Men Associated with Good Prognosis after Return of Spontaneous Circulation after Out-of Hospital Cardiac Arrest: a Retrospective Study in One Emergency Center.
10.4266/kjccm.2012.27.1.24
- Author:
Se Jong OH
1
;
Jin Joo KIM
;
Sung Youn HWANG
;
Sung Youl HYUN
;
Hyuk Jun YANG
;
Gun LEE
Author Information
1. Department of Emergency Medicine, Gachon University Gil Hospital, Incheon, Korea. empearl@gilhospital.com
- Publication Type:Original Article
- Keywords:
gender;
men;
outcome assessment;
out-of-hospital cardiac arrest
- MeSH:
Alcohols;
Body Weight;
Cause of Death;
Emergencies;
Gonadal Hormones;
Heart Arrest;
Humans;
Intensive Care Units;
Lactic Acid;
Logistic Models;
Male;
Out-of-Hospital Cardiac Arrest;
Prognosis;
Resuscitation;
Retrospective Studies;
Smoke;
Smoking
- From:The Korean Journal of Critical Care Medicine
2012;27(1):24-28
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
