Usefulness of Intracranial Pressure and Mean Arterial Pressure for Predicting Neurological Prognosis in Cardiac Arrest Survivors Who Undergo Target Temperature Management
We aimed to compare the relationship of mean arterial pressure (MAP) and intracranial pressure (ICP) to predict the neurological prognosis in cardiac arrest (CA) survivors. We retrospectively examined out-of-hospital CA patients treated with targeted temperature management. ICP was measured using ce...
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| Veröffentlicht in: | Therapeutic hypothermia and temperature management 2020-09, Vol.10 (3), p.165-170 |
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| container_title | Therapeutic hypothermia and temperature management |
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| creator | Son, Seung Ha Park, Jung Soo Yoo, In Sool You, Yeon Ho Min, Jin Hong Jeong, Won Joon Cho, Yong Chul Cho, Sung Uk Oh, Se Kwang Ahn, Hong Joon Song, Ho Gul Lee, Byung Kook Lee, Dong Hun Youn, Chun Song Oh, Eungseok |
| description | We aimed to compare the relationship of mean arterial pressure (MAP) and intracranial pressure (ICP) to predict the neurological prognosis in cardiac arrest (CA) survivors. We retrospectively examined out-of-hospital CA patients treated with targeted temperature management. ICP was measured using cerebrospinal fluid (CSF) pressure, whereas MAP was measured as blood pressure monitored through the radial or femoral artery during CSF pressure measurement. Primary outcome was 6-month neurological outcome. Of 92 enrolled patients, the favorable outcome group comprised 31 (34%) patients. The median and interquartile range of MAP were significantly higher and ICP was significantly lower in patients with favorable neurological outcomes than in those with unfavorable neurological outcomes (94.3 mmHg [80.0–105.3] vs. 82.0 mmHg [65.3–96.3],
p
= 0.021 and 9.4 mmHg [10.8–8.7] vs. 18.8 mmHg [20.0–15.7],
p
|
| doi_str_mv | 10.1089/ther.2019.0006 |
| format | Article |
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p
= 0.021 and 9.4 mmHg [10.8–8.7] vs. 18.8 mmHg [20.0–15.7],
p
< 0.001, respectively). ICP showed the higher area under the receiver operating characteristic curve (area under curve [AUC] = 0.953, 95% confidence interval [CI] = 0.888–0.986) for neurological outcome prediction. MAP showed the lower AUC (0.648, 95% CI = 0.541–0.744). Higher accurate prognosis was predicted by ICP than MAP, and the prognostic performance was good. Prospective multicenter studies are required to confirm these results.</description><identifier>ISSN: 2153-7658</identifier><identifier>EISSN: 2153-7933</identifier><identifier>DOI: 10.1089/ther.2019.0006</identifier><language>eng</language><publisher>New Rochelle: Mary Ann Liebert, Inc., publishers</publisher><subject>Body temperature ; Cardiac arrest ; Heart attacks ; Hypothermia ; Intracranial pressure ; Original Articles</subject><ispartof>Therapeutic hypothermia and temperature management, 2020-09, Vol.10 (3), p.165-170</ispartof><rights>2020, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright Mary Ann Liebert, Inc. Sep 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-99d4f1eea4f74bbed6c2c83a6ed5ac8753f2a736136e9064fd6ea2c77eef33673</citedby><cites>FETCH-LOGICAL-c345t-99d4f1eea4f74bbed6c2c83a6ed5ac8753f2a736136e9064fd6ea2c77eef33673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids></links><search><creatorcontrib>Son, Seung Ha</creatorcontrib><creatorcontrib>Park, Jung Soo</creatorcontrib><creatorcontrib>Yoo, In Sool</creatorcontrib><creatorcontrib>You, Yeon Ho</creatorcontrib><creatorcontrib>Min, Jin Hong</creatorcontrib><creatorcontrib>Jeong, Won Joon</creatorcontrib><creatorcontrib>Cho, Yong Chul</creatorcontrib><creatorcontrib>Cho, Sung Uk</creatorcontrib><creatorcontrib>Oh, Se Kwang</creatