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©The Author(s) 2016.
World J Crit Care Med. Feb 4, 2016; 5(1): 103-110
Published online Feb 4, 2016. doi: 10.5492/wjccm.v5.i1.103
Published online Feb 4, 2016. doi: 10.5492/wjccm.v5.i1.103
Table 1 Demographics, cardiac arrest details and management of included patients
Variable | All patients n = 582 |
Patient | |
Age (yr) - mean (SD) (n = 581) | 63 (16) |
Gender (male) - n (%) (n = 579) | 361 (62) |
Cardiac arrest | |
Time to ROSC (min) - mean (SD) (n = 571) | 23 (15) |
Presenting rhythm (shockable) - n (%) (n = 582) | 286 (49) |
Location of arrest (OHCA) - n (%) (n = 582) | 408 (70) |
Apache 2 score - mean (SD) (n = 427) | 28 (8.4) |
Apache 3 score - mean (SD) (n = 427) | 78 (37.8) |
Management | |
Cooled - n (%) (n = 582) | 295 (51) |
Target temperature (°C) - median (IQR) (n = 290) | 33 (33-33) |
Time to temp1 (h) - mean (SD) (n = 288) | 2.1 (3.0) |
Time at temp2 (h) - median (IQR) (n = 290) | 24 (12-24) |
Outcome | |
Survived to hospital discharge - n (%) (n = 582) | 206 (35) |
ICU LOS (d) - median (IQR) (n = 582) | 3 (1-5) |
Hospital LOS (d) - median (IQR) (n = 581) | 5 (2-14) |
Table 2 Comparison of survivors and non-survivors
Variable | Died n = 376 (65%) | Survived n = 206 (35%) | P value |
Patient | |||
Age (yr) - mean (SD) (n = 581) | 64 (17) | 63 (15) | 0.28 |
Gender (male) - n (%) (n = 579) | 218 (58) | 143 (70) | 0.006 |
Cardiac arrest | |||
Time to ROSC (min) - mean (SD) (n = 571) | 26 (14.5) | 18 (14.3) | < 0.001 |
Presenting rhythm (shockable) - n (%) (n = 582) | 134 (36) | 152 (72) | < 0.001 |
Location of arrest (OHCA) - n (%) (n = 582) | 269 (72) | 139 (67) | 0.3 |
Apache 2 score - mean (SD) (n = 427) | 30 (7.6) | 24 (8.5) | < 0.001 |
Apache 3 score - mean (SD) (n = 427) | 79 (37.9) | 77 (37.8) | 0.5 |
Management | |||
Cooled - n (%) (n = 582) | 178 (47) | 117 (57) | 0.03 |
Target temperature (°C) - median ( IQR) (n = 290) | 33 (33-33) | 33 (33-33) | 0.44 |
Time to temp1 (h) - mean (SD) (n = 288) | 1.8 (2.9) | 2.5 (3.1) | 0.04 |
Time at temp2 (h) - median (IQR) (n = 290) | 24 (12-24) | 24 (12-24) | 0.84 |
Outcome | |||
ICU LOS (d) - median (IQR) (n = 582) | 2 (1- 4) | 4 (2-7) | < 0.001 |
Hospital LOS (d) - median (IQR) (n = 581) | 3 (1-6) | 15 (8-27) | < 0.001 |
Table 3 Comparison of patients before and after 2002
Variable | 1993-2002 n = 257 (44%) | 2003-2012 n = 325 (56%) | P value |
Patient | |||
Age (yr) - mean (SD) (n = 581) | 65 (15) | 62 (16) | 0.04 |
Gender (male) - n (%) (n = 579) | 161 (63) | 200 (62) | 0.73 |
Cardiac arrest | |||
Time to ROSC (min) - mean (SD) (n = 571) | 21 (14) | 24 (15) | 0.02 |
Presenting rhythm (shockable) - n (%) (n = 582) | 151 (59) | 135 (42) | < 0.001 |
Location of arrest (OHCA) - n (%) (n = 582) | 165 (64) | 243 (75) | 0.006 |
Apache 2 score - mean (SD) (n = 427) | 26 (8.3) | 29 (8.3) | 0.007 |
Apache 3 score - mean (SD) (n = 427) | 75 (35.9) | 79 (38.2) | 0.23 |
Management | |||
Cooled - n (%) (n = 582) | 73 (28) | 222 (68) | < 0.001 |
Target temperature (°C) - median (IQR) (n = 290) | 33 (33-33) | 33 (33-33) | 0.62 |
Time to temp1 (h) - mean (SD) (n = 288) | 1.3 (2.2) | 2.4 (3.2) | 0.04 |
Time at temp2 (h) - median (IQR) (n = 290) | 12 (12-24) | 24 (12-24) | 0.56 |
Outcome | |||
Survived to hospital discharge - n (%) (n = 582) | 99 (38) | 107 (33) | 0.16 |
ICU LOS (d) - median (IQR) (n = 582) | 2 (1-4) | 3 (1-6) | 0.008 |
Hospital LOS (d) - median (IQR) (n = 581) | 6 (2-15) | 4 (2-13) | 0.18 |
Table 4 Final model of logistic regression analysis
Variables | B | SE | Wald | df | Sig. | OR | 95%CI | |
Lower | Upper | |||||||
ROSC | -0.048 | 0.009 | 27.588 | 1 | 0.000 | 0.953 | 0.937 | 0.971 |
Shockable rhythm | 1.860 | 0.248 | 56.222 | 1 | 0.000 | 6.422 | 3.949 | 10.441 |
APACHE II | -0.001 | 0.003 | 0.156 | 1 | 0.693 | 0.999 | 0.993 | 1.005 |
Therapeutic hypothermia | 0.088 | 0.248 | 0.126 | 1 | 0.722 | 1.092 | 0.672 | 1.775 |
Gender | -0.456 | 0.247 | 3.388 | 1 | 0.066 | 0.634 | 0.390 | 1.030 |
Constant | -0.210 | 0.410 | 0.263 | 1 | 0.608 | 0.810 |
- Citation: Sathianathan K, Tiruvoipati R, Vij S. Prognostic factors associated with hospital survival in comatose survivors of cardiac arrest. World J Crit Care Med 2016; 5(1): 103-110
- URL: https://www.wjgnet.com/2220-3141/full/v5/i1/103.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v5.i1.103