitalaria. Sin embargo, los pocos pacientes que logran sobrevivir tienen buen pronóstico neurológico.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cardiac arrest]]></kwd>
<kwd lng="en"><![CDATA[Inten sive unit]]></kwd>
<kwd lng="en"><![CDATA[Cardiac resuscitation]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="es"><![CDATA[Paro cardiaco]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="es"><![CDATA[Reanimación cardiopulmonar]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Efendijev]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Nurmi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Castrén]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence and outcome from adult cardiac arrest occurring in the intensive care unit a systematic review of the literature]]></article-title>
<source><![CDATA[Resuscitation]]></source>
<year>2014</year>
<volume>85</volume>
<page-range>472-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[VJR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Registry of cardiac arrest in adults]]></article-title>
<source><![CDATA[Rev Fac Med]]></source>
<year>2005</year>
<volume>53</volume>
<page-range>196-203</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cogollo Mejía]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Londoño Cano]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Toro González]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez Restrepo]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Patiño Restrepo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Review of international, national and local cases of prehospital care of cardio-respiratory arrest with and without an automatic external defibrillator.]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Medellín ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Universidad CES]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hincapie]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ricunque]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<source><![CDATA[Tablas abreviadas de mortalidad nacional 1985-2020]]></source>
<year>2017</year>
<publisher-name><![CDATA[DANE]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valencia]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implementation of a Cardiopulmonary Arrest Registry in a Secondary-level Hospital]]></article-title>
<source><![CDATA[Colombian Journal of Anesthesiology]]></source>
<year>2012</year>
<volume>39</volume>
<page-range>478-87</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Nallamothu]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
<name>
<surname><![CDATA[Spertus]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association between a hospital rate of cardiac arrest incidence and cardiac arrest survival]]></article-title>
<source><![CDATA[JAMA Intern Med]]></source>
<year>2013</year>
<volume>173</volume>
<page-range>1186-95</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fredriksson]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aune]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bâng]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cardiac arrest outside and inside hospital in a community Mechanisms behind the differences in outcome and outcome in relation to time of arrest]]></article-title>
<source><![CDATA[Am Heart J]]></source>
<year>2010</year>
<volume>159</volume>
<page-range>749-56</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Redpath]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sambell]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Stiell]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[In-hospital mortality in 13,263 survivors of out-of-hospital cardiac arrest in Canada]]></article-title>
<source><![CDATA[Am Heart J]]></source>
<year>2010</year>
<volume>159</volume>
<page-range>577-83</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wallace]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ewer]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Price]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outcome and cost implications of cardiopulmonary resuscitation in the medical intensive care unit of a comprehensive cancer center]]></article-title>
<source><![CDATA[Support Care Cancer]]></source>
<year>2002</year>
<volume>10</volume>
<page-range>425-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De-la-Chica]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Colmenero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Chavero]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prognostic factors of mortality in a cohort of patients with hospital cardiorespiratory arrest]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2010</year>
<volume>34</volume>
<page-range>161-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Efendijev]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Raj]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Reinikainen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Temporal trends in cardiac arrest incidence and outcome in Finnish intensive care units from 2003 to 2013]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>2014</year>
<volume>40</volume>
<page-range>1853-61</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skrifvars]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Varghese]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Parr]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Survival and outcome prediction using the Apache III and the out-of-hospital cardiac arrest (OHCA) score in patients treated in the intensive care unit (ICU) following out-of-hospital, in-hospital or ICU cardiac arrest]]></article-title>
<source><![CDATA[Resuscitation]]></source>
<year>2012</year>
<volume>83</volume>
<page-range>728-33</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Callaway]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
<name>
<surname><![CDATA[Donnino]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Fink]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Post-cardiac arrest care 2015 American Heart Association Guidelines Update for Cardio-pulmonary Resuscitation and Emergency Cardiovascular Care]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>2015</year>
<volume>132</volume>
<numero>18suppl2</numero>
<issue>18suppl2</issue>
<page-range>S465-82</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
