We use cookies to ensure that we give you the best experience on our website Learn more

My documents

Sep 10, 2018

ERC congress - Resuscitation 2018

8 - Post ROSC Perfusion Index and survival after out-of-hospital cardiac arrest. An update of our results.

;

Abstract

Abstract

thumbnail

Keywords

Abstract

Purpose. Prognostication after out of hospital cardiac arrest (OHCA) is still now an open issue. About this topic we have explored, for the first time, the potential role of the post ROSC peripheral perfusion index as a predictor of 30 days survival. Our aim was to confirm our preliminary results on a larger population. Materials and methods. We retrospectively evaluated the reports generated by the manual monitor/defibrillator (Corpuls by GS Elektromedizinische Geräte G. Stemple GmbH, Germany) used for cases of OHCA in which ROSC was achieved, from January 2015 to December 2017. The mean values of PI were automatically provided in the report every minute after ROSC and the mean value of 30 minutes of monitoring (MPI30) was calculated. The duration of cardiac arrest, the type of presenting rhythm (shockable or not shockable) and the total amount of epinephrine administered were also computed. Results. On 2246 OHCA enrolled in our provincial cardiac arrest registry (Pavia CARe) a resuscitation was attempted in 1403 cases and a ROSC was achieved in 241. The mean value of PI during 30 minutes of monitoring (MPI30) after ROSC was available in 124 patients. Survived patients showed significantly higher values of MPI30 [1.4 (95%CI 0.9-2.7) vs 1 (95%CI 0.8-1.3) p=0.02]. At multivariable Cox regression model MPI30 was an independent predictor of death at 30 days [HR 0,8 (95%CI 0.6-0.98) p=0.036]. Moreover, patients with value of MPI30 ≥ 2,5 showed a better 30 days survival [HR 2,1 (95%CI 1.2-3.6) p=0.017]. An inverse correlation was found between the total amount of epinephrine administered corrected for the duration of cardiac arrest and the MPI30 (Spearman’s Rho -0.3 p<0.01). Conclusions. Our results confirmed on a larger population the potential role of peripheral perfusion index as a predictor of 30 days survival after an out-of-hospital cardiac arrest.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.