Cited 0 times in Scipus Cited Count

Therapeutic hypothermia after cardiac arrest caused by self-inflicted intoxication: a multicenter retrospective cohort study.

DC Field Value Language
dc.contributor.authorKim, HJ-
dc.contributor.authorKim, GW-
dc.contributor.authorOh, SH-
dc.contributor.authorPark, SH-
dc.contributor.authorChoi, JH-
dc.contributor.authorKim, KH-
dc.contributor.authorJeon, WC-
dc.contributor.authorLee, HJ-
dc.contributor.authorPark, KN-
dc.date.accessioned2016-11-18T01:47:37Z-
dc.date.available2016-11-18T01:47:37Z-
dc.date.issued2014-
dc.identifier.issn0735-6757-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/12906-
dc.description.abstractINTRODUCTION: The aim of this study was to describe the epidemiology and outcomes

of patients with therapeutic hypothermia after out-of-hospital cardiac arrest

(OHCA) caused by self-inflicted intoxication. METHODS: We performed a multicenter

retrospective registry-based study of adult OHCA patients presenting to 24

hospitals over 6 years across South Korea. Data included demographics,

resuscitation variables, postresuscitation variables, and self-inflicted

intoxicants. Neurologic outcomes were categorized according to the

Glasgow-Pittsburgh Cerebral Performance Categories (CPC) scale and were

dichotomized as either good discharge outcomes (CPC 1 and 2) or poor discharge

outcomes (CPC 3-5). RESULTS: A total of 930 OHCA cases were identified, 24 (2.6%)

of which were classified as cardiac arrest caused by acute intoxication. The mean

age of cases was 57.2 +/- 12.9 years. The mean time from collapse to return of

spontaneous circulation was 35.4 +/- 18.7 minutes. The presenting rhythm was

pulseless electrical activity in 6 patients (25%) and asystole in 18 patients

(75%). Eleven patients (46%) survived to hospital discharge, and of these, good

discharge outcomes (CPC 1 and 2) were achieved in 21% (5/24). For pesticide

intoxication, the survival-to-discharge rate was 62% (8/13), and the rate of good

neurologic outcome was 23% (3/13). CONCLUSION: Patients with OHCA caused by

self-inflicted intoxication represented 2.6% of all OHCA patients. They showed a

high rate of unwitnessed cardiac arrest and a very low rate of bystander

cardiopulmonary resuscitation. Pesticides were the main cause of cardiac arrest,

and these cases had a very high discharge to survival rate.
-
dc.language.isoen-
dc.subject.MESHAged-
dc.subject.MESHCardiopulmonary Resuscitation-
dc.subject.MESHHumans-
dc.subject.MESHHypothermia, Induced-
dc.subject.MESHOut-of-Hospital Cardiac Arrest-
dc.subject.MESHPoisoning-
dc.subject.MESHRegistries-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTime-to-Treatment-
dc.subject.MESHTreatment Outcome-
dc.titleTherapeutic hypothermia after cardiac arrest caused by self-inflicted intoxication: a multicenter retrospective cohort study.-
dc.typeArticle-
dc.identifier.pmid25242010-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0735675714005993-
dc.contributor.affiliatedAuthor김, 기운-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.ajem.2014.08.045-
dc.citation.titleThe American journal of emergency medicine-
dc.citation.volume32-
dc.citation.number11-
dc.citation.date2014-
dc.citation.startPage1378-
dc.citation.endPage1381-
dc.identifier.bibliographicCitationThe American journal of emergency medicine, 32(11). : 1378-1381, 2014-
dc.identifier.eissn1532-8171-
dc.relation.journalidJ007356757-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Emergency Medicine
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse