Coronary angiography predicts improved outcome following cardiac arrest: propensity-adjusted analysis.

摘要: Objectives: Determine if clinical parameters of resuscitated patients predict coronary angiography (CATH) performance and receiving CATH after cardiac arrest is associated with outcome. Introduction: survival in suffering out-ofhospital (OHCA) from ventricular fibrillation or tachycardia(VF/VT). Its effect on outcome other cohorts unknown. Methods: Chart review between 2005 2007. Exclusion criteria: immediate withdrawal care, hemodynamic collapse, neurologic exam under sedation. Clinical included Glasgow Coma Scale (GCS) location, presenting rhythm, age, acute ischemic ECG changes (new left bundle branch block ST-elevation myocardial infarction-STEMI). Logistic regression identified predicting CATH. The association good (discharge home to rehabilitation facility) was determined using logistic adjusting for likelihood via propensity score. Result: Of the 241 patients, 96 (40%) received Significant disease (� 70% stenosis) � 1 arteries 69% including 57% without changes. Unadjusted predictors were sex, method arrival, OHCA, changes, GCS. Propensity adjusted demonstrated an (OR 2.16; 95% CI 1.12, 4.19; P < 0.02). Conclusion: more likely be performed certain identifies a significant number high-grade stenoses this population. Receiving independently