Can We Predict Good Survival Outcomes by Classifying Initial and Re-Arrest Rhythm Change Patterns in Out-of-Hospital Cardiac Arrest Settings?
DC Field | Value | Language |
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dc.contributor.author | Shin, Heejun | - |
dc.contributor.author | Kim, Giwoon | - |
dc.contributor.author | Lee, Younghwan | - |
dc.contributor.author | Moon, Hyungjun | - |
dc.contributor.author | Choi, Hanjoo | - |
dc.contributor.author | Lee, Choung Ah | - |
dc.contributor.author | Choi, Hyuk Joong | - |
dc.contributor.author | Park, Yongjin | - |
dc.contributor.author | Lee, Kyoungmi | - |
dc.contributor.author | Jeong, Wonjung | - |
dc.date.accessioned | 2021-08-11T08:31:19Z | - |
dc.date.available | 2021-08-11T08:31:19Z | - |
dc.date.issued | 2020-12-10 | - |
dc.identifier.issn | 2168-8184 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2237 | - |
dc.description.abstract | Objective The purpose of this study was to investigate whether a change in prehospital arrest rhythms could allow medical personnel to predict survival outcomes in patients who achieved a return of spontaneous circulation (ROSC) in the setting of out-of-hospital cardiac arrest (OHCA). Methods The design of this study was retrospective, multi-regional, observational, and cross-sectional with a determining period between August 2015 and July 2016. Cardiac arrest rhythms were defined as a shockable rhythm (S), which refers to ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT), and non-shockable rhythm (NS), which refers to pulseless electrical activity or asystole. Survival to admission, survival to discharge, and good cerebral performance category (CPC) (CPC 1 or 2) were defined as good survival outcomes. Results A total of 163 subjects were classified into four groups according to the rhythm change pattern: NS -> NS (98), S -> S (27), S -> NS (23), and NS -> S (15). NS -> NS pattern was used as the reference in logistic regression analysis. In the case of survival to hospital admission, the odds ratio (OR) (95% CI) of the S-eS pattern was the highest [12.63 (3.56-44.85), p: <0.001 by no correction] and [7.29 (1.96-27.10), p = 0.003 with adjusting]. In the case of survival to hospital discharge, the OR (95% CI) of the S -> S pattern was the highest [37.14 (11.71-117.78), p: <0.001 by no correction] and [13.85 (3.69-51.97), p: <0.001 with adjusting]. In the case of good CPC (CPC 1 or 2) at discharge, the OR (95% CI) of the S -> S pattern was the highest [96 (19.14-481.60), p: <0.001 by no correction] and [149.69 (19.51-1148.48), p: <0.001 with adjusting]. Conclusions The S -> S group showed the highest correlation with survival to hospital admission, survival to hospital discharge, and good CPC (CPC 1 or 2) at discharge compared to the NS -> NS group. Verifying changes in initial cardiac arrest rhythm and prehospital re-arrest (RA) rhythm patterns after prehospital ROSC can help us predict good survival outcomes in the OHCA setting. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Cureus, Inc. | - |
dc.title | Can We Predict Good Survival Outcomes by Classifying Initial and Re-Arrest Rhythm Change Patterns in Out-of-Hospital Cardiac Arrest Settings? | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.7759/cureus.12019 | - |
dc.identifier.wosid | 000597981000015 | - |
dc.identifier.bibliographicCitation | Cureus, v.12, no.12 | - |
dc.citation.title | Cureus | - |
dc.citation.volume | 12 | - |
dc.citation.number | 12 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | esci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | AMERICAN-HEART-ASSOCIATION | - |
dc.subject.keywordPlus | EUROPEAN-RESUSCITATION | - |
dc.subject.keywordPlus | STROKE-FOUNDATION | - |
dc.subject.keywordPlus | CRITICAL-CARE | - |
dc.subject.keywordPlus | TASK-FORCE | - |
dc.subject.keywordPlus | REARREST | - |
dc.subject.keywordPlus | PROFESSIONALS | - |
dc.subject.keywordPlus | STATEMENT | - |
dc.subject.keywordPlus | COUNCIL | - |
dc.subject.keywordPlus | CANADA | - |
dc.subject.keywordAuthor | out-of-hospital cardiac arrest | - |
dc.subject.keywordAuthor | advanced cardiac life support | - |
dc.subject.keywordAuthor | cardiopulmonary resuscitation | - |
dc.subject.keywordAuthor | re-arrest rhythm | - |
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