지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: The aim of this study was to evaluate the association between coronary angiography (CAG) with or without percutaneous coronary intervention (PCI) and the survival outcome of patients successfully resuscitated from out-of-hospital cardiac arrest. Methods: We used the Cardiac Arrest Pursuit Trial with Unique Registration and Epidemiological Surveillance database, which is out of hospital cardiac arrest (OHCA) cohort of 27 emergency departments in Korea, between February 2014 and January 2015. The inclusion criteria were all OHCA patients who receive cardiopulmonary resuscitation in an emergency department and return of spontaneous circulation. Univariable analysis and multivariable logistic regression analysis were conducted to assess the associations between CAG and outcomes (favorable neurological outcome and survival- to-discharge). Moreover, similar analysis was conducted between PCI and no-PCI subgroups within the CAG group. Results: Of the 1,616 patients, 707 patients were return of spontaneous circulation. The number of patients who conducted CAG was 204 (28.9%) and the number of patients who conducted PCI was 75 (10.6%). In OHCA patients, the CAG group had a more significant good survival discharge outcome with an odds ratio (OR) of 4.61 (95% confidence interval [CI], 2.64-8.05) and good neurologic outcomes with an OR of 7.82 (95% CI, 4.37-14.00). In CAG patients, the PCI group had no significant relationship with survival discharge with an OR of 0.99 (95% CI, 0.36-2.70) and with neurologic outcomes with an OR of 1.15 (95% CI, 0.46-2.88) compared with no PCI group. Conclusion: In OHCA patients, the CAG group had a more significant good prognosis (survival discharge rate and good neurologic outcomes) compared with the no-CAG group. In CAG patients, the PCI group had no significant association with good prognosis compared with the no-PCI group.
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참고문헌 (21)
참고문헌 신청
Ahn KO / 2010 / Epidemiology and outcomes from non-traumatic outof-hospital cardiac arrest in Korea: A nationwide observational study / Resuscitation 81:974~981
Neumar RW / 2008 / Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee;the Council on Cardiovascular Surgery and Anesthesia;the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council / Circulation 118:2452~2483
Laver S / 2004 / Mode of death after admission to an intensive care unit following cardiac arrest / Intensive Care Med 30:2126~2128
Tagami T / 2012 / Implementation of the fifth link of the chain of survival concept for out-of-hospital cardiac arrest / Circulation 126:589~597
Hypothermia after Cardiac Arrest Study Group / 2002 / Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest / N Eng J Med 346:549~556
Neumar RW / 2008 / Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation (American Heart Association, Australian and New Zealand Council on Resuscitation, European Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Asia, and the Resuscitation Council of Southern Africa); the American Heart Association Emergency Cardiovascular Care Committee;the Council on Cardiovascular Surgery and Anesthesia;the Council on Cardiopulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; and the Stroke Council / Circulation 118:2452~2483
Laver S / 2004 / Mode of death after admission to an intensive care unit following cardiac arrest / Intensive Care Med 30:2126~2128
Tagami T / 2012 / Implementation of the fifth link of the chain of survival concept for out-of-hospital cardiac arrest / Circulation 126:589~597
Hypothermia after Cardiac Arrest Study Group / 2002 / Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest / N Eng J Med 346:549~556
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