Abstract:
:The aim of this study was to investigate whether early intermittent electroencephalography (EEG) could be used to predict neurological prognosis of patients who underwent extracorporeal cardiopulmonary resuscitation (ECPR). This was a retrospective and observational study of adult patients who were evaluated by EEG scan within 96 h after ECPR. The primary endpoint was neurological status upon discharge from the hospital assessed with a Cerebral Performance Categories (CPC) scale. Among 69 adult cardiac arrest patients who underwent ECPR, 17 (24.6%) patients had favorable neurological outcomes (CPC score of 1 or 2). Malignant EEG patterns were more common in patients with poor neurological outcomes (CPC score of 3, 4 or 5) than in patients with favorable neurological outcomes (73.1% vs. 5.9%, p < 0.001). All patients with highly malignant EEG patterns (43.5%) had poor neurological outcomes. In multivariable analysis, malignant EEG patterns and duration of cardiopulmonary resuscitation were significantly associated with poor neurological outcomes. In this study, malignant EEG patterns within 96 h after cardiac arrest were significantly associated with poor neurological outcomes. Therefore, an early intermittent EEG scan could be helpful for predicting neurological prognosis of post-cardiac arrest patients after ECPR.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Kim YO,Ko RE,Chung CR,Yang JH,Park TK,Cho YH,Sung K,Suh GY,Ryu JAdoi
10.3390/jcm9061745subject
Has Abstractpub_date
2020-06-04 00:00:00issue
6issn
2077-0383pii
jcm9061745journal_volume
9pub_type
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更新日期:2020-06-12 00:00:00
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更新日期:2020-12-01 00:00:00
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更新日期:2020-12-28 00:00:00
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更新日期:2019-08-23 00:00:00
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更新日期:2020-02-05 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm8050716
更新日期:2019-05-20 00:00:00
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更新日期:2020-12-09 00:00:00
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更新日期:2020-03-30 00:00:00
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