Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry
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...
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2020-12-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://ceemjournal.org/upload/pdf/ceem-20-035.pdf |
| _version_ | 1828006220488769536 |
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| author | Soo Hyun Kim Kyu Nam Park Chun Song Youn Minjung Kathy Chae Won Young Kim Byung Kook Lee Dong Hoon Lee Tae Chang Jang Jae Hoon Lee Yoon Hee Choi Je Sung You In Soo Cho Su Jin Kim Jong-Seok Lee Yong Hwan Kim Min Seob Sim Jonghwan Shin Yoo Seok Park Young Hwan Lee HyungJun Moon Won Jung Jeong Joo Suk Oh Seung Pill Choi Kyoung-Chul Cha |
| author_facet | Soo Hyun Kim Kyu Nam Park Chun Song Youn Minjung Kathy Chae Won Young Kim Byung Kook Lee Dong Hoon Lee Tae Chang Jang Jae Hoon Lee Yoon Hee Choi Je Sung You In Soo Cho Su Jin Kim Jong-Seok Lee Yong Hwan Kim Min Seob Sim Jonghwan Shin Yoo Seok Park Young Hwan Lee HyungJun Moon Won Jung Jeong Joo Suk Oh Seung Pill Choi Kyoung-Chul Cha |
| author_sort | Soo Hyun Kim |
| collection | DOAJ |
| description | 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 preClinsumed 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. |
| first_indexed | 2024-04-10T07:54:00Z |
| format | Article |
| id | doaj.art-38a86facb5a24157aa098fc7d44f14d3 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:54:00Z |
| publishDate | 2020-12-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-38a86facb5a24157aa098fc7d44f14d32023-02-23T06:58:13ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252020-12-017425025810.15441/ceem.20.035301Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registrySoo Hyun Kim0Kyu Nam Park1Chun Song Youn2Minjung Kathy Chae3Won Young Kim4Byung Kook Lee5Dong Hoon Lee6Tae Chang Jang7Jae Hoon Lee8Yoon Hee Choi9Je Sung You10In Soo Cho11Su Jin Kim12Jong-Seok Lee13Yong Hwan Kim14Min Seob Sim15Jonghwan Shin16Yoo Seok Park17Young Hwan Lee18HyungJun Moon19Won Jung Jeong20Joo Suk Oh21Seung Pill Choi22Kyoung-Chul Cha23 Department of Emergency Medicine, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea Department of Emergency Medicine, Ajou University Medical Center, Suwon, Korea Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Emergency Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Department of Emergency Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea Department of Emergency Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Emergency Medicine, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea Department of Emergency Medicine, Ewha Womans University Mokdong Hospital, Ewha Womans School of Medicine, Seoul, Korea Department of Emergency Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Emergency Medicine, Hanil General Hospital, Seoul, Korea Department of Emergency Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea Department of Emergency Medicine, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea Department of Emergency Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Emergency Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea Department of Emergency Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea Department of Emergency Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea Department of Emergency Medicine, St. Vincent’s Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea Department of Emergency Medicine, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea Department of Emergency Medicine, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea Department of Emergency Medicine, Wonju Severance Christian Hospital, Yonsei University College of Medicine, Wonju, KoreaObjective 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 preClinsumed 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.http://ceemjournal.org/upload/pdf/ceem-20-035.pdfout-of-hospital cardiac arresthypothermia, inducedregistriescritical care outcomes |
| spellingShingle | Soo Hyun Kim Kyu Nam Park Chun Song Youn Minjung Kathy Chae Won Young Kim Byung Kook Lee Dong Hoon Lee Tae Chang Jang Jae Hoon Lee Yoon Hee Choi Je Sung You In Soo Cho Su Jin Kim Jong-Seok Lee Yong Hwan Kim Min Seob Sim Jonghwan Shin Yoo Seok Park Young Hwan Lee HyungJun Moon Won Jung Jeong Joo Suk Oh Seung Pill Choi Kyoung-Chul Cha Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry Clinical and Experimental Emergency Medicine out-of-hospital cardiac arrest hypothermia, induced registries critical care outcomes |
| title | Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry |
| title_full | Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry |
| title_fullStr | Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry |
| title_full_unstemmed | Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry |
| title_short | Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry |
| title_sort | outcome and status of postcardiac arrest care in korea results from the korean hypothermia network prospective registry |
| topic | out-of-hospital cardiac arrest hypothermia, induced registries critical care outcomes |
| url | http://ceemjournal.org/upload/pdf/ceem-20-035.pdf |
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