Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management

Caro‐Codón, Juan; Rey, J.; Lopez-de-Sa, Esteban; Fernández, Óscar González; Rosillo, Sandra; Armada, Eduardo; Iniesta, Ángel M.; Bobadilla, Jaime Fernández de; Cantador, José Ruiz; Sotelo, L Rodriguez; Irazusta, Francisco Javier; Bastón, Verónica Rial; Colunga, Pablo Merás; López‐Sendón, José

doi:10.1016/j.resuscitation.2018.09.015

Cited by 37 publications

(37 citation statements)

References 34 publications

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“…Third, we could not assess detailed information on the difference in medical staff or organization of resuscitation teams at each hospital among the three groups, considering whether the meeting had been held in the Tokyo metropolitan area or other areas. Fourth, use of long-term outcomes rather than outcomes at one month might alter our results, reflecting much more in-hospital intervention [31]. Fifth, the types of hospitals to which the patients had been admitted were unknown [10,12,32].…”

Section: Discussionmentioning

confidence: 96%

Geographical Differences and the National Meeting Effect in Patients with Out-of-Hospital Cardiac Arrests: A JCS–ReSS Study Report

Yumoto

Naito

Yorifuji

et al. 2019

IJERPH

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The “national meeting effect” refers to worse patient outcomes when medical professionals attend academic meetings and hospitals have reduced staffing. The aim of this study was to examine differences in outcomes of patients with out-of-hospital cardiac arrest (OHCA) admitted during, before, and after meeting days according to meeting location and considering regional variation of outcomes, which has not been investigated in previous studies. Using data from a nationwide, prospective, population-based, observational study in Japan, we analyzed adult OHCA patients who underwent resuscitation attempts between 2011 and 2015. Favorable one-month neurological outcomes were compared among patients admitted during the relevant annual meeting dates of three national scientific societies, those admitted on identical days the week before, and those one week after the meeting dates. We developed a multivariate logistic regression model after adjusting for confounding factors, including meeting location and regional variation (better vs. worse outcome areas), using the “during meeting days” group as the reference. A total of 40,849 patients were included in the study, with 14,490, 13,518, and 12,841 patients hospitalized during, before, and after meeting days, respectively. The rates of favorable neurological outcomes during, before, and after meeting days was 1.7, 1.6, and 1.8%, respectively. After adjusting for covariates, favorable neurological outcomes did not differ among the three groups (adjusted OR (95% CI) of the before and after meeting dates groups was 1.03 (0.83–1.28) and 1.01 (0.81–1.26), respectively. The “national meeting effect” did not exist in OHCA patients in Japan, even after comparing data during, before, and after meeting dates and considering meeting location and regional variation.

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Section: Discussionmentioning

confidence: 96%

Geographical Differences and the National Meeting Effect in Patients with Out-of-Hospital Cardiac Arrests: A JCS–ReSS Study Report

Yumoto

Naito

Yorifuji

et al. 2019

IJERPH

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“…Details on the specific cognitive tests used during the structured interview (MoCA, TMT part B, EuroQoL-5D-3L, modified IQCODE, Zarit Caregiver Burden Interview, cerebral performance category and modified Rankin scale) can be found in the related research article [1] .…”

Section: Experimental Design Materials and Methodsmentioning

confidence: 99%

Dataset regarding baseline and follow-up characteristics of out-of-hospital cardiac arrest patients focused on neurological outcomes

et al. 2018

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This data article contains the data related to the research article entitled “Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management” (Caro-Codón et al., 2018). In this dataset, we report details regarding the flow chart of the included patients and the specific exclusion criteria. We also include information on the difference between the patients who attended the structured personal interview (and therefore were finally included in the study) and those who did not attend. Neuropsychiatric and functional data before and after cardiac arrest are also reported. Finally, we list all the “de novo” focal neurological deficits identified after cardiac arrest in the related population.

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“…Diese Skalen sind jedoch nicht sensitiv genug, um die Probleme zu erfassen, mit denen viele Überlebende konfrontiert sind, einschließlich kognitiver, emotionaler und physischer Probleme und Müdigkeit [437][438][439]. Tatsächlich haben ungefähr 40-50 % der Überlebenden langfristige kognitive Beeinträchtigungen [232,440,441]. Beeinträchtigungen sind meist leicht bis mittelschwer, und obwohl alle kognitiven Bereiche betroffen sein können, treten die meisten Probleme im Gedächtnis, in der Aufmerksamkeit, in der Verarbeitungsgeschwindigkeit und bei sog.…”

Section: Langfristiger Reanimationserfolgunclassified

Postreanimationsbehandlung

Nolan

Sandroni

Böttiger

et al. 2021

Notfall Rettungsmed

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Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management

Cited by 37 publications

References 34 publications

Geographical Differences and the National Meeting Effect in Patients with Out-of-Hospital Cardiac Arrests: A JCS–ReSS Study Report

Geographical Differences and the National Meeting Effect in Patients with Out-of-Hospital Cardiac Arrests: A JCS–ReSS Study Report

Dataset regarding baseline and follow-up characteristics of out-of-hospital cardiac arrest patients focused on neurological outcomes

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