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Soo-Hyun Kim,박규남,Chun Song Youn,Minjung Kathy Chae,김원영,이병국,Dong Hoon Lee,장태창,이재훈,최윤희,Je Sung You,In Soo Cho,Su Jin Kim,이종석,Yong Hwan Kim,Min Seob Sim,신종환,박유석,이영환,문형준,Won Jung Jeong,오주석,Seung Pill Choi 대한응급의학회 2020 Clinical and Experimental Emergency Medicine Vol.7 No.4
Objective High-quality intensive care, including targeted temperature management (TTM) for patients with postcardiac arrest syndrome, is a key element for improving outcomes after out-of-hospital cardiac arrest (OHCA). We aimed to assess the status of postcardiac arrest syndrome care, including TTM and 6-month survival with neurologically favorable outcomes, after adult OHCA patients were treated with TTM, using data from the Korean Hypothermia Network prospective registry. Methods We used the Korean Hypothermia Network prospective registry, a web-based multicenter registry that includes data from 22 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TTM between October 2015 and December 2018 were included. The primary outcome was neurological outcome at 6 months. Results Of the 1,354 registered OHCA survivors treated with TTM, 550 (40.6%) survived 6 months, and 413 (30.5%) had good neurological outcomes. We identified 839 (62.0%) patients with presumed cardiac etiology. A total of 937 (69.2%) collapses were witnessed, shockable rhythms were demonstrated in 482 (35.6%) patients, and 421 (31.1%) patients arrived at the emergency department with prehospital return of spontaneous circulation. The most common target temperature was 33°C, and the most common target duration was 24 hours. Conclusion The survival and good neurologic outcome rates of this prospective registry show great improvements compared with those of an earlier registry. While the optimal target temperature and duration are still unknown, the most common target temperature was 33°C, and the most common target duration was 24 hours.
( Dong Ha Song ),( Tae Gun Shin ),( Minjung Kathy Chae ),( Sung Yeon Hwang ),( Sang Chan Jin ),( Tae Rim Lee ),( Won Chul Cha ),( Min Seob Sim ),( Ik Joon Jo ),( Keun Jeong Song ),( Yeon Kwon Jeong ) 대한응급의학회 2014 대한응급의학회 학술대회초록집 Vol.2014 No.2
The purpose of this study was to investigate the effect of common sources of infection on outcome in patients with severe sepsis and septic shock in the emergency department (ED) We conducted a retrospective observational study involving adult patients who were diagnosed with severe sepsis or septic shock in the ED of a tertiary care hospital during the period between August 2008 and March 2012. We categorized patients into four groups based on source of infection (respiratory infection, intra-abdominal infection [IAI], urinary tract infection [UTI], and other sources [OS] group). The primary outcome was in-hospital mortality. Multivariable logistic regression analysis was used to adjust potential confounders including age, gender, serum lactate, SOFA score, timely antibiotic use, and achievements of early resuscitation targets. A total of 758 patients were included and overall in-hospital mortality was 16.6%. There were significant differences in mortality between four groups (27.5% for respiratory infection, 12.1% for IAI, 2.6% for UTI, and 20.0% for other sources, P < 0.01). In patients with IAI, adjusted odds ratios (ORs) for mortality were 0.49 (95% confidence interval [CI], 0.27 - 0.92) compared with the OS group and 0.57 (95% CI, 0.35 -0.93) compared with non-IAI. For UTI, adjusted ORs were 0.08 (95% CI, 0.02 - 0.32) compared with the OS group and 0.10 (95% CI, 0.03 - 0.35) compared with non-UTI. For respiratory infection, adjusted ORs were 1.33 (95% CI, 0.74 - 2.39) compared with the OS group and 2.56 (95% CI, 1.60 - 4.10) compared with non-respiratory infection Our study showed that source of infection was independently associated with in-hospital mortality in patients with severe sepsis and septic shock in the ED. In particular, UTI and IAI were significantly associated with in-hospital survival. Patients with respiratory infection showed significantly higher mortality, compared with non-respiratory infection patients.
( Eunsom Cho ),( Eun-hye Cho ),( Hyuk-hoon Kim ),( Sang-cheon Choi ),( Young-gi Min ),( So Young Kang ),( Minjung Kathy Chae ) 대한응급의학회 2018 대한응급의학회지 Vol.29 No.6
Objective: This study examined the initial partial pressure of carbon dioxide (PCO<sub>2</sub>) as a possible indicator of prehospital ventilation and its association with prehospital i-gel in out-of-hospital cardiac arrest (OHCA) patients. Methods: The demographics and arrest parameters, including i-gel insertion and initial arterial blood gas analysis, of OHCA patients who visited the emergency department were analyzed retrospectively. Linear regression analysis was performed to examine the association between i-gel insertion and the initial PCO<sub>2</sub>. Results: A total of 106 patients were investigated. Fifty-six patients had prehospital i-gel insertion and 50 patients did not have a prehospital advanced airway. The initial PCO<sub>2</sub> was higher in the i-gel group than the no advanced airway group (105.2 mmHg [77.5-134.9] vs. 87.5 mmHg [56.8-115.3], P=0.03). Prehospital i-gel insertion was associated with a higher initial PCO<sub>2</sub> level (βcoefficient, 20.3; 95% confidence interval, 2.6-37.9; P=0.03). Conclusion: Prehospital insertion of i-gel was associated with higher initial PCO<sub>2</sub> values in OHCA patients compared to no advanced airway.