OBJECTIVE: Several studies have disclosed the importance of serum adrenocorticotropic hormone and cortisol levels in resuscitation. The objective of this study was to observe the effect of hydrocortisone on the outcome of out-of-hospital cardiac arrest (OHCA) patients. DESIGN: Prospective, nonrandomized, open-labeled clinical trial. SETTING: Emergency department (ED) of National Taiwan University Hospital. PATIENTS AND PARTICIPANTS: Ninety-seven nontraumatic adult OHCA victims. INTERVENTIONS: Serum adrenocorticotropic hormone and total cortisol levels were examined in all patients. The hydrocortisone group (n = 36) received 100 mg intravenous hydrocortisone during resuscitation, and the nonhydrocortisone group (n = 61) received 0.9% saline as placebo. MEASUREMENTS AND RESULTS: Comparison of return of the spontaneous circulation (ROSC) rates between the 2 groups was analyzed. The hydrocortisone group had a significantly higher ROSC rate than the nonhydrocortisone group (61% vs 39%, P = .038). Hydrocortisone administration within 6 minutes after ED arrival led to an increased ROSC rate (90% vs 50%, P = .045). The hydrocortisone and nonhydrocortisone groups did not differ in the development of electrolyte disturbances, gastrointestinal tract bleeding, or infection during early postresuscitation period (gastrointestinal bleeding: 41% vs 46%, P = .89; infection: 50% vs 75%, P = .335). There was no significant difference between the hydrocortisone and nonhydrocortisone groups in terms of 1- and 7-day survival and hospital discharge rates. CONCLUSIONS: Hydrocortisone treatment during resuscitation, particularly when administrated within 6 minutes of ED arrival, may be associated with an improved ROSC rate in OHCA patients.
OBJECTIVE: Several studies have disclosed the importance of serum adrenocorticotropic hormone and cortisol levels in resuscitation. The objective of this study was to observe the effect of hydrocortisone on the outcome of out-of-hospital cardiac arrest (OHCA) patients. DESIGN: Prospective, nonrandomized, open-labeled clinical trial. SETTING: Emergency department (ED) of National Taiwan University Hospital. PATIENTS AND PARTICIPANTS: Ninety-seven nontraumatic adult OHCA victims. INTERVENTIONS: Serum adrenocorticotropic hormone and total cortisol levels were examined in all patients. The hydrocortisone group (n = 36) received 100 mg intravenous hydrocortisone during resuscitation, and the nonhydrocortisone group (n = 61) received 0.9% saline as placebo. MEASUREMENTS AND RESULTS: Comparison of return of the spontaneous circulation (ROSC) rates between the 2 groups was analyzed. The hydrocortisone group had a significantly higher ROSC rate than the nonhydrocortisone group (61% vs 39%, P = .038). Hydrocortisone administration within 6 minutes after ED arrival led to an increased ROSC rate (90% vs 50%, P = .045). The hydrocortisone and nonhydrocortisone groups did not differ in the development of electrolyte disturbances, gastrointestinal tract bleeding, or infection during early postresuscitation period (gastrointestinal bleeding: 41% vs 46%, P = .89; infection: 50% vs 75%, P = .335). There was no significant difference between the hydrocortisone and nonhydrocortisone groups in terms of 1- and 7-day survival and hospital discharge rates. CONCLUSIONS:Hydrocortisone treatment during resuscitation, particularly when administrated within 6 minutes of ED arrival, may be associated with an improved ROSC rate in OHCA patients.
Authors: Stefan Bergt; Anne Güter; Andrea Grub; Nana-Maria Wagner; Claudia Beltschany; Sönke Langner; Andreas Wree; Steve Hildebrandt; Gabriele Nöldge-Schomburg; Brigitte Vollmar; Jan P Roesner Journal: PLoS One Date: 2013-09-16 Impact factor: 3.240
Authors: Mona Panahi; Angelos Papanikolaou; Azam Torabi; Ji-Gang Zhang; Habib Khan; Ali Vazir; Muneer G Hasham; John G F Cleland; Nadia A Rosenthal; Sian E Harding; Susanne Sattler Journal: Cardiovasc Res Date: 2018-09-01 Impact factor: 10.787