Abstract | AIMS: METHODS: Adult patients with OHCA who presented to the ED between May 1, 2000, and October 30, 2006, with moderate to massive nontraumatic hemopericardium were recruited and stratified into 4 groups according to the relieving methods of hemopericardium. Charts were reviewed for various demographic data, resuscitation records, management, and outcome. Patient outcome was recorded as survival to hospital discharge and ROSC, as primary end points. Effective decompression was recorded as a secondary end point. We compared the outcome between the groups. RESULTS: A total of 1491 OHCA resuscitation records were prospective collected. There were 23 OHCA patients with moderate to massive nontraumatic hemopericardium. The overall ROSC rate was 39.1% (9/23). There was a clear difference in the ROSC rate between 4 groups (P < .05). The overall rate of survival to hospital discharge was 4.3% (1/23). There was no significant difference in the rate of survival to hospital discharge between the groups. Relieving methods was an independent predictor of ROSC in OHCA patients with nontraumatic hemopericardium (odds ratio, 0.17; 95% confidence interval, 0.4-0.70). There was a significant statistical difference in adequate relief of hemopericardium based on SP and PCD (P < .01). CONCLUSION:
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Authors | Ruei-Fang Wang, Chun-Chieh Chao, Tzong-Luen Wang, Kuo-Chih Chen, Chee-Fah Chong, Kuo-Hung Huang, Chien-Chih Chen |
Journal | The American journal of emergency medicine
(Am J Emerg Med)
Vol. 26
Issue 4
Pg. 425-32
(May 2008)
ISSN: 1532-8171 [Electronic] United States |
PMID | 18410810
(Publication Type: Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Cardiopulmonary Resuscitation
- Catheterization
- Decompression, Surgical
- Drainage
- Emergency Medical Services
- Female
- Heart Arrest
(complications, therapy)
- Humans
- Male
- Middle Aged
- Pericardial Effusion
(complications, therapy)
- Pericardiectomy
- Pericardiocentesis
- Survival Analysis
- Treatment Outcome
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