Literature DB >> 19328375

Relationship between laboratory findings and the outcome of cardiopulmonary arrest.

Youichi Yanagawa1, Toshihisa Sakamoto, Hiroki Sato.   

Abstract

PURPOSE: The aim of this study was to investigate whether laboratory findings on arrival may be useful in predicting the outcome of out-of-hospital cardiopulmonary arrest (CPA).
METHODS: Between January 2005 and September 2007, a medical chart review was retrospectively performed for CPA. The individual medical records were reviewed for the following data: background of CPA, arterial blood gas, cell blood count, serum biochemical, and cerebral performance category (CPC) 1 month after the CPA. The subjects were divided into patients with a CPC ranging from 3 to 5 (CPC 3-5 group) and from 1 to 2 (CPC 1-2 group).
FINDINGS: The total protein, platelets, pH, and Po(2) in the CPC 1-2 group tended be higher than those in the CPC 3-5 group. The Pco(2), potassium, phosphorus, and ammonia in the CPC 1-2 group tended be lower than those in the CPC 3-5 group. However, there were no factors independently associated with the outcome by multivariate analysis.
CONCLUSION: Some of the biochemical-hematologic parameters demonstrate significant changes concerning the outcome. However, initial blood work cannot be used to make clinical decisions because there are no factors independently associated with the outcome.

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Year:  2009        PMID: 19328375     DOI: 10.1016/j.ajem.2008.03.001

Source DB:  PubMed          Journal:  Am J Emerg Med        ISSN: 0735-6757            Impact factor:   2.469


  6 in total

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4.  Prognostic values of blood pH and lactate levels in patients resuscitated from out-of-hospital cardiac arrest.

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  6 in total

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