当前位置： SCI文献检索 > RESUSCITATION期刊下所有文献 > The cut-off value of a qualitative brain diffusion-weighted image (DWI) scoring system to predict poor neurologic outcome in out-of-hospital cardiac arrest (OHCA) patients after target temperature management.

The cut-off value of a qualitative brain diffusion-weighted image (DWI) scoring system to predict poor neurologic outcome in out-of-hospital cardiac arrest (OHCA) patients after target temperature management.

Abstract：

AIM:We presented the cut-off value of a diffusion-weighted image (DWI) scoring system to predict poor neurologic outcome using DWI taken 72-96 h after out-of-hospital cardiac arrest (OHCA) patients underwent target temperature management (TTM). METHODS:This was a prospective single-centre observational study, conducted from March 2018 to April 2020 in OHCA patients after TTM. Neurological status was assessed 6 months after return of spontaneous circulation (ROSC) using the Glasgow-Pittsburgh cerebral performance categories (CPC) scale. CPC of 1-2 demonstrated good neurologic outcomes whilst a CPC of 3-5 was related to poor neurologic outcomes. The receiver operating characteristic curves and DeLong method were used to evaluate the cut-off value of the DWI scoring system to predict poor neurologic outcome. RESULTS:The good and poor neurologic outcome groups consisted of 38 (54.3%) and 32 (45.7%) patients, respectively. The area under the receiver operating characteristic curve (AUROC) of the overall, cortex, deep grey nuclei, and cortex plus deep grey nuclei scores, white matter, brainstem, and cerebellum measured 72-96 h after ROSC were 0.96, 0.96, 0.97, 0.96, 0.95, 0.95, and 0.93 respectively. For 100.0% specificity to predict poor neurologic outcome, the overall scores of the DWI scoring system measured 72-96 h after ROSC with a cut-off value of 52 had a sensitivity of 81.3% (95% CI: 63.6-92.8). CONCLUSION:This study demonstrated that the DWI scoring systems measured between 72 and 96 h after ROSC were valuable tools to predict poor neurologic outcome in post-OHCA patients treated with TTM.

journal_name

Resuscitation

journal_title

Resuscitation

authors

An C,You Y,Park JS,Min JH,Jeong W,Ahn HJ,Kang C,Yoo I,Cho Y,Ryu S,Lee J,Kim SW,Cho SU,Oh SK,Lee IH

doi

10.1016/j.resuscitation.2020.08.130

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

202-210

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(20)30446-9

journal_volume

157

pub_type

杂志文章

相关文献

RESUSCITATION文献大全
  • Ventricular fibrillation frequency characteristics and time evolution in piglets: a developmental study.

    abstract：BACKGROUND:Derived variables of ventricular fibrillation, such as the frequency distribution by fast Fourier transformation and its evolution over time, have been used to determine the optimum timing for defibrillation. We hypothesized that these frequency variables would differ among neonatal, young child and older ch...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2004.05.001

    authors： Indik JH,Donnerstein RL,Berg MD,Samson RA,Berg RA

    更新日期：2004-10-01 00:00:00

  • High rates of prasugrel and ticagrelor non-responder in patients treated with therapeutic hypothermia after cardiac arrest.

    abstract：INTRODUCTION:After cardiac arrest due to acute coronary syndromes (ACS) therapeutic hypothermia (HT) is the standard care to reduce neurologic damage. Additionally, the concomitant medical treatment with aspirin and a P2Y12 receptor inhibitor like clopidogrel (Cl), prasugrel (Pr) or ticagrelor (Ti) is mandatory. The pl...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.02.004

    authors： Ibrahim K,Christoph M,Schmeinck S,Schmieder K,Steiding K,Schoener L,Pfluecke C,Quick S,Mues C,Jellinghaus S,Wunderlich C,Strasser RH,Kolschmann S

    更新日期：2014-05-01 00:00:00

  • The immediate life support (ILS) course--the Italian experience.

