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Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation

Katsuhiro Nagata ; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Junya Tsurukiri   ORCID icon orcid.org/0000-0002-0384-1695 ; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Keiko Ueno ; Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center
Shiro Mishima ; Emergency and Critical Care Medicine, Tokyo Medical University

Puni tekst: engleski, pdf (648 KB) str. 53-63 preuzimanja: 312* citiraj
APA 6th Edition
Nagata, K., Tsurukiri, J., Ueno, K. i Mishima, S. (2015). Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation. Signa vitae, 10 (1), 53-63. Preuzeto s https://hrcak.srce.hr/140717
MLA 8th Edition
Nagata, Katsuhiro, et al. "Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation." Signa vitae, vol. 10, br. 1, 2015, str. 53-63. https://hrcak.srce.hr/140717. Citirano 12.04.2021.
Chicago 17th Edition
Nagata, Katsuhiro, Junya Tsurukiri, Keiko Ueno i Shiro Mishima. "Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation." Signa vitae 10, br. 1 (2015): 53-63. https://hrcak.srce.hr/140717
Harvard
Nagata, K., et al. (2015). 'Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation', Signa vitae, 10(1), str. 53-63. Preuzeto s: https://hrcak.srce.hr/140717 (Datum pristupa: 12.04.2021.)
Vancouver
Nagata K, Tsurukiri J, Ueno K, Mishima S. Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation. Signa vitae [Internet]. 2015 [pristupljeno 12.04.2021.];10(1):53-63. Dostupno na: https://hrcak.srce.hr/140717
IEEE
K. Nagata, J. Tsurukiri, K. Ueno i S. Mishima, "Predictors of neurological outcome in the emergency department for elderly patients following out-of-hospital restoration of spontaneous circulation", Signa vitae, vol.10, br. 1, str. 53-63, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/140717. [Citirano: 12.04.2021.]

Sažetak
Aims. Survival rates for cardiac arrest in acute medicine are higher following out-of-hospital restoration of spontaneous circulation (OH-ROSC). However, data pertaining to OH-ROSC is limited in the elderly population. We aimed to assess the predictors of neurological outcome among elderly patients with OH-ROSC.

Methods. We retrospectively analyzed the data of patients 65 years and older who achieved OH-ROSC and who presented to the emergency department (ED) between 2009 and 2013. The following parameters were considered: age, sex, medical history, vital signs, blood values, initial electrical rhythm, witnessed cardiac arrest, bystander cardiopulmonary resuscitation, resuscitation duration, attempted defibrillation, and neurological outcome. Neurological outcomes were evaluated 3 months after cardiac arrest, using the cerebral performance category (CPC) score, and were classified into two groups: favorable outcome (CPC = 1–2) and unfavorable outcome (CPC = 3–5).

Results. Fifty-five patients were studied, of which 21 and 34 patients were classified as having favorable and unfavorable outcomes, respectively. The following values were associated with favorable outcomes: resuscitation duration, initial cardiac rhythm, base excess, pH, lactate levels, the motor response on the Glasgow Coma Scale (GCS), and the number of patients with GCS ≤8 (p < 0.01). Logistic regression analysis confirmed that motor response scores and lactate levels were independent predictors of neurological outcomes.

Conclusions. Lactate levels and GCS motor response measured immediately at ED arrival are likely to be useful to assess the neurological outcomes among elderly patients with OH-ROSC.

Ključne riječi
age; basic life support; cardiac arrest; prediction; resuscitation

Hrčak ID: 140717

URI
https://hrcak.srce.hr/140717

Posjeta: 548 *