Arterial minus end-tidal CO2 as a prognostic factor of hospital survival in patients resuscitated from cardiac arrest
DC Field | Value | Language |
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dc.contributor.author | Moon, Sung-Woo | - |
dc.contributor.author | Lee, Sung-Woo | - |
dc.contributor.author | Choi, Sung-Hyuk | - |
dc.contributor.author | Hong, Yun-Sik | - |
dc.contributor.author | Kim, Su-Jin | - |
dc.contributor.author | Kim, Nak-Hoon | - |
dc.date.accessioned | 2021-09-09T17:29:37Z | - |
dc.date.available | 2021-09-09T17:29:37Z | - |
dc.date.created | 2021-06-10 | - |
dc.date.issued | 2007-02 | - |
dc.identifier.issn | 1748-3107 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/125826 | - |
dc.description.abstract | Aims: The purpose of this study was to determine the clinical value of arterial minus end-tidal CO2 [P(a-et)CO2] and alveolar dead space ventilation ratio (V-dA/V-t) as indicators of hospital mortality in patients that have been resuscitated from cardiac arrest at emergency department. Materials and methods: Forty-four patients with a return of spontaneous circulation (ROSC) after cardiac arrest were studied in the emergency department of a university teaching hospital from March 2004 to February 2006. Mean arterial pressure (MAP), serum lactate, arterial blood gas studies, end-tidal CO2 (EtCO2), P(a-et)CO2, and VdA/Vt were evaluated at 1 h after ROSC. We compared these variables between hospital survivors and non-survivors. Results: The rates of ventricular fibrillation and pulseless ventricular tachycardia, in hospital survivors were higher than those of non-survivors (53.0 and 9.7%, respectively, p = 0.002). Hospital survivors had significantly higher MAP, lower serum lactate, lower P(a-et)CO2, and lower VdA/Vt value than non-survivors. Receiver operator characteristic (ROC) curves of serum lactate, P(a-et)CO2, and VdA/Vt showed significant sensitivity and specificity for hospital mortality. Specifically, lactate >= 10.0mmol/L, P(a-et)CO2 >= 12.5 mmHg, and V-dA/V-t >= 0.348 were all associated with high hospital mortality (p = 0.000, 0.001 and 0.000, respectively). Conclusions: This study showed that high serum lactate, high P(a-et)CO2 and high VdA/Vt during early ROSC in cardiac arrest patients suggest high hospital mortality. If future studies validate this model, the P(a-et)CO2 and VdA/Vt may provide useful guidelines for the early post-resuscitation care of cardiac arrest patients in emergency departments. (c) 2006 Elsevier Ireland Ltd. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.subject | CARBON-DIOXIDE | - |
dc.subject | ANESTHETIZED MAN | - |
dc.subject | TRAUMA SURGERY | - |
dc.subject | PRESSURE | - |
dc.subject | DIFFERENCE | - |
dc.title | Arterial minus end-tidal CO2 as a prognostic factor of hospital survival in patients resuscitated from cardiac arrest | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Su-Jin | - |
dc.identifier.doi | 10.1016/j.resuscitation.2006.06.034 | - |
dc.identifier.scopusid | 2-s2.0-33846102572 | - |
dc.identifier.wosid | 000244022400010 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.72, no.2, pp.219 - 225 | - |
dc.relation.isPartOf | RESUSCITATION | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 72 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 219 | - |
dc.citation.endPage | 225 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordPlus | CARBON-DIOXIDE | - |
dc.subject.keywordPlus | ANESTHETIZED MAN | - |
dc.subject.keywordPlus | TRAUMA SURGERY | - |
dc.subject.keywordPlus | PRESSURE | - |
dc.subject.keywordPlus | DIFFERENCE | - |
dc.subject.keywordAuthor | end-tidal carbon dioxide | - |
dc.subject.keywordAuthor | arterial carbon dioxide | - |
dc.subject.keywordAuthor | arterial to end-tidal CO2 difference | - |
dc.subject.keywordAuthor | dead space ventilation ratio | - |
dc.subject.keywordAuthor | cardiac arrest | - |
dc.subject.keywordAuthor | lactate | - |
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