    abstract：AIM OF THE STUDY:The 1-day immediate life support course (ILS) was started in the United Kingdom and adopted by the ERC to train healthcare professionals who attend cardiac arrests only occasionally. Currently, there are no reports about the ILS course from outside the UK. In this paper we describe our initial Italian ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2006.07.024

    authors： Scapigliati A,Sanna T,Zamparelli R,Sandroni C,Colizzi C,Fenici P,Arlotta G,Nuzzo C,Bonarrigo C,Bellocci F,Schiavello R,Possati G

    更新日期：2007-03-01 00:00:00

  • Tenecteplase for massive pulmonary embolus.

    abstract：:The treatment of massive pulmonary embolus remains controversial. We describe the first report of the successful use of the thrombolytic agent, tenecteplase, in treating a hypotensive elderly patient with a saddle embolus. A brief review of the current literature concerning thrombolysis for massive pulmonary embolus i...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(02)00171-5

    authors： Caldicott D,Parasivam S,Harding J,Edwards N,Bochner F

    更新日期：2002-11-01 00:00:00

  • The impact of chest compression rates on quality of chest compressions - a manikin study.

    abstract：PURPOSE:Chest compressions are often performed at a variable rate during cardiopulmonary resuscitation (CPR). The effect of compression rate on other chest compression quality variables (compression depth, duty-cycle, leaning, performance decay over time) is unknown. This randomised controlled cross-over manikin study ...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2011.07.012

    authors： Field RA,Soar J,Davies RP,Akhtar N,Perkins GD

    更新日期：2012-03-01 00:00:00

  • Demographic, social, economic and geographic factors associated with long-term outcomes in a cohort of cardiac arrest survivors.

    abstract：BACKGROUND:Demographic, social, economic and geographic factors are associated with increased short-term mortality after cardiac arrest. We sought to determine if these factors are additionally associated with long-term outcome differences using a detailed clinical database linked to state-wide administrative data. ME...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.resuscitation.2018.04.032

    authors： Coppler PJ,Elmer J,Rittenberger JC,Callaway CW,Wallace DJ

    更新日期：2018-07-01 00:00:00

  • A new positive end-expiratory pressure valve for manually operated artificial ventilation.

    abstract：:The application of positive end-expiratory pressure (PEEP) as part of artificial ventilation is currently considered a basic provision to provide adequate treatment of critically ill patients in intensive care units. Hitherto only the application of intermittent positive pressure ventilation (IPPV) with an end-expirat...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(78)90030-8

    authors： Dick W,Milewski P,Lotz P,Ahnefeld FW

    更新日期：1978-01-01 00:00:00

  • The impact of ultra-brief chest compression-only CPR video training on responsiveness, compression rate, and hands-off time interval among bystanders in a shopping mall.

    abstract：BACKGROUND:Recent studies have demonstrated higher-quality chest compressions (CCs) following a 60 s ultra-brief video (UBV) on compression-only CPR (CO-CPR). However, the effectiveness of UBVs as a CPR-teaching tool for lay bystanders in public venues remains unknown. OBJECTIVE:Determine whether an UBV is effective i...

    journal_title：Resuscitation

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.resuscitation.2014.06.013

    authors： Panchal AR,Meziab O,Stolz U,Anderson W,Bartlett M,Spaite DW,Bobrow BJ,Kern KB

    更新日期：2014-09-01 00:00:00

  • Hippocampus and basal ganglia as potential sentinel sites for ischemic pathology after resuscitated cardiac arrest.

    abstract：AIMS OF THE STUDY:Neurological impairment after resuscitated cardiac arrest (CA) remains a significant unmet medical need. Brain ischemia associated with CA and subsequent reperfusion is evident as two fundamentally different types of damage on neuropathological examination: frank necrosis (involving all cell types) an...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2019.04.012

    authors： Haglund M,Lindberg E,Englund E

    更新日期：2019-06-01 00:00:00

  • Cardioprotective effect of therapeutic hypothermia at 34°C against ischaemia/reperfusion injury mediated by PI3K and nitric oxide in a rat isolated heart model.

