Inter-Hospital Transfer after Return of Spontaneous Circulation Shows no Correlation with Neurological Outcomes in Cardiac Arrest Patients Undergoing Targeted Temperature Management in Cardiac Arrest Centers
- 주제(키워드) inter-hospital transfer , cardiac arrest , neurological outcome , targeted temperature management , post-cardiac arrest syndrome , prognostic factor
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Choi, Yoon Hee] Ewha Womans Univ, Sch Med, Dept Emergency Med, Seoul 07804, South Korea; [Lee, Dong Hoon; Oh, Je Hyeok] Chung Ang Univ, Coll Med, Dept Emergency Med, Seoul 06974, South Korea; [Min, Jin Hong] Chungnam Natl Univ, Coll Med, Dept Emergency Med, Daejeon 35015, South Korea; [Jang, Tae Chang] Daegu Catholic Univ, Sch Med, Dept Emergency Med, Daegu 42472, South Korea; [Kim, Won Young] Ulsan Univ, Asan Med Ctr, Dept Emergency Med, Coll Med, Seoul 05505, South Korea; [Jeong, Won Jung] Catholic Univ Korea, St Vincents Hosp, Coll Med, Dept Emergency Med, Seoul 06591, South Korea; [You, Je Sung] Yonsei Univ, Dept Emergency Med, Coll Med, Seoul 03722, South Korea
- 등재 SCIE, SCOPUS
- OA유형 gold, Green Published
- 발행기관 MDPI
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000172361
- 본문언어 영어
- Published As https://dx.doi.org/10.3390/jcm9061979
- PubMed https://pubmed.ncbi.nlm.nih.gov/32599840
초록/요약
This study evaluated whether inter-hospital transfer (IHT) after the return of spontaneous circulation (ROSC) was associated with poor neurological outcomes after 6 months in post-cardiac-arrest patients treated with targeted temperature management (TTM). We used data from the Korean Hypothermia Network prospective registry from November 2015 to December 2018. These out-of-hospital cardiac arrest (OHCA) patients had either received post-cardiac arrest syndrome (PCAS) care at the same hospital or had been transferred from another hospital after ROSC. The primary endpoint was the neurological outcome 6 months after cardiac arrest. Subgroup analyses were performed to determine differences in the time from ROSC to TTM induction according to the electrocardiography results after ROSC. We enrolled 1326 patients. There were no significant differences in neurological outcomes between the direct visit and IHT groups. In patients without ST elevation, the mean time to TTM was significantly shorter in the direct visit group than in the IHT group. IHT after achieving ROSC was not associated with neurologic outcomes after 6 months in post-OHCA patients treated with TTM, even though TTM induction was delayed in transferred patients.
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