Braumann, Simon, Nettersheim, Felix Sebastian, Hohmann, Christopher, Tichelbaecker, Tobias, Hellmich, Martin, Sabashnikov, Anton ORCID: 0000-0002-6289-1035, Djordjevic, Ilija, Adler, Joana, Nies, Richard Julius, Mehrkens, Dennis ORCID: 0000-0002-8578-0290, Lee, Samuel, Stangl, Robert, Reuter, Hannes, Baldus, Stephan and Adler, Christoph (2020). How long is long enough? Good neurologic outcome in out-of-hospital cardiac arrest survivors despite prolonged resuscitation: a retrospective cohort study. Clin. Res. Cardiol., 109 (11). S. 1402 - 1411. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1861-0692

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Abstract

Background Despite all efforts, mortality of out of hospital cardiac arrest (OHCA) remains high. Patients with OHCA due to a primary shockable rhythm typically have a better prognosis. However, outcome worsens if return of spontaneous circulation (ROSC) cannot be achieved quickly. There is insufficient evidence for maximum duration of resuscitation in these patients and it is unclear, which patients profit from transport under ongoing CPR. Objective Investigate predictors for favourable neurologic outcome in OHCA patients with presumed cardiac cause due to refractory shockable rhythm (rSR). Methods Retrospective analysis of OHCA patients that presented to a tertiary hospital due to a rSR. Results One hundred seventy-five OHCA patients with presumed cardiac cause due to rSR were included. Overall hospital mortality was 50% and 83% of initial survivors were discharged with a good neurologic outcome [cerebral performance category (CPC) 1-2]. In patients with a time from cardiac arrest to ROSC of > 45 min, 18% survived to CPC 1-2. Independent predictors for good neurologic outcome were age, lower no-flow time and lower serum lactate levels at hospital arrival. Conclusion In an urban setting, a significant proportion of OHCA patients with rSR can survive to a good neurologic outcome, despite very long time to ROSC. [GRAPHICS] .

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Braumann, SimonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nettersheim, Felix SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hohmann, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tichelbaecker, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sabashnikov, AntonUNSPECIFIEDorcid.org/0000-0002-6289-1035UNSPECIFIED
Djordjevic, IlijaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Adler, JoanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nies, Richard JuliusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mehrkens, DennisUNSPECIFIEDorcid.org/0000-0002-8578-0290UNSPECIFIED
Lee, SamuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stangl, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reuter, HannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baldus, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Adler, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-337675
DOI: 10.1007/s00392-020-01640-x
Journal or Publication Title: Clin. Res. Cardiol.
Volume: 109
Number: 11
Page Range: S. 1402 - 1411
Date: 2020
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1861-0692
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ELEVATION MYOCARDIAL-INFARCTION; CARDIOPULMONARY-RESUSCITATION; TERMINATION; GUIDELINES; DURATION; TIMEMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/33767

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