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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 24-28. doi: https://doi.org/10.4266/kjccm.2012.27.1.24
병원 밖 심정지 후 자발순환이 회복된 환자에서의 예후인자: 후향적인 코호트 연구
오세종*ㆍ김진주ㆍ황성연†ㆍ현성열ㆍ양혁준ㆍ이 근
가천대학교 길병원 응급의학교실, *가천대학교 의학전문대학원, †성균관대학교 의과대학 삼성창원병원 응급의학과
Men Associated with Good Prognosis after Return of Spontaneous Circulation after Out-of Hospital Cardiac Arrest: a Retrospective Study in One Emergency Center
Se Jong Oh, Jin Joo Kim, Sung Youn Hwang, Sung Youl Hyun, Hyuk Jun Yang, Gun Lee
1Department of Emergency Medicine, Gachon University Gil Hospital, Incheon, Korea. empearl@gilhospital.com
2Gachon University of Medicine and Science, Incheon, Korea.
3Department of Emergency Medicine, Samsung Changwon Hospital, Sungkunkwan University College of Medicine, Changwon, Korea.
BACKGROUND: The aim of this study was to analyze the gender factors associated with good or bad prognosis after return of spontaneous circulation after out-of hospital cardiac arrest. METHODS: The patients admitted to the intensive care unit after successful resuscitation after out-of hospital cardiac arrest were retrospectively identified and evaluated. Thirty days mortality after admission, and neurologic outcome at 6 months after hospital discharge (cerebral performance category [CPC]) were evaluated. RESULTS: One hundred forty-two patients were evaluated in this study; there were 101 males (71.1%). The median age was 52 years old (43-63). Thirty days after admission, 85 patients (59.9%) survived, 40 patients had a good neurologic outcome (CPC 1-2). The factors associated 30 days mortality were cause of arrest (non-cardiac, p = 0.03), lactate in emergency department (p = 0.05) and the factors associated with good neurologic outcome were males (p = 0.007), young age (p = 0.01), body weight and height (p = 0.001), cause of death (cardiac, p = 0.000). Alcohols and smoking were not associated with mortality and neurologic outcome. In multiple logistic regression analysis, men had a 8-fold increased good neurologic outcome (CPC 1-2) (odds ratio [OR] 8.038, 95% Confidence Interval [CI] 1.079-59.903). Other factors associated with good neurologic outcome were cardiac cause of death (OR 5.523, 95% CI 1.562-19.533) and young age (OR 1.055, 95% CI 1.009-1.103). CONCLUSIONS: Men had a good neurologic outcome after return of spontaneous circulation after out-of hospital cardiac arrest in one emergency center. Other additional factors including gonadal hormones should be evaluated.
Key Words: gender; men; outcome assessment; out-of-hospital cardiac arrest
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