병원외 심정지 후 집중치료실에 입원한 환자의 예후: 심장성과 비심장성 심정지 비교
Outcome after Admission to Intensive Care Unit Following Out-of-Hospital Cardiac Arrest: Comparison between Cardiac Etiology and Non-Cardiac Etiology
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: To evaluate the post-resuscitation intensive care unit outcome of patients who initially survived out-of-hospital cardiac arrest (OHCA). Methods: We retrospectively analyzed patients who were admitted to the ICU after OHCA in a tertiary hospital between January, 2005 and December, 2009. We compared the patients’ clinical data, the factors associated with admission and the prognosis of patients in cardiac and non-cardiac groups. Results: Sixty-four patients were included in this study. Thirty-four patients were in the cardiac group and thirty patients were in the non-cardiac group. The mean age was 57.3 ± 15.1 years of age in the cardiac group and 61.9± 15.7 years of age in the non-cardiac group (p = 0.235). The collapse-to-start of the CPR interval was 5.9 ± 3.8min in the cardiac group and 6.0 ± 3.2 min in the non-cardiac group (p = 0.851). The complaint of chest pain occurred in 12 patients (35.3%) in the cardiac group and 1 patient (3.3%) in the non-cardiac group (p = 0.011). The time duration for making a decision for admission was 285.2 ± 202.2 min in the cardiac group and 327.7 ± 264.1min in the non-cardiac group (p = 0.471). The regional wall motion abnormality and ejection fraction decrease were significant in the cardiac group (p = 0.002, 0.030). Grade 5 CPC was present in 8 patients (23.5%) in the cardiac group and 14 patients (46.7%) in the non-cardiac group. Conclusions: The key symptom that could initially differentiate the two groups was chest pain. The time duration for making an admission decision was long in both groups. The CPC score of the cardiac group was lower than that for the non-cardiac group.
Abstract
Background: To evaluate the post-resuscitation intensive care unit outcome of patients who initially survived out-of-hospital cardiac arrest (OHCA). Methods: We retrospectively analyzed patients who were admitted to the ICU after OHCA in a tertiary hospital between January, 2005 and December, 2009. We compared the patients’ clinical data, the factors associated with admission and the prognosis of patients in cardiac and non-cardiac groups. Results: Sixty-four patients were included in this study. Thirty-four patients were in the cardiac group and thirty patients were in the non-cardiac group. The mean age was 57.3 ± 15.1 years of age in the cardiac group and 61.9± 15.7 years of age in the non-cardiac group (p = 0.235). The collapse-to-start of the CPR interval was 5.9 ± 3.8min in the cardiac group and 6.0 ± 3.2 min in the non-cardiac group (p = 0.851). The complaint of chest pain occurred in 12 patients (35.3%) in the cardiac group and 1 patient (3.3%) in the non-cardiac group (p = 0.011). The time duration for making a decision for admission was 285.2 ± 202.2 min in the cardiac group and 327.7 ± 264.1min in the non-cardiac group (p = 0.471). The regional wall motion abnormality and ejection fraction decrease were significant in the cardiac group (p = 0.002, 0.030). Grade 5 CPC was present in 8 patients (23.5%) in the cardiac group and 14 patients (46.7%) in the non-cardiac group. Conclusions: The key symptom that could initially differentiate the two groups was chest pain. The time duration for making an admission decision was long in both groups. The CPC score of the cardiac group was lower than that for the non-cardiac group.
참고문헌 (18)
- Korean Association of Cardiopulmonary Resuscitation, "2006 KACPR guideline for CPR. 1st ed", pp.1~8 (2006), KACPR
- Laver S, "Mode of death after admission to an intensive care unit following cardiac arrest", Intensive Care Med, 30, pp.2126~2128 (2004)
- Nolan J, "The chain of survival", Resuscitation, 71, pp.270~271 (2006)
- Nolan JP, "Post resuscitation care--time for a care bundle?", Resuscitation, 76, pp.161~162 (2008)
- Engdahl J, "Characteristics and outcome among patients suffering from out of hospital cardiac arrest of non-cardiac aetiology", Resuscitation, 57, pp.33~41 (2003)
- Cummins RO, "Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style", Ann Emerg Med, 20, pp.861~874 (1991), Task Force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council
- Topcuoglu MA, "Prognostic value of magnetic resonance imaging in post-resuscitation encephalopathy", Intern Med, 48, pp.1635~1645 (2009)
- Haukoos JS, "Out-of-hospital cardiac arrest in denver, colorado: epidemiology and outcomes", Acad Emerg Med, 17, pp.391~398 (2010)
- Herlitz J, "Factors associated with survival to hospital discharge among patients hospitalised alive after out of hospital cardiac arrest: change in outcome over 20 years in the community of Göteborg, Sweden", Heart, 89, pp.25~30 (2003)
- Herlitz J, "Characteristics and outcome in out-of-hospital cardiac arrest when patients are found in a non-shockable rhythm", Resuscitation, 76, pp.31~36 (2008)
- Laurent I, "Reversible myocardial dysfunction in survivors of out-of-hospital cardiac arrest", J Am Coll Cardiol, 40, pp.2110~2116 (2002)
- Kern KB, "Emergent percutaneous coronary intervention for resuscitated victims of out-of-hospital cardiac arrest", Catheter Cardiovasc Interv, 75, pp.616~624 (2010)
- Anyfantakis ZA, "Acute coronary angiographic findings in survivors of out-of-hospital cardiac arrest", Am Heart J, 157, pp.312~318 (2009)
- Hosmane VR, "Survival and neurologic recovery in patients with ST-segment elevation myocardial infarction resuscitated from cardiac arrest", J Am Coll Cardiol, 53, pp.409~415 (2009)
- Cokkinos P, "Post-resuscitation care: current therapeutic concepts", Acute Card Care, 11, pp.131~137 (2009)
- Nolan JP, "Postresuscitation care: entering a new era", Curr Opin Crit Care, 16, pp.216~222 (2010)
- Väyrynen T, "Who survives from out-of-hospital pulseless electrical activity?", Resuscitation, 76, pp.207~213 (2008)
- Wijdicks EF, "Practice parameter: prediction of outcome in comatose survivors after cardiopulmonary resuscitation (an evidence- based review): report of the Quality Standards Subcommittee of the American Academy of Neurology", Neurology, 67, pp.203~210 (2006)