| Home | E-Submission | Sitemap | Contact Us |  
J Korean Soc Emerg Med > Volume 24(2); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(2): 142-148.
The Effect of Brain Hemorrhage on the Prognosis of Out-of-Hospital Cardiac Arrest: a Retrospective Study
Yeon Sik Jang, Yong Su Lim, Jin Seong Cho, Jin Joo Kim, Sung Youl Hyun, Hyuk Jun Yang, Gun Lee
Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea. yongem@gilhospital.com
Spontaneous intracranial hemorrhage (ICH) is not an uncommon cause of cardiac arrest. The purpose of this study was to identify the prognosis of patients with ICH for Out-of-Hospital Cardiac arrest (OHCA).
From January 2008 to December 2010, a total of 214 patients were checked brain computed tomography (CT) in OHCA. The majority of patients were male (136, 63.8%), and the median age was 55.0 (+/-16.7). We included all patients who were checked through brain CT for non-traumatic OHCA. Data were collected from electronic medical records and pre-hospital records. Demographic, clinical and laboratory data were compared between the ICH and non-ICH group.
The detection of ICH by clinical manifestations and laboratory data was difficult. Out of 214 patients, 21 (9.8%) patients were positive for ICH and 193(90.2%) patients had a normal brain CT. In demographic and clinical data, the neurological outcome (CPC score, p=0.009) and 30-day survival rate (p<0.001) were statistically different between the two groups. Using the Cox proportional hazards model, the ICH group had a 3.54 hazard ratio compared with non-ICH group. In addition, pH (p=0.033), lactate (p=0.023) in ABGA, potassium (p=0.008), glucose (p=0.026), and S-100 (p=0.047) showed significant results.
The prognosis of ICH patients in OHCA is poor; further studies are needed to improve the prognosis of ICH patients after ROSC in OHCA.
Key words: Out-of-Hospital Cardiac arrest, Intracranial hemorrhage, Brain Computed Tomography
Editorial Office
The Korean Society of Emergency Medicine
TEL: +82-62-226-1780   FAX: +82-62-224-3501   E-mail: 0012194@csuh.co.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI