Pseudo-subarachnoid hemorrhage sign" on early brain computed tomography in out-of-hospital cardiac arrest survivors receiving targeted temperature management
DC Field | Value | Language |
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dc.contributor.author | Lee, Byung Kook | - |
dc.contributor.author | Kim, Youn-Jung | - |
dc.contributor.author | Ryoo, Seung Mok | - |
dc.contributor.author | Kim, Su Jin | - |
dc.contributor.author | Lee, Dong Hun | - |
dc.contributor.author | Jeung, Kyung Woon | - |
dc.contributor.author | Kim, Won Young | - |
dc.date.accessioned | 2021-09-03T03:11:41Z | - |
dc.date.available | 2021-09-03T03:11:41Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-08 | - |
dc.identifier.issn | 0883-9441 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/82618 | - |
dc.description.abstract | Purpose: Newly updated guidelines suggest brain computed tomography for out-of-hospital cardiac arrest survivors to identify a neurologic cardiac arrest cause. We hypothesized that the "pseudo-subarachnoid hemorrhage" (p-SAH) sign in cardiac arrest survivors is associated with poor outcome. Materials and methods: We retrospectively evaluated the registries of 2 tertiary hospitals, identifying 836 adult (>= 18 years) patients achieving return of spontaneous circulation after out-of-hospital cardiac arrest. Among them, 398 patients with brain computed tomography within 6 hours after return of spontaneous circulation and received targeted temperature management from 2009 to 2014 were included. Clinical characteristics and outcomes of patients with and without p-SAH were compared. Results: The prevalence of p-SAH sign was 8.0%. The p-SAH group more frequently had asystole as first rhythm and nonwitnessed arrest, predominantly resulting from asphyxia (56.3%). Targeted temperature management characteristics were not different between groups, although the p-SAH cohort had worse neurologic outcomes at discharge (100% vs 67.2%; P < .001). Pseudo-subarachnoid hemorrhage had 11.5% sensitivity, 100% specificity, 100% positive predictive value, and 32.8% negative predictive value for poor neurologic outcome. Conclusions: Pseudo-subarachnoid hemorrhage sign might be one of the simple methods to identify poor neurologic outcome early. However, further prospective studies will be needed to clarify the clinical implication of the p-SAH sign. (C) 2017 Elsevier Inc. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.subject | SPONTANEOUS INTRACRANIAL HYPOTENSION | - |
dc.subject | EUROPEAN RESUSCITATION COUNCIL | - |
dc.subject | WHITE-MATTER | - |
dc.subject | CARDIOPULMONARY-RESUSCITATION | - |
dc.subject | POSTRESUSCITATION CARE | - |
dc.subject | COMATOSE PATIENTS | - |
dc.subject | GUIDELINES | - |
dc.subject | EDEMA | - |
dc.subject | ASSOCIATION | - |
dc.subject | OUTCOMES | - |
dc.title | Pseudo-subarachnoid hemorrhage sign" on early brain computed tomography in out-of-hospital cardiac arrest survivors receiving targeted temperature management | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Su Jin | - |
dc.identifier.doi | 10.1016/j.jcrc.2017.02.021 | - |
dc.identifier.scopusid | 2-s2.0-85020699117 | - |
dc.identifier.wosid | 000415204800008 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CRITICAL CARE, v.40, pp.36 - 40 | - |
dc.relation.isPartOf | JOURNAL OF CRITICAL CARE | - |
dc.citation.title | JOURNAL OF CRITICAL CARE | - |
dc.citation.volume | 40 | - |
dc.citation.startPage | 36 | - |
dc.citation.endPage | 40 | - |
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.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.subject.keywordPlus | SPONTANEOUS INTRACRANIAL HYPOTENSION | - |
dc.subject.keywordPlus | EUROPEAN RESUSCITATION COUNCIL | - |
dc.subject.keywordPlus | WHITE-MATTER | - |
dc.subject.keywordPlus | CARDIOPULMONARY-RESUSCITATION | - |
dc.subject.keywordPlus | POSTRESUSCITATION CARE | - |
dc.subject.keywordPlus | COMATOSE PATIENTS | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | EDEMA | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordAuthor | Out-of-hospital cardiac arrest | - |
dc.subject.keywordAuthor | Pseudo-subarachnoid hemorrhage | - |
dc.subject.keywordAuthor | Targeted temperature management | - |
dc.subject.keywordAuthor | Brain computed tomography | - |
dc.subject.keywordAuthor | Prognosis | - |
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