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THE EARLIER, THE BETTER
A111.E1042 JACC March 9, 2010 Volume 55, issue 10A
MYOCARDIAL ISCHEMIA AND INFARCTION THE EARLIER, THE BETTER ACC Poster Contributions Georgia World Congress Center, Hall B5 Sunday, March 14, 2010, 3:30 p.m.-4:30 p.m.
Session Title: Pre-Hospital Emergency Therapies for Cardiac Arrest Abstract Category: Cardiopulmonary Resuscitation/Emergency Cardiac Care/Shock Presentation Number: 1106-316 Authors: Tomoki Shokawa, Koichi Tanigawa, Ken Ishibashi, Takenori Okada, Kenji Nishioka, Yukiko Nakano, Hiroki Teragawa, Futoshi Tadehara, Hideya Yamamoto, Tkafumi Ishida, Yasuki Kihara, Hiroshima University, Hiroshika, Japan Background: It is not clear which patients with out-of-hospital cardiac arrest would not only survive but also would eventually return to their social community. Purpose: To determine the prognostic factors of good cerebral performance of patients with out-of-hospital cardiac arrest. Methods: Utstein style case-control study in Hiroshima City area. We reviewed the prognostic factors of cerebral performance among the patients who had out-of-hospital cardiac arrest (OHCA) judged as cardiac origin. Results: From April 2006 to March 2007, 1758 were enrolled into the study. Of 1758 patients, 881 had OHCA. Of 881 patients, 42 had good neurological outcomes as Cerebral Performance Category (CPC)-1. Male gender (CPC-1: non-CPC-1,78.6% vs 59.6%), younger age (59.4+/-2.4 y vs 74.5+/-0.5 y), witnessed OHCA (88.1% vs 39.7%), initial rhythm of VF (81.0% vs 12.8%), and return of spontaneous circulation (ROSC) before arriving at hospitals (83.3% vs 4.1%) were associated with good neurological outcomes. However, by multivariate analysis, ROSC before hospital was the only satisfactory predictor for a better cerebral performance (CPC-1) (odds ratio,39.3; CI:15.9-109). Conclusions: ROSC before hospital was the key factor for the better neurological outcome among patients with OHCA.The result strongly supports the immediate medical actions before hospital arrival by the rescue team.
MYOCARDIAL ISCHEMIA AND INFARCTION THE EARLIER, THE BETTER ACC Poster Contributions Georgia World Congress Center, Hall B5 Sunday, March 14, 2010, 3:30 p.m.-4:30 p.m.
Session Title: Pre-Hospital Emergency Therapies for Cardiac Arrest Abstract Category: Cardiopulmonary Resuscitation/Emergency Cardiac Care/Shock Presentation Number: 1106-316 Authors: Tomoki Shokawa, Koichi Tanigawa, Ken Ishibashi, Takenori Okada, Kenji Nishioka, Yukiko Nakano, Hiroki Teragawa, Futoshi Tadehara, Hideya Yamamoto, Tkafumi Ishida, Yasuki Kihara, Hiroshima University, Hiroshika, Japan Background: It is not clear which patients with out-of-hospital cardiac arrest would not only survive but also would eventually return to their social community. Purpose: To determine the prognostic factors of good cerebral performance of patients with out-of-hospital cardiac arrest. Methods: Utstein style case-control study in Hiroshima City area. We reviewed the prognostic factors of cerebral performance among the patients who had out-of-hospital cardiac arrest (OHCA) judged as cardiac origin. Results: From April 2006 to March 2007, 1758 were enrolled into the study. Of 1758 patients, 881 had OHCA. Of 881 patients, 42 had good neurological outcomes as Cerebral Performance Category (CPC)-1. Male gender (CPC-1: non-CPC-1,78.6% vs 59.6%), younger age (59.4+/-2.4 y vs 74.5+/-0.5 y), witnessed OHCA (88.1% vs 39.7%), initial rhythm of VF (81.0% vs 12.8%), and return of spontaneous circulation (ROSC) before arriving at hospitals (83.3% vs 4.1%) were associated with good neurological outcomes. However, by multivariate analysis, ROSC before hospital was the only satisfactory predictor for a better cerebral performance (CPC-1) (odds ratio,39.3; CI:15.9-109). Conclusions: ROSC before hospital was the key factor for the better neurological outcome among patients with OHCA.The result strongly supports the immediate medical actions before hospital arrival by the rescue team.