Prehospital, post-ROSC blood pressure and associated neurologic outcome

To investigate the relationship between hypotension and neurologic outcome in adults with return of spontaneous circulation after out-of-hospital cardiac arrest. Blood pressure and medication data were extracted from adult patients who had ROSC after OHCA in Alameda County and matched with neurologi...

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Bibliographic Details
Published in:The American journal of emergency medicine 2021-11, Vol.49, p.195-199
Main Authors: Lacocque, Jeremy, Siegel, Lee, Sporer, Karl A.
Format: Article
Language:English
Subjects:
Age factors
Ambulance services
Blood pressure
Body temperature
Cardiac arrest
Cardiopulmonary resuscitation
Cardiotonic agents/therapeutic use
Clinical outcomes
Comorbidity
CPR
Critical care
Dopamine
Emergency medical care
Emergency medical services/EMS
Factual
Heart arrest/mortality
Heart arrest/therapy
Heart attacks
Hemodynamic goals
Hemodynamics
Humans
Hypotension
Hypotension/mortality
Hypothermia
Induced/methods
Out-of-hospital cardiac arrest/complications
Out-of-hospital cardiac arrest/mortality
Out-of-hospital cardiac arrest/therapy
Patients
Ventricular fibrillation/etiology
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Summary:To investigate the relationship between hypotension and neurologic outcome in adults with return of spontaneous circulation after out-of-hospital cardiac arrest. Blood pressure and medication data were extracted from adult patients who had ROSC after OHCA in Alameda County and matched with neurologic outcome using the CARES database from January 1, 2018 through July 1, 2019. We used univariate logistic regression with p ≤ 0.2 followed by multivariate logistic regression and reported an odds ratio with 95% confidence intervals. Among the 781 adult patients who had ROSC after OHCA, 107 (13.7%) were noted to be hypotensive and 61 (57% of the hypotensive group) received vasopressors. Patients with a final prehospital blood pressure recording of
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2021.05.073