Association between QRS characteristics in pulseless electrical activity and survival outcome in cardiac arrest patients: A systematic review and meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Kim, Jae Hwan | - |
dc.contributor.author | Lee, Juncheol | - |
dc.contributor.author | Shin, Hyungoo | - |
dc.contributor.author | Lim, Tae Ho | - |
dc.contributor.author | Jang, Bo-Hyoung | - |
dc.contributor.author | Cho, Youngsuk | - |
dc.contributor.author | Kim, Wonhee | - |
dc.contributor.author | Choi, Kyu-Sun | - |
dc.contributor.author | Kim, Jae Guk | - |
dc.contributor.author | Ahn, Chiwon | - |
dc.contributor.author | Lee, Heekyung | - |
dc.contributor.author | Namgung, Myeong | - |
dc.contributor.author | Na, Min Kyun | - |
dc.contributor.author | Kwon, Sae Min | - |
dc.date.accessioned | 2024-06-17T01:01:38Z | - |
dc.date.available | 2024-06-17T01:01:38Z | - |
dc.date.issued | 2024-05 | - |
dc.identifier.issn | 1090-3127 | - |
dc.identifier.issn | 1545-0066 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74204 | - |
dc.description.abstract | Objective: Recent studies have shown inconsistent results regarding the association between QRS characteristics and survival outcomes in patients with cardiac arrest and pulseless electrical activity (PEA) rhythms. This meta-analysis aimed to identify the usefulness of QRS width and frequency as prognostic tools for outcomes in patients with cardiac arrest and PEA rhythm.Methods: Extensive searches were conducted using Medline, Embase, and the Cochrane Library to find articles published from database inception to 4 June 2023. Studies that assessed the association between the QRS characteristics of cardiac arrest patients with PEA rhythm and survival outcomes were included. The Newcastle-Ottawa Scale was used to assess the methodological quality of the included studies.Results: A total of 9,727 patients from seven observational studies were included in this systematic review and meta-analysis. The wide QRS group (QRS &#x2265; 120&#x2009;ms) was associated with significantly higher odds of mortality than the narrow QRS group (QRS < 120&#x2009;ms) (odds ratio (OR) = 1.86, 95% confidence interval (CI) = 1.11-3.11, I2 = 58%). The pooled OR for mortality was significantly higher in patients with a QRS frequency of < 60/min than in those with a QRS frequency of &#x2265; 60/min (OR = 1.90, 95% CI = 1.19-3.02, I2 = 65%).Conclusions: Wide QRS width or low QRS frequency is associated with increased odds of mortality in patients with PEA cardiac arrest. These findings may be beneficial to guide the disposition of cardiac arrest patients with PEA during resuscitation. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Taylor and Francis Ltd. | - |
dc.title | Association between QRS characteristics in pulseless electrical activity and survival outcome in cardiac arrest patients: A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1080/10903127.2024.2360139 | - |
dc.identifier.bibliographicCitation | Prehospital emergency care | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 001238588400001 | - |
dc.identifier.scopusid | 2-s2.0-85195110596 | - |
dc.citation.title | Prehospital emergency care | - |
dc.type.docType | Article; Early Access | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | QRS frequency | - |
dc.subject.keywordAuthor | QRS width | - |
dc.subject.keywordAuthor | cardiac arrest | - |
dc.subject.keywordAuthor | prognostic tool | - |
dc.subject.keywordAuthor | pulseless electrical activity | - |
dc.subject.keywordPlus | CARDIOPULMONARY-RESUSCITATION | - |
dc.subject.keywordPlus | REGISTRY | - |
dc.subject.keywordPlus | RHYTHM | - |
dc.subject.keywordPlus | HEART | - |
dc.subject.keywordPlus | TIME | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | ADULTS | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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