ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
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Predictors of neurologically favorable survival among patients with out-of-hospital cardiac arrest: A tertiary referral hospital experience [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2017; 45(3): 254-260 | DOI: 10.5543/tkda.2017.68480

Predictors of neurologically favorable survival among patients with out-of-hospital cardiac arrest: A tertiary referral hospital experience

Kevser Gülcihan Balcı1, Mustafa Mücahit Balci1, Fatih Şen1, Mehmet Kadri Akboğa1, Erol Kalender1, Samet Yılmaz2, Orhan Maden1, Hatice Selçuk1, Timur Selçuk1, Ahmet Temizhan1
1Turkiye Yuksek Ihtisas Research And Education Hospital, Cardiology Department, Ankara, Turkey
2Yozgat State Hospital


OBJECTIVE
Despite recent advances in medical support and interventions, only 5% to 10% of patients with out-of-hospital cardiac arrest (OHCA) survive to discharge. In this study, factors related to neurologically favorable survival in patients with OHCA were analyzed.

METHODS
A total of 129 patients who were admitted to hospital with OHCA were retrospectively enrolled.

RESULTS
Sustained return of spontaneous circulation (ROSC) (ROSC lasting >20 min) was achieved in 29 (22.4%) patients. Percentage of cardiac arrests with ischemic etiology was significantly higher in successful ROSC group (p<0.001). In multivariate logistic regression analysis, cardiac arrest with ischemic etiology (p=0.004) and cardiopulmonary resuscitation (CPR) duration (p=0.013) were found to be independent predictors for ROSC. One-minute increment in CPR duration was associated with 1.202-fold increase in failure to achieve ROSC. Among patients with ROSC, 7 (5.4%) survived to hospital discharge, and 1-minute increment in CPR duration was associated with a 1.123-fold decrease in neurologically favorable survival (p=0.005).

CONCLUSION
In patients with OHCA, ischemic etiology is associated with better ROSC rate compared to other reasons for cardiac arrest, and patients with prolonged CPR are less likely to survive.

Keywords: Cardiac arrest, ischemia, survival.

How to cite this article
Kevser Gülcihan Balcı, Mustafa Mücahit Balci, Fatih Şen, Mehmet Kadri Akboğa, Erol Kalender, Samet Yılmaz, Orhan Maden, Hatice Selçuk, Timur Selçuk, Ahmet Temizhan. Predictors of neurologically favorable survival among patients with out-of-hospital cardiac arrest: A tertiary referral hospital experience. Turk Kardiyol Dern Ars. 2017; 45(3): 254-260

Corresponding Author: Kevser Gülcihan Balcı, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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