Neurologic prognostication after resuscitation from cardiac arrest

Abstract Out‐of‐hospital cardiac arrest remains a leading cause of mortality in the United States, and the majority of patients who die after achieving return of spontaneous circulation die from withdrawal of care due to a perceived poor neurologic prognosis. Unfortunately, withdrawal of care often...

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Main Authors: Joshua R. Lupton, Michael C. Kurz, Mohamud R. Daya
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Journal of the American College of Emergency Physicians Open
Subjects:
Online Access:https://doi.org/10.1002/emp2.12109
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author Joshua R. Lupton
Michael C. Kurz
Mohamud R. Daya
author_facet Joshua R. Lupton
Michael C. Kurz
Mohamud R. Daya
author_sort Joshua R. Lupton
collection DOAJ
description Abstract Out‐of‐hospital cardiac arrest remains a leading cause of mortality in the United States, and the majority of patients who die after achieving return of spontaneous circulation die from withdrawal of care due to a perceived poor neurologic prognosis. Unfortunately, withdrawal of care often occurs during the first day of admission and research suggests this early withdrawal of care may be premature and result in unnecessary deaths for patients who would have made a full neurologic recovery. In this review, we explore the evidence for neurologic prognostication in the emergency department for patients who achieve return of spontaneous circulation after an out‐of‐hospital cardiac arrest.
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spelling doaj.art-8ca47997229e458193665cee1de29c332022-12-21T22:44:32ZengWileyJournal of the American College of Emergency Physicians Open2688-11522020-08-011433334110.1002/emp2.12109Neurologic prognostication after resuscitation from cardiac arrestJoshua R. Lupton0Michael C. Kurz1Mohamud R. Daya2Oregon Health and Science University Portland Oregon USAUniversity of Alabama‐Birmingham Birmingham Alabama USAOregon Health and Science University Portland Oregon USAAbstract Out‐of‐hospital cardiac arrest remains a leading cause of mortality in the United States, and the majority of patients who die after achieving return of spontaneous circulation die from withdrawal of care due to a perceived poor neurologic prognosis. Unfortunately, withdrawal of care often occurs during the first day of admission and research suggests this early withdrawal of care may be premature and result in unnecessary deaths for patients who would have made a full neurologic recovery. In this review, we explore the evidence for neurologic prognostication in the emergency department for patients who achieve return of spontaneous circulation after an out‐of‐hospital cardiac arrest.https://doi.org/10.1002/emp2.12109cardiac arrestearly prognosticationemergency departmentneuroprognosticationout‐of‐hospital cardiac arrestprognostication
spellingShingle Joshua R. Lupton
Michael C. Kurz
Mohamud R. Daya
Neurologic prognostication after resuscitation from cardiac arrest
Journal of the American College of Emergency Physicians Open
cardiac arrest
early prognostication
emergency department
neuroprognostication
out‐of‐hospital cardiac arrest
prognostication
title Neurologic prognostication after resuscitation from cardiac arrest
title_full Neurologic prognostication after resuscitation from cardiac arrest
title_fullStr Neurologic prognostication after resuscitation from cardiac arrest
title_full_unstemmed Neurologic prognostication after resuscitation from cardiac arrest
title_short Neurologic prognostication after resuscitation from cardiac arrest
title_sort neurologic prognostication after resuscitation from cardiac arrest
topic cardiac arrest
early prognostication
emergency department
neuroprognostication
out‐of‐hospital cardiac arrest
prognostication
url https://doi.org/10.1002/emp2.12109
work_keys_str_mv AT joshuarlupton neurologicprognosticationafterresuscitationfromcardiacarrest
AT michaelckurz neurologicprognosticationafterresuscitationfromcardiacarrest
AT mohamudrdaya neurologicprognosticationafterresuscitationfromcardiacarrest