Association between shockable rhythm conversion and outcomes in patients with out-of-hospital cardiac arrest and initial non-shockable rhythm, according to the cause of cardiac arrest
DC Field | Value | Language |
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dc.contributor.author | Han, Kap Su | - |
dc.contributor.author | Lee, Sung Woo | - |
dc.contributor.author | Lee, Eui Jung | - |
dc.contributor.author | Kwak, Moon Hwan | - |
dc.contributor.author | Kim, Su Jin | - |
dc.date.accessioned | 2021-09-01T07:19:35Z | - |
dc.date.available | 2021-09-01T07:19:35Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-09 | - |
dc.identifier.issn | 1748-3107 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/62974 | - |
dc.description.abstract | Objective: Conversion to shockable rhythm from an initial non-shockable rhythm is associated with good neurologic prognoses in patients with out-of-hospital cardiac arrest (OHCA). We aimed to investigate whether conversion to shockable rhythm has an association with good neurologic outcomes, according to the etiology of cardiac arrest. Methods: We conducted a nationwide, population-based, cohort study using the OHCA data from the Korea Centers for Disease Control and Prevention database in 2012-2016. We included patients with OHCA and an initial non-shockable rhythm. The primary outcome was good neurologic outcome at discharge, etiologies of arrest were categorized to medical, non-medical cause. We analyzed the effect of conversion to a shockable rhythm on outcome according to causes of cardiac arrest using multiple regression analysis. Results: Of 114,628 patients with an initial non-shockable rhythm, 25,042 (21.8%) experienced conversion to a shockable rhythm; 83,437 (72.8%) had medical causes and 31,191(27.2%) had non-medical causes. In all patients with OHCA and initial non-shockable rhythm, adjusted odds ratio (OR) of conversion for good neurologic outcome was 2.051 (95% confidence interval [CI] 1.181-2.297). The medical cause group showed an adjusted OR 1.789 (95% CI 1.586-2.019) of conversion for good neurologic outcome. In non-medical cause group, the adjusted OR of conversion was 0.644 (95% CI 0.372-1.114). Conclusion: Conversion to shockable rhythm had an association with good neurologic outcome in patients with OHCA with initial non-shockable rhythms, especially due to cardiac cause. However, rhythm conversion was not associated with better outcome in patients with non-medical causes. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.subject | VENTRICULAR-FIBRILLATION | - |
dc.subject | PROGNOSTIC-SIGNIFICANCE | - |
dc.subject | 3-PHASE MODEL | - |
dc.subject | SURVIVAL | - |
dc.subject | RESUSCITATION | - |
dc.subject | ASYSTOLE | - |
dc.subject | TRENDS | - |
dc.subject | PEA | - |
dc.title | Association between shockable rhythm conversion and outcomes in patients with out-of-hospital cardiac arrest and initial non-shockable rhythm, according to the cause of cardiac arrest | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Han, Kap Su | - |
dc.contributor.affiliatedAuthor | Lee, Sung Woo | - |
dc.contributor.affiliatedAuthor | Kim, Su Jin | - |
dc.identifier.doi | 10.1016/j.resuscitation.2019.07.025 | - |
dc.identifier.scopusid | 2-s2.0-85070533285 | - |
dc.identifier.wosid | 000482624100025 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.142, pp.144 - 152 | - |
dc.relation.isPartOf | RESUSCITATION | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 142 | - |
dc.citation.startPage | 144 | - |
dc.citation.endPage | 152 | - |
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 | VENTRICULAR-FIBRILLATION | - |
dc.subject.keywordPlus | PROGNOSTIC-SIGNIFICANCE | - |
dc.subject.keywordPlus | 3-PHASE MODEL | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | RESUSCITATION | - |
dc.subject.keywordPlus | ASYSTOLE | - |
dc.subject.keywordPlus | TRENDS | - |
dc.subject.keywordPlus | PEA | - |
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