The Effect of Brain Hemorrhage on the Prognosis of Out-of-Hospital Cardiac Arrest: a Retrospective Study
Journal of the Korean Society of Emergency Medicine
;
: 142-148, 2013.
Article
in Korean
| WPRIM
| ID: wpr-37239
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 non-traumatic 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Potassium
/
Prognosis
/
Brain
/
Proportional Hazards Models
/
Survival Rate
/
Retrospective Studies
/
Lactic Acid
/
Intracranial Hemorrhages
/
Electronic Health Records
/
Out-of-Hospital Cardiac Arrest
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2013
Type:
Article
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