    abstract：AIM:Therapeutic hypothermia (TH) is widely used as a cardioprotective treatment for cardiac arrest. TH at 30-32°C during ischaemia and reperfusion has a cardioprotective effect. The aims of the study were to examine whether TH at 34°C with late induction (immediately after the start of reperfusion) has a cardioprotecti...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2011.08.013

    authors： Mochizuki T,Yu S,Katoh T,Aoki K,Sato S

    更新日期：2012-02-01 00:00:00

  • Prodromal symptoms and health care consumption prior to out-of-hospital cardiac arrest in patients without previously known ischaemic heart disease.

    abstract：AIMS:To describe prodromal symptoms and health care consumption prior to an out-of-hospital cardiac arrest (OHCA) in patients without previously known ischaemic heart disease (IHD). BACKGROUND:The most common lethal event of cardiovascular disease is sudden cardiac death, and the majority occur outside hospital. Littl...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2014.03.300

    authors： Höglund H,Jansson JH,Forslund AS,Lundblad D

    更新日期：2014-07-01 00:00:00

  • Mean arterial pressure and vasopressor load after out-of-hospital cardiac arrest: Associations with one-year neurologic outcome.

    abstract：THE AIM OF THE STUDY:There are limited data on blood pressure targets and vasopressor use following cardiac arrest. We hypothesized that hypotension and high vasopressor load are associated with poor neurological outcome following out-of-hospital cardiac arrest (OHCA). METHODS:We included 412 patients with OHCA includ...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.resuscitation.2016.05.026

    authors： Laurikkala J,Wilkman E,Pettilä V,Kurola J,Reinikainen M,Hoppu S,Ala-Kokko T,Tallgren M,Tiainen M,Vaahersalo J,Varpula T,Skrifvars MB,FINNRESUSCI Study Group.

    更新日期：2016-08-01 00:00:00

  • New conventional long-term survival normovolemic cardiac arrest pig model.

    abstract：AIM OF THE STUDY:A reproducible long-term intensive care and outcome cardiac arrest model for exploring new cerebral preservation strategies is needed. We tried to determine effects and limitations of current therapies after different 'no-flow' times. METHODS:Thirty-five female Large White Breed pigs (26-37kg) were in...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2010.08.040

    authors： Schratter A,Holzer M,Sterz F,Janata A,Sipos W,Uray T,Losert U,Behringer W

    更新日期：2011-01-01 00:00:00

  • Rapid cardiac ultrasound of inpatients suffering PEA arrest performed by nonexpert sonographers.

    abstract：UNLABELLED:Cardiac arrest presenting as pulseless electrical activity (PEA) currently has a very low survival rate. Many of the conditions underlying PEA (cardiac tamponade, hypovolemia, and pulmonary embolus) are associated with specific cardiac ultrasound findings. The aim of this study was to evaluate a rapid cardia...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2005.04.007

    authors： Niendorff DF,Rassias AJ,Palac R,Beach ML,Costa S,Greenberg M

    更新日期：2005-10-01 00:00:00

  • Carbon dioxide narcosis-induced apnea in a rat model of cardiac arrest and resuscitation.

    abstract：:In the clinical literature there are reports of patients failing to breathe and becoming comatose when supplied with 100% oxygen for respiratory distress. This effect has been attributed to a loss of respiratory drive. Recent studies have established that this explanation is incorrect, but have left the phenomenon une...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(98)00096-3

    authors： Reid KH,Patenaude B,Guo SZ,Iyer VG

    更新日期：1998-09-01 00:00:00

  • Team performance in the emergency room: assessment of inter-disciplinary attitudes.

    abstract：:In-hospital emergency medicine in central Europe relies on inter-disciplinary co-operation. To improve team performance in the emergency room (ER), a questionnaire for assessment of attitudes and judgements in resuscitation procedures was developed. A total of 43 items were evaluated according to a five-point Likert s...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(00)00304-x

    authors： Ummenhofer W,Amsler F,Sutter PM,Martina B,Martin J,Scheidegger D

    更新日期：2001-04-01 00:00:00

  • Continuous cardiac index monitoring: A prospective observational study of agreement between a pulmonary artery catheter and a calibrated minimally invasive technique.

