Immediate versus early coronary angiography with targeted temperature management in out-of-hospital cardiac arrest survivors without ST-segment elevation: A propensity score-matched analysis from a multicenter registry
DC Field | Value | Language |
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dc.contributor.author | Kim, Youn-Jung | - |
dc.contributor.author | Kim, Yong Hwan | - |
dc.contributor.author | Lee, Byung Kook | - |
dc.contributor.author | Park, Yoo Seok | - |
dc.contributor.author | Sim, Min Seob | - |
dc.contributor.author | Kim, Su Jin | - |
dc.contributor.author | Oh, Sang Hoon | - |
dc.contributor.author | Lee, Dong Hoon | - |
dc.contributor.author | Kim, Won Young | - |
dc.date.available | 2019-05-28T01:39:14Z | - |
dc.date.issued | 2019-02 | - |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.issn | 1873-1570 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/18283 | - |
dc.description.abstract | Aim: The optimal coronary angiography (CAG) timing in out-of-hospital cardiac arrest (OHCA) survivors without ST-segment elevation (STE) for good neurologic outcome remains unknown. This study aimed to evaluate whether immediate versus early CAG impacts neurological outcomes of OHCA survivors without STE. Methods: This multicenter retrospective observational registry-based study was conducted at the emergency department (ED) of 8 Korean tertiary care hospitals. Data of adult non-traumatic OHCA patients with no obvious extra-cardiac cause, without STE, who were treated with targeted temperature management (TTM), and in whom CAG was performed within 24 h after return of spontaneous circulation between 2010 and 2015 were extracted. Patients in the immediate (<= 2 h) and early (2-24 h) CAG groups were propensity score matched. The primary endpoint was 1-month good neurological outcomes. Results: Among 346 patients with TTM and CAG, 119 who underwent CAG after 24 h were excluded, leaving 112 and 115 in the immediate and early CAG groups, respectively. Median time to CAG was 120.0 (70.0-224.0) minutes; 97 (42.7%) patients had significant coronary artery stenosis. Good neurological outcome was higher in the early versus immediate CAG group (50.4% vs. 31.3%, P = 0.003), but no significant intergroup difference persisted after matching. CAG timing was not associated with good neurological outcomes (odds ratio, 1.917; 95% confidence interval, 0.954-3.852; P = 0.07). Conclusions: Coronary artery stenosis was found in 42.7% of TTM-treated non-STE OHCA patients with CAG within 24 h, but there was no clear neurological benefit of immediate versus early CAG. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.title | Immediate versus early coronary angiography with targeted temperature management in out-of-hospital cardiac arrest survivors without ST-segment elevation: A propensity score-matched analysis from a multicenter registry | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.resuscitation.2018.12.011 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.135, pp 30 - 36 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000459785900005 | - |
dc.identifier.scopusid | 2-s2.0-85060236102 | - |
dc.citation.endPage | 36 | - |
dc.citation.startPage | 30 | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 135 | - |
dc.type.docType | Article | - |
dc.publisher.location | 아일랜드 | - |
dc.subject.keywordAuthor | Out-of-hospital cardiac arrest | - |
dc.subject.keywordAuthor | Cardiopulmonary resuscitation | - |
dc.subject.keywordAuthor | Coronary angiography | - |
dc.subject.keywordAuthor | Percutaneous coronary intervention | - |
dc.subject.keywordAuthor | Outcome | - |
dc.subject.keywordPlus | RESUSCITATION COUNCIL GUIDELINES | - |
dc.subject.keywordPlus | CARDIOPULMONARY-RESUSCITATION | - |
dc.subject.keywordPlus | INTERVENTION | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | INFARCTION | - |
dc.subject.keywordPlus | INSIGHTS | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | UPDATE | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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