병원 밖 심정지 환자에서 뇌출혈 유무에 따른 특징 및 예후 차이 분석: 후향적 분석The Effect of Brain Hemorrhage on the Prognosis of Out-of-Hospital Cardiac Arrest: a Retrospective Study
- Other Titles
- The Effect of Brain Hemorrhage on the Prognosis of Out-of-Hospital Cardiac Arrest: a Retrospective Study
- Authors
- 장연식; 임용수; 조진성; 김진주; 현성열; 양혁준; 이근
- Issue Date
- Apr-2013
- Publisher
- 대한응급의학회
- Keywords
- Out-of-Hospital Cardiac arrest; Intracranial hemorrhage; Brain Computed Tomography
- Citation
- 대한응급의학회지, v.24, no.2, pp.142 - 148
- Journal Title
- 대한응급의학회지
- Volume
- 24
- Number
- 2
- Start Page
- 142
- End Page
- 148
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/15553
- ISSN
- 1226-4334
- Abstract
- Purpose: Spontaneous intracranial hemorrhage (ICH) is not an uncommon cause of cardiac arrest. The purpose of this study was to identify the prognosis of patients with ICH for Out-of-Hospital Cardiac arrest (OHCA).
Methods: From January 2008 to December 2010, a total of 214 patients were checked brain computed tomography (CT) in OHCA. The majority of patients were male (136,63.8%), and the median age was 55.0 (±16.7). We included all patients who were checked through brain CT for nontraumatic OHCA. Data were collected from electronic medical records and pre-hospital records. Demographic, clinical and laboratory data were compared between the ICH and non-ICH group.
Results: The detection of ICH by clinical manifestations and laboratory data was difficult. Out of 214 patients, 21(9.8%) patients were positive for ICH and 193(90.2%)patients had a normal brain CT. In demographic and clinical data, the neurological outcome (CPC score, p=0.009) and 30-day survival rate (p<0.001) were statistically different between the two groups. Using the Cox proportional hazards model, the ICH group had a 3.54 hazard ratio compared with non-ICH group. In addition, pH (p=0.033), lactate (p=0.023) in ABGA, potassium (p=0.008), glucose (p=0.026), and S-100 (p=0.047) showed significant results.
Conclusion: The prognosis of ICH patients in OHCA is poor; further studies are needed to improve the prognosis of ICH patients after ROSC in OHCA.
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