심정지 후 치료적 저체온 요법을 시행한 환자의 사망예측에 있어 B-type natriuretic peptide 수치의 유용성
DC Field | Value | Language |
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dc.contributor.author | 안현철 | - |
dc.contributor.author | 조진성 | - |
dc.contributor.author | 김진주 | - |
dc.contributor.author | 양혁준 | - |
dc.contributor.author | 박원빈 | - |
dc.contributor.author | 우재혁 | - |
dc.contributor.author | 현성열 | - |
dc.contributor.author | 임용수 | - |
dc.date.available | 2020-02-29T02:42:08Z | - |
dc.date.created | 2020-02-12 | - |
dc.date.issued | 2013-10 | - |
dc.identifier.issn | 1226-4334 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/15267 | - |
dc.description.abstract | Purpose: Studies have demonstrated that B-type natriuretic peptide (BNP) has a predictive value for sudden cardiac arrest in heart failure patients. The aim of this study was to investigate the usefulness of serum BNP levels for theprediction of death in post-cardiac arrest patients treated withtherapeutic hypothermia (TH). Methods: Out-of-hospital cardiac arrest (OHCA) survivors treated with TH between April 2007 and August 2010 were evaluated and divided into two groups based on death within 3 months. Initial serum BNP levels were checked and BNP levels compared between both groups. Results: A total of 162 patients were enrolled in the study. Among 162 patients, 109 patients were male (mean age of 50 years). The BNP levels of the non-survival group (n=77)were higher than those of the survival group (n=85); however,there was no statistical difference (19.45 pg/ml vs. 30.75pg/ml, p=0.174). The BNP cutoff value of 106 pg/ml for death within 3 months had a sensitivity of 35.1% and a specificity of 78.8%. In the logistic regression analysis, BNP levels higher than 106 pg/ml were significantly associated with death within 3 months (odds ratio [OR], 2.625; 95%confidence interval [CI], 1.066-6.463) and other independent factors were BLS to ROSC (OR, 1.105; CI, 0.082-1.038), non-VF/VT (OR, 3.698; CI, 1.632-8.380), and APACHE II score (OR, 1.117; CI, 1.035-1.204). Conclusion: Initial Serum BNP levels are related with death within 3 months for patients that received TH after OHCA. However, additional randomized and controlled studies are needed. | - |
dc.language | 한국어 | - |
dc.language.iso | ko | - |
dc.publisher | 대한응급의학회 | - |
dc.relation.isPartOf | 대한응급의학회지 | - |
dc.title | 심정지 후 치료적 저체온 요법을 시행한 환자의 사망예측에 있어 B-type natriuretic peptide 수치의 유용성 | - |
dc.title.alternative | Serum B-type Natriuretic Peptide Levels for the Prediction of Death in Post-Cardiac Arrest Patients Treated with Therapeutic Hypothermia | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 2 | - |
dc.identifier.bibliographicCitation | 대한응급의학회지, v.24, no.5, pp.508 - 515 | - |
dc.identifier.kciid | ART001816985 | - |
dc.description.isOpenAccess | N | - |
dc.citation.endPage | 515 | - |
dc.citation.startPage | 508 | - |
dc.citation.title | 대한응급의학회지 | - |
dc.citation.volume | 24 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | 안현철 | - |
dc.contributor.affiliatedAuthor | 조진성 | - |
dc.contributor.affiliatedAuthor | 김진주 | - |
dc.contributor.affiliatedAuthor | 양혁준 | - |
dc.contributor.affiliatedAuthor | 박원빈 | - |
dc.contributor.affiliatedAuthor | 우재혁 | - |
dc.contributor.affiliatedAuthor | 현성열 | - |
dc.contributor.affiliatedAuthor | 임용수 | - |
dc.subject.keywordAuthor | Heart Arrest | - |
dc.subject.keywordAuthor | Cardiopulmonary Resuscitation | - |
dc.subject.keywordAuthor | Brain Natriuretic Peptide | - |
dc.subject.keywordAuthor | Induced Hypothermia | - |
dc.description.journalRegisteredClass | kci | - |
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