Prediction of return of spontaneous circulation in out-of-hospital cardiac arrest with non-shockable initial rhythm using point-of-care testing: a retrospective observational study.
Blood coagulation disorders
Extrinsic pathway
Potassium
Rotational thromboelastometry
Journal
World journal of emergency medicine
ISSN: 1920-8642
Titre abrégé: World J Emerg Med
Pays: China
ID NLM: 101549691
Informations de publication
Date de publication:
2023
2023
Historique:
received:
09
08
2022
accepted:
10
11
2022
entrez:
13
3
2023
pubmed:
14
3
2023
medline:
14
3
2023
Statut:
ppublish
Résumé
Out-of-hospital cardiac arrest (OHCA) is a public health concern, and many studies have been conducted on return of spontaneous circulation (ROSC) and its prognostic factors. Rotational thromboelastometry (ROTEM This is a single-center, retrospective observational study. Complete blood count, blood gas, and ROTEM POCT measurements were used. This study included patients with non-traumatic OHCA aged 18 years or older who were transported to the emergency department and evaluated using POCT between January 2013 and December 2021. The patients were divided into the ROSC and non-ROSC groups. Prehospital information and POCT parameters were compared using receiver operating characteristic (ROC) curve analysis, and further logistic regression analysis was performed. Sixty-seven and 135 patients were in the ROSC and non-ROSC groups, respectively. The ROC curves showed a high area under the curve (AUC) for K In OHCA patients with non-shockable rhythm, K
Sections du résumé
BACKGROUND
BACKGROUND
Out-of-hospital cardiac arrest (OHCA) is a public health concern, and many studies have been conducted on return of spontaneous circulation (ROSC) and its prognostic factors. Rotational thromboelastometry (ROTEM
METHODS
METHODS
This is a single-center, retrospective observational study. Complete blood count, blood gas, and ROTEM POCT measurements were used. This study included patients with non-traumatic OHCA aged 18 years or older who were transported to the emergency department and evaluated using POCT between January 2013 and December 2021. The patients were divided into the ROSC and non-ROSC groups. Prehospital information and POCT parameters were compared using receiver operating characteristic (ROC) curve analysis, and further logistic regression analysis was performed.
RESULTS
RESULTS
Sixty-seven and 135 patients were in the ROSC and non-ROSC groups, respectively. The ROC curves showed a high area under the curve (AUC) for K
CONCLUSION
CONCLUSIONS
In OHCA patients with non-shockable rhythm, K
Identifiants
pubmed: 36911060
doi: 10.5847/wjem.j.1920-8642.2023.031
pii: WJEM-14-89
pmc: PMC9999141
doi:
Types de publication
Journal Article
Langues
eng
Pagination
89-95Informations de copyright
Copyright: © World Journal of Emergency Medicine.
Déclaration de conflit d'intérêts
Conflicts of interest: The authors have no potential conflicts of interest to disclose.
Références
BMJ Open. 2017 Jul 10;7(7):e015663
pubmed: 28698333
Resuscitation. 2013 Apr;84(4):454-9
pubmed: 22922072
Scand J Trauma Resusc Emerg Med. 2021 Aug 30;29(1):128
pubmed: 34461967
Int J Endocrinol. 2020 Nov 30;2020:4168420
pubmed: 33312195
Resuscitation. 2012 Dec;83(12):1451-5
pubmed: 22634432
Eur Heart J Acute Cardiovasc Care. 2020 Nov;9(4_suppl):S175-S183
pubmed: 31081678
Am J Emerg Med. 2013 Jan;31(1):8-15
pubmed: 22795429
Resuscitation. 2021 Oct;167:38-46
pubmed: 34390825
Crit Care. 2014 Feb 10;18(1):R30
pubmed: 24512650
Resuscitation. 2021 Jan;158:208-214
pubmed: 33289651
Crit Care. 2020 Feb 22;24(1):60
pubmed: 32087761
Resuscitation. 2007 Sep;74(3):439-45
pubmed: 17451863
Resuscitation. 2017 Dec;121:1-8
pubmed: 28943123
Surgery. 2009 Oct;146(4):764-72; discussion 772-4
pubmed: 19789037
Resuscitation. 2010 Oct;81 Suppl 1:e1-25
pubmed: 20956042
PLoS One. 2017 Apr 5;12(4):e0175257
pubmed: 28380019
Heart Vessels. 2022 Jul;37(7):1255-1264
pubmed: 35044522
Lancet. 2001 Aug 11;358(9280):473-4
pubmed: 11513916
Adv Clin Exp Med. 2020 Jun;29(6):727-734
pubmed: 32608580
Eur Heart J Qual Care Clin Outcomes. 2021 Mar 15;7(2):198-207
pubmed: 32154865
J Thromb Haemost. 2010 Jul;8(7):1477-82
pubmed: 20345721
Circulation. 2015 Nov 3;132(18 Suppl 2):S444-64
pubmed: 26472995
Open Access Emerg Med. 2018 Sep 26;10:105-111
pubmed: 30288130
Turk J Emerg Med. 2017 May 15;17(4):123-127
pubmed: 29464213
Am J Emerg Med. 2021 Aug;46:56-62
pubmed: 33721591
J Chiropr Educ. 2021 Oct 1;35(2):184-191
pubmed: 33271591
Heart Rhythm. 2004 Sep;1(3):255-9
pubmed: 15851165
Resuscitation. 2019 Mar;136:105-111
pubmed: 30716426
Resuscitation. 2021 Apr;161:61-79
pubmed: 33773833
Stud Health Technol Inform. 2020 Jun 16;270:1357-1358
pubmed: 32570657
Resuscitation. 2018 Dec;133:65-70
pubmed: 30292802