Moderate to Severe Left Ventricular Ejection Fraction Related to Short-term Mortality of Patients with Post-cardiac Arrest Syndrome after Out-of-Hospital Cardiac Arrest / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 342-350, 2016.
Article
in En
| WPRIM
| ID: wpr-86738
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
The aim of this study was to investigate the relationships between left ventricular ejection fraction (LVEF) and mortality and neurologic outcomes with post-cardiac arrest syndrome (PCAS) after out-of-hospital cardiac arrest (OHCA).METHODS:
Patients with PCAS after OHCA admitted to the intensive care unit between January 2014 and December 2015 were analyzed retrospectively.RESULTS:
total of 104 patients were enrolled in this study. The mean age was 54.4 ± 15.3 years, and 75 of the patients were male (72.1%). Arrest with a cardiac origin was found in 55 (52.9%). LVEF 55% was measured in 39 (37.5%), 18 (17.3%), and 47 (45.2%) of patients, respectively. In multivariate analysis, severe LV dysfunction (LVEF < 45%) was significantly related to 7-day mortality (odds ratio 3.02, 95% Confidence Interval 1.01-9.0, p-value 0.047).CONCLUSIONS:
In this study, moderate to severe LVEF within 48 hours after return of spontaneous circulation was significantly related to 7-day short-term mortality in patients with PCAS after OHCA. Clinicians should actively treat myocardial dysfunction, and further studies are needed.Key words
Full text:
1
Index:
WPRIM
Main subject:
Stroke Volume
/
Passive Cutaneous Anaphylaxis
/
Echocardiography
/
Multivariate Analysis
/
Retrospective Studies
/
Mortality
/
Out-of-Hospital Cardiac Arrest
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Intensive Care Units
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Korean Journal of Critical Care Medicine
Year:
2016
Type:
Article