| Early Findings on Brain Computed Tomography and the Prognosis of Post Cardiac Arrest Syndrome: Application of the Score for Stroke Patients. | |
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MedLine Citation:
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PMID: 22227499 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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AIM: To examine whether early findings of the brain CT evaluated by the modified Alberta stroke programme early CT (m-ASPECT) score is useful for determining the prognosis of post-cardiac arrest syndrome (PCAS) patients or not. Materials: From 2003 through 2010, 149 consecutive PCAS patients 1) with various etiologies but neither from hemorrhagic stroke nor trauma, 2) who were 15 years old or older, and 3) whose brain CT was available, were admitted to our intensive care unit. Early findings on all of their CT images were rated with the m-ASPECT scoring system by 3 raters, and an inter-rater comparison was conducted. Next, the images within 24hrs from arrest were collected from 133 patients (89 males, age 60.2±17.6 years old), and a relation of the scores with outcome at day30 of the patients was analyzed. RESULTS: According to the inter-rater comparison based on a linear regression analysis, agreement between the raters was good (correlation coefficient 0.76-0.88). A receiver operating curve analysis revealed that the m-ASPECT scores within 24hrs were a good predictor of poor outcome (dead or vegetative state) with an area under the curve of 0.905. An m-ASPECT score≤13 was 100% predictive of a poor outcome, with a negative predictive value of 0.57. The m-ASPECT score was the best predictor of poor outcome (odds ratio 45.62) among various factors including cause or duration of arrest. CONCLUSION: The m-APSECT score evaluated within 24hrs from arrest was found to be the most predictive factor for outcome at day30. |
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Authors:
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Hiroshi Sugimori; Tomoo Kanna; Koji Yamashita; Takahiro Kuwashiro; Takashi Yoshiura; Akinori Zaitsu; Makoto Hashizume |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-3 |
Journal Detail:
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Title: Resuscitation Volume: - ISSN: 1873-1570 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-9 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011. Published by Elsevier Ireland Ltd. |
Affiliation:
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Emergency and Critical Care Center, Kyushu University Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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