Clinical Course of Hypoxic-ischemic Coma after Cardiopulmonary Resuscitation in Korea.
- Author:
Kyu Nam PARK
1
;
Seung Pil CHOI
;
Mi Jin LEE
;
Young Min KIM
;
Kyung Ho CHOI
;
Choon Ho SUNG
;
Thae Young KWAK
;
Won Jae LEE
Author Information
1. Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. emsky@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Anoxic-ischemic Coma;
Survival analysis;
Cardiac arrest
- MeSH:
Cardiopulmonary Resuscitation*;
Coma*;
Consciousness;
Heart Arrest;
Humans;
Korea*;
Survival Analysis;
Unconsciousness
- From:Journal of the Korean Society of Emergency Medicine
2005;16(3):327-333
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study analyzed the survival and the recovery of consciousness in hypoxic-ischemic coma at different time points till 30 days after cardiopulmonary resuscitation (CPR). METHODS: A survival analysis was done using Kaplan-Meier estimates, and 30-day outcomes were calculated for all unconscious patients at 24 h, 72 h, 5 days, 7 days, and 14 days after CPR. The patient's characteristics and outcomes were compared with those for published patient series. RESULTS: After 30 days, 32.4% of 74 patients were alive and conscious, 16.2% were still unconscious, and 51.4% had died. The proportions of patients who regained conscious were 32.4% of those unconscious within 6 h post CPR, 34.7% of those still unconscious after 72 h, and 21.1% of those still unconscious after 2 weeks. The proportion surviving increased from 16.2% of patients who were unconscious initially to 63.1% of those still unconscious after 2 weeks. CONCLUSION: The outcomes of hypoxic-ischemic coma vary with the duration of unconsciousness after CPR.
