The Impact of Emergency Interventions and Patient Characteristics on the Risk of Heart Failure in Patients with Nontraumatic OHCA
Joint Authors
Ho, Shinn-Ying
Lin, Yan-Ren
Hsu Chen, Cheng
Chen, Wen-Liang
Lee, Tsung-Han
Chou, Chu-Chung
Su, Chih-Pei
Wu, Jr-Hau
Yang, Mei-Chueh
Liao, Ching-Hui
Huang, Cheng-Chieh
Chang, Chih-Yu
Chen, Yu-Chih
Source
Emergency Medicine International
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Since out-of-hospital cardiac arrest- (OHCA-) related dysfunction (ischemic/reperfusion injury and inflammatory response) might result in long-term impairment, we suspect that new-onset heart failure might be common in long-term survivors.
However, these relationships had not been well addressed, and we aimed to analyze the impact of emergency interventions and patient characteristics on the risk of new-onset heart failure in patients with nontraumatic OHCA.
Methods.
The Taiwanese government healthcare database contains data for 49,101 nontraumatic OHCA adult patients from 2011-2012, which were analyzed in this study.
Nontraumatic OHCA patients who survived to the intensive care unit (ICU) were included as the study group (n = 7,321).
Matched patients (n = 21,963) were recruited as a comparison group.
Patients with any history of heart failure or cardiac arrest were not included in either group.
All patients were followed-up for 6 months for the identification of new-onset heart failure.
Adjustments were made for demographics, age, emergency interventions, and comorbidities as potential risk factors.
Results.
In all, 3.84% (n = 281) of OHCA patients suffered new-onset heart failure, while only 1.24% (n = 272) of matched patients in the comparison group suffered new-onset heart failure.
Strong risk factors for heart failure were age (60–75 years, HR: 11.4; 95% CI: 9–14.4), medical history (myocardial infarction, HR: 2.47; 95% CI: 2.05–2.98 and cardiomyopathy, HR: 2.94; 95% CI: 1.45–5.94), and comorbidities during hospitalization (ischemic heart disease, HR: 4.5; 95% CI: 3.46–5.86).
Only extracorporeal membrane oxygenation (ECMO) decreased the risk of heart failure.
Most (53.6%) heart failure events occurred within 60 days after OHCA.
Conclusion.
An age from 61 to 75 years, a history of myocardial infarction or cardiomyopathy, and ischemic heart disease or infection as comorbidities occurring during hospitalization were strong risk factors for new-onset heart failure in OHCA patients.
However, ECMO could decrease this risk.
More importantly, most heart failure events occurred within 60 days after OHCA.
American Psychological Association (APA)
Hsu Chen, Cheng& Chang, Chih-Yu& Yang, Mei-Chueh& Wu, Jr-Hau& Liao, Ching-Hui& Su, Chih-Pei…[et al.]. 2019. The Impact of Emergency Interventions and Patient Characteristics on the Risk of Heart Failure in Patients with Nontraumatic OHCA. Emergency Medicine International،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1152262
Modern Language Association (MLA)
Hsu Chen, Cheng…[et al.]. The Impact of Emergency Interventions and Patient Characteristics on the Risk of Heart Failure in Patients with Nontraumatic OHCA. Emergency Medicine International No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1152262
American Medical Association (AMA)
Hsu Chen, Cheng& Chang, Chih-Yu& Yang, Mei-Chueh& Wu, Jr-Hau& Liao, Ching-Hui& Su, Chih-Pei…[et al.]. The Impact of Emergency Interventions and Patient Characteristics on the Risk of Heart Failure in Patients with Nontraumatic OHCA. Emergency Medicine International. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1152262
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1152262