지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 265 - 271 (7page)
이용수
초록· 키워드
오류제보하기
Background: The aim of this study was to retrospectively evaluate and analyze the brain magnetic resonance imaging (B-MRI) findings of patients with a favorable neurological outcome following cerebral performance category (CPC) after out-of-hospital cardiac arrest (OHCA) at single university hospital emergency center.
Methods: Patients with return of spontaneous circulation (> 24 h) after OHCA who were older than 16 years of age and who had been admitted to the emergency intensive care unit (EICU) for over a 57-month period between July 2007 and March 2012 and survived with a favorable neurological outcome were enrolled. B-MRI was taken after recovery of their mental status.
Results: Fifty-two patients among the 305 admitted patients had a good CPC, and 33 patients’ B-MRI were analyzed (CPC 1: 26 patients, CPC 2: 7 patients). Among these, 18 (54.5%) patients had a normal finding on B-MRI. On the other hand, ischemia/infarction/microangiopathy compatible with hypoxic-ischemic encephalopathy (HIE) were found on various brain areas including subcortical white matter (7/13), cerebral cortex, central semiovlae, basal ganglia, putamen, periventricular white matter, and cerebellum.
Conclusions: Survivors with a favorable neurological outcome from OHCA showed HIE on B-MRI, especially all of the patients with a CPC 2.
More detail neurologic category including brain imaging would be needed to categorize patients with favorable outcome after OHCA.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Ahn KO / 2010 / Epidemiology and outcomes from non-traumatic out-of-hospital cardiac arrest in Korea: a nationwide observational study / Resuscitation 81 : 974 ~ 981
Arbelaez A / 1999 / Diffusionweignted MR imaging of global cerebral anoxia / AJNR Am J Neuroradiol 20 : 999 ~ 1007
Bernard SA / 2002 / Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia / N Engl J Med 346 : 557 ~ 563
Caine D / 2000 / Neuropsychological and neuropathological sequelae of cerebral anoxia: a critical review / J Int Neuropsychol Soc 6 : 86 ~ 99
Els T / 2004 / Diffusionweighted MRI during early global cerebral hyoxia:a predictor for clinical outcome? / Acta Neurol Scand 110 : 361 ~ 367
Arbelaez A / 1999 / Diffusionweignted MR imaging of global cerebral anoxia / AJNR Am J Neuroradiol 20 : 999 ~ 1007
Bernard SA / 2002 / Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia / N Engl J Med 346 : 557 ~ 563
Caine D / 2000 / Neuropsychological and neuropathological sequelae of cerebral anoxia: a critical review / J Int Neuropsychol Soc 6 : 86 ~ 99
Els T / 2004 / Diffusionweighted MRI during early global cerebral hyoxia:a predictor for clinical outcome? / Acta Neurol Scand 110 : 361 ~ 367
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