The Relationship between the Ratio of Urine Osmolality to Serum Osmolality and Neurological Outcomes in Out-of-hospital Cardiac Arrest Patients
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ryu, Seok Jin | - |
dc.contributor.author | Lee, Ji Ho | - |
dc.contributor.author | Lee, Dong Hun | - |
dc.contributor.author | Lee, Byung Kook | - |
dc.contributor.author | Bae, Sung Jin | - |
dc.contributor.author | Choi, Yun Hyung | - |
dc.contributor.author | Jeong, Won Gi | - |
dc.date.accessioned | 2024-06-25T03:00:45Z | - |
dc.date.available | 2024-06-25T03:00:45Z | - |
dc.date.issued | 2024-04 | - |
dc.identifier.issn | 1530-6550 | - |
dc.identifier.issn | 2153-8174 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74362 | - |
dc.description.abstract | Background: Progressive ischemic brain injury after cardiac arrest can cause damage to the hypothalamic-pituitary axis, particularly the pituitary gland. This may impact serum osmolality (SOsm) and urine osmolality (UOsm) in patients who have experienced out-of-hospital cardiac arrest (OHCA). We assumed that a low ratio of UOsm to SOsm (USR) is related to poor outcomes among OHCA patients. Therefore, the present study was designed to evaluate the association between the USR within 72 h after the restoration of spontaneous circulation (ROSC) and 6-month neurological outcomes in OHCA patients. Methods: This prospective, observational study included OHCA patients with targeted temperature management at Chonnam National University Hospital in Gwangju, Korea, between January 2016 and December 2022. We collected SOsm and UOsm data at admission (T0) and 24 (T1), 48 (T2), and 72 h (T3) after ROSC. The primary outcome was a poor neurological outcome at 6 months defined by cerebral performance categories 3, 4, or 5. Results: This study included 319 patients. The mean UOsm and USRs at T0, T1, T2, and T3 of patients with poor outcomes were lower than those of patients with good outcomes. Multivariable analysis indicated that the USRs at T1 (odds ratio [OR], 0.363; 95% confidence interval [CI], 0.221–0.594), T2 (OR, 0.451; 95% CI, 0.268–0.761), and T3 (OR, 0.559; 95% CI, 0.357–0.875) were associated with a poor outcome. The areas under the receiver operating characteristic curves of USRs at T0, T1, T2, and T3 for predicting poor outcomes were 0.615 (95% CI, 0.559–0.669), 0.711 (95% CI, 0.658–0.760), 0.724 (95% CI, 0.671–0.772), and 0.751 (95% CI, 0.699–0.797), respectively. Conclusions: The USRs within 72 h of ROSC were associated with poor neurological outcomes at 6 months in OHCA patients. © 2024 The Author(s). | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | IMR Press Limited | - |
dc.title | The Relationship between the Ratio of Urine Osmolality to Serum Osmolality and Neurological Outcomes in Out-of-hospital Cardiac Arrest Patients | - |
dc.type | Article | - |
dc.identifier.doi | 10.31083/j.rcm2505157 | - |
dc.identifier.bibliographicCitation | Reviews in Cardiovascular Medicine, v.25, no.5 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 001238696500039 | - |
dc.identifier.scopusid | 2-s2.0-85194755068 | - |
dc.citation.number | 5 | - |
dc.citation.title | Reviews in Cardiovascular Medicine | - |
dc.citation.volume | 25 | - |
dc.type.docType | Article | - |
dc.publisher.location | 홍콩 | - |
dc.subject.keywordAuthor | cardiac arrest | - |
dc.subject.keywordAuthor | prognosis | - |
dc.subject.keywordAuthor | serum osmolality | - |
dc.subject.keywordAuthor | targeted temperature management | - |
dc.subject.keywordAuthor | urine osmolality | - |
dc.subject.keywordPlus | CENTRAL DIABETES-INSIPIDUS | - |
dc.subject.keywordPlus | INADEQUATE HYDRATION | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | ADMISSION | - |
dc.subject.keywordPlus | CHILDREN | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
84, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea (06974)02-820-6194
COPYRIGHT 2019 Chung-Ang University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.