作者
Yeonho You, Jungsoo Park, Jinhong Min, Insool Yoo, Wonjoon Jeong, Yongchul Cho, Seung Ryu, Jinwoong Lee, Seungwhan Kim, Sunguk Cho, Sekwang Oh, Junwan Lee, Hongjoon Ahn, Byungkook Lee, Donghun Lee, Kiryang Na, Yongnam In, Chihwan Kwack, Jaein Lee
发表日期
2018/10/1
期刊
Resuscitation
卷号
131
页码范围
42-47
出版商
Elsevier
简介
Aim
The optimal time to measure serum albumin concentration (SAC) to predict prognosis in cardiac arrest (CA) survivors has not been elucidated. We aimed to compare the relationships between time-related SAC, optic nerve sheath diameter (ONSD), intracranial pressure (ICP), and neurological prognosis in CA survivors.
Methods
We undertook a retrospective study examining CA patients treated with target temperature management (TTM). ICP was measured using cerebrospinal fluid (CSF) pressure and ONSD was obtained before TTM. SAC was measured repeatedly at 4–6 h intervals from the hospital arrival time. We analysed CSF pressure, ONSD, and minimum SAC (MSAC) separately, or in combination, to predict poor neurological outcome.
Results
Of 83 patients enrolled, the good outcome group comprised 25 (34%) patients. MSAC at 24 h (MSAC24) had a higher area under the receiver operating …
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