    abstract：INTRODUCTION:Continuous cardiac index (CCI) monitoring can provide information to assist in hemodynamic support. However, pulmonary artery catheters (PAC) pose logistic challenges in acute care settings. We hypothesized that CCI measured with a calibrated minimally invasive technique (LiDCO/PulseCO, UK) would have good...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2009.04.015

    authors： McCoy JV,Hollenberg SM,Dellinger RP,Arnold RC,Ruoss L,Lotano V,Peters P,Parrillo JE,Trzeciak S

    更新日期：2009-08-01 00:00:00

  • Association of intramyocardial high energy phosphate concentrations with quantitative measures of the ventricular fibrillation electrocardiogram waveform.

    abstract：BACKGROUND:Quantitative measures of the ventricular fibrillation (VF) electrocardiogram (ECG) have been correlated with the success of rescue shocks, making them ideal measures for guiding resuscitative interventions. Correlation of intramyocardial energy stores with the change in quantitative VF ECG measures would pro...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2009.05.002

    authors： Salcido DD,Menegazzi JJ,Suffoletto BP,Logue ES,Sherman LD

    更新日期：2009-08-01 00:00:00

  • Lidocaine in out-of-hospital ventricular fibrillation. Does it improve survival?

    abstract：BACKGROUND:A large proportion of cardiac arrests outside hospital are caused by ventricular fibrillation. Although it is frequently used, the exact role for treatment with lidocaine in these patients remains to be determined. AIM:To describe the proportion of patients with witnessed out-of-hospital cardiac arrest foun...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/s0300-9572(96)01018-0

    authors： Herlitz J,Ekström L,Wennerblom B,Axelsson A,Bång A,Lindkvist J,Persson NG,Holmberg S

    更新日期：1997-01-01 00:00:00

  • A multi-arterial clamping method with arterial hypotension does not bring about complete brain ischemia in dogs.

    abstract：:The completeness of brain ischemia with a multi-arterial clamping method in dogs was examined using EEG, evoked potentials (EPs) and vessel staining with Evans blue. EEG was monitored by bipolar parietal lead. EPs stimulating electrodes were inserted into the first thoracic (T1) epidural space and recording electrodes...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(91)90031-s

    authors： Arai T,Andou Y,Tabo E,Fujitani T,Nagaro T

    更新日期：1991-12-01 00:00:00

  • Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

    abstract：BACKGROUND:The quality of life support delivered during cardiopulmonary resuscitation affects outcomes. However, little data exist regarding the quality of resuscitation delivered to children and factors associated with adherence to American Heart Association (AHA) resuscitation guidelines. PARTICIPANTS:Pediatric resi...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2009.03.020

    authors： Hunt EA,Vera K,Diener-West M,Haggerty JA,Nelson KL,Shaffner DH,Pronovost PJ

    更新日期：2009-07-01 00:00:00

  • Intravenous fat emulsion to reverse haemodynamic instability from intentional amitriptyline overdose.

    abstract：:We report the first case of amitriptyline toxicity treated with intravenous fat emulsion (IFE). Toxicity was manifested as vasopressor-refractory haemodynamic instability despite standard therapy. Our patient recovered with no adverse effects noted. ...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2010.04.009

    authors： Engels PT,Davidow JS

    更新日期：2010-08-01 00:00:00

  • Association between deprivation status at community level and outcomes from out-of-hospital cardiac arrest: a nationwide observational study.

    abstract：STUDY OBJECTIVES:We sought to examine the association between area deprivation and outcomes of out-of-hospital cardiac arrest in Korea. METHODS:Data were obtained from the emergency medical service (EMS) system. A nationwide OHCA cohort database from January 2006 to December 2007 was constructed via hospital chart rev...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2010.10.023

    authors： Ahn KO,Shin SD,Hwang SS,Oh J,Kawachi I,Kim YT,Kong KA,Hong SO

    更新日期：2011-03-01 00:00:00

  • Arterial blood gases during and their dynamic changes after cardiopulmonary resuscitation: A prospective clinical study.

    abstract：PURPOSE:An arterial blood gas analysis (ABG) yields important diagnostic information in the management of cardiac arrest. This study evaluated ABG samples obtained during out-of-hospital cardiopulmonary resuscitation (OHCPR) in the setting of a prospective multicenter trial. We aimed to clarify prospectively the ABG ch...

    journal_title：Resuscitation

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.resuscitation.2016.06.013

    authors： Spindelboeck W,Gemes G,Strasser C,Toescher K,Kores B,Metnitz P,Haas J,Prause G

    更新日期：2016-09-01 00:00:00

  • Survival and neurocognitive outcomes in pediatric extracorporeal-cardiopulmonary resuscitation.

    abstract：OBJECTIVE:Extracorporeal Cardiopulmonary Resuscitation (E-CPR) is the initiation of extracorporeal life support during active chest compressions. There are no studies describing detailed neurocognitive outcomes of this population. We aim to describe the survival and neurocognitive outcomes of children who received E-CP...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2015.07.034

    authors： Garcia Guerra G,Zorzela L,Robertson CM,Alton GY,Joffe AR,Moez EK,Dinu IA,Ross DB,Rebeyka IM,Lequier L,Western Canadian Complex Pediatric Therapies Follow-up Group.

    更新日期：2015-11-01 00:00:00

  • Effects of graded doses of epinephrine during asphxia-induced bradycardia in newborn lambs.

    abstract：:To study the hemodynamic effects of graded doses of epinephrine (EPI) in a newborn animal model of hemodynamically significant bradycardia, we performed the following study. Ten newborn lambs were chronically instrumented with catheters and flow transducers so that systemic, pulmonary arterial, left atrial and right a...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(93)90120-f

    authors： Burchfield DJ,Preziosi MP,Lucas VW,Fan J

    更新日期：1993-06-01 00:00:00

  • Mechanisms of the beneficial effect of NHE1 inhibitor in traumatic hemorrhage: inhibition of inflammatory pathways.

    abstract：:This study evaluated the effects of sodium-hydrogen exchanger (NHE1) inhibition on enhancing fluid resuscitation outcomes in traumatic hemorrhagic shock, and examined the mechanisms related to NHE1 inhibitor-induced protection and recovery from hemorrhagic shock. Traumatic hemorrhage was modeled in anesthetized pigs b...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2011.11.025

    authors： Wu D,Qi J

    更新日期：2012-06-01 00:00:00

  • Early goal-directed hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest.

    abstract：BACKGROUND:Comatose survivors of out-of-hospital cardiac arrest (OHCA) have high in-hospital mortality due to a complex pathophysiology that includes cardiovascular dysfunction, inflammation, coagulopathy, brain injury and persistence of the precipitating pathology. Therapeutic hypothermia (TH) is the only intervention...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2008.12.015

    authors： Gaieski DF,Band RA,Abella BS,Neumar RW,Fuchs BD,Kolansky DM,Merchant RM,Carr BG,Becker LB,Maguire C,Klair A,Hylton J,Goyal M

    更新日期：2009-04-01 00:00:00

  • Ischaemic brain damage after cardiac arrest and induced hypothermia--a systematic description of selective eosinophilic neuronal death. A neuropathologic study of 23 patients.

    abstract：PURPOSE:Although well characterized in animals, brain damage in humans treated with hypothermia after cardiac arrest has not been systematically explored. In this study we aimed to describe the characteristic trait of selective eosinophilic neuronal death (SEND), and its correlation with time to return of spontaneous c...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/j.resuscitation.2013.11.022

    authors： Björklund E,Lindberg E,Rundgren M,Cronberg T,Friberg H,Englund E

    更新日期：2014-04-01 00:00:00

  • Compression characteristics of CPR manikins.

    abstract：:We evaluated the force-depth compression characteristics of 8 different CPR manikins during mechanical cardiopulmonary resuscitation by a thumper. The force required to compress the manikin's thorax of 1, 2, 3, 4 and 5 cm was measured. It ranged between 6.3 and 14 kp at a depth of 1 cm, 11.6-30 kp at 2 cm, 17-38 kp at...

    journal_title：Resuscitation

    pub_type： 杂志文章

    doi：10.1016/0300-9572(95)00874-s

    authors： Baubin MA,Gilly H,Posch A,Schinnerl A,Kroesen GA

    更新日期：1995-10-01 00:00:00