Factors affecting neurological outcomes of patients with sudden cardiac arrest in the emergency department

IF 2.3 3区 医学 Q1 EMERGENCY MEDICINE
Kyeongmin Jang, Hye-Min Hwang, Yon Hee Seo
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Abstract

Little is known about patients with sudden cardiac arrest in the emergency department (ED). This study aimed to identify factors affecting the prognosis of patients with cardiac arrest in the ED. This retrospective study analyzed patients with sudden cardiac arrest admitted to the ED of a general hospital between January 2016 and July 2020. A total of 153 patients with sudden cardiac arrest were identified, and 149 patients for whom all data could be confirmed were included in the statistical analysis of this study. A good neurological outcome was defined as a Cerebral Performance Category (CPC) scale score of 1 or 2, assessed 6 months after discharge. In the univariate analysis, the characteristics of patients included in the good neurological outcomes group were younger (t = 3.553, p < .001), had shorter low flow time (t = 3.31, p = .019), and had more shockable initial rhythms (χ2 = 28.038, p = < .001). As a result of multivariate binary logistic regression analysis, among 43 patients alive 6 months after discharge, age 60 years or younger (odds ratio = 32.703, p = .005), low flow time 6 min or less (odds ratio = 38.418, p = .006), and initial shockable rhythm (odds ratio = 31.214, p < .001) were identified as predictors that had a significant impact on good neurological outcomes. Young age, short low-flow-time, and initial shockable rhythm are predictors of good neurological outcomes in patients with acute cardiac arrest in the ED.
影响急诊科心脏骤停患者神经系统预后的因素
人们对急诊科(ED)中心脏骤停患者的情况知之甚少。本研究旨在确定影响急诊科心脏骤停患者预后的因素。这项回顾性研究分析了一家综合医院急诊科在2016年1月至2020年7月期间收治的心脏骤停患者。共确定了 153 名心脏骤停患者,其中 149 名患者的所有数据均可确认,并纳入了本研究的统计分析。出院 6 个月后评估的脑功能分类(CPC)量表评分为 1 分或 2 分,即为良好的神经功能预后。在单变量分析中,神经功能预后良好组患者的特征是更年轻(t = 3.553,p < .001)、低流量时间更短(t = 3.31,p = .019)、可电击初始节律更多(χ2 = 28.038,p = < .001)。多变量二元逻辑回归分析结果显示,在出院后 6 个月仍存活的 43 名患者中,年龄在 60 岁或以下(几率比 = 32.703,p = .005)、低流量时间在 6 分钟或以下(几率比 = 38.418,p = .006)和初始可电击心律(几率比 = 31.214,p < .001)被认为是对良好神经功能预后有显著影响的预测因素。年轻、低流量时间短和初始可电击心律是急诊室急性心脏骤停患者获得良好神经功能预后的预测因素。
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来源期刊
BMC Emergency Medicine
BMC Emergency Medicine Medicine-Emergency Medicine
CiteScore
3.50
自引率
8.00%
发文量
178
审稿时长
29 weeks
期刊介绍: BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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