• BrazLeandro GobboLGUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Comissão de Estudo de Parada Cardíaca e de Mortalidade em Anestesia, Botucatu, SP, Brazil. Electronic address: leandro.braz@unesp, Arthur Caus de Morais, Rafael Sanchez, Daniela de Sá Menezes Porto, Mariana Pacchioni, Williany Dark Silva Serafim, MódoloNorma Sueli PinheiroNSPUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Comissão de Estudo de Parada Cardíaca e de Mortalidade em Anestesia, Botucatu, SP, Brazil., Paulo do Nascimento Jr, Mariana Gobbo Braz, and BrazJosé Reinaldo CerqueiraJRCUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Comissão de Estudo de Parada Cardíaca e de Mortalidade em Anestesia, Botucatu, SP, Brazil..
• Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Comissão de Estudo de Parada Cardíaca e de Mortalidade em Anestesia, Botucatu, SP, Brazil. Electronic address: leandro.braz@unesp.br.
• Rev Bras Anestesiol. 2020 Mar 1; 70 (2): 82-89.

Background And ObjectivesThe perioperative cardiac arrest (CA) and mortality rates in Brazil, a developing country, are higher than in developed countries. The hypothesis of this review was that knowledge of the epidemiology of perioperative CA and mortality in Brazil enables the comparison with developed countries. The systematic review aimed to verify, in studies conducted in Brazil, the epidemiology of perioperative CA and mortality.Method And ResultsA search strategy was carried out on different databases (PubMed, EMBASE, SciELO and LILACS) to identify observational studies that reported perioperative CA and/or mortality up to 48 hours postoperatively in Brazil. The primary outcomes were data on epidemiology of perioperative CA and mortality. In 8 Brazilian studies, there was a higher occurrence of perioperative CA and mortality in males; in extremes of age; in patients in worse physical status according to the American Society of Anesthesiologists (ASA); in emergency surgeries; in general anesthesia; and in cardiac, thoracic, vascular, abdominal and neurological surgeries. The patient's disease/condition was the main triggering factor, with sepsis and trauma as the main causes.ConclusionsThe epidemiology of both perioperative CA and mortality events reported in Brazilian studies does not show important differences and, in general, is similar to studies in developed countries. However, sepsis represents one of the major causes of perioperative CA and mortality in Brazilian studies, contrasting with studies in developed countries in which sepsis is a secondary cause.Copyright © 2020. Publicado por Elsevier Editora Ltda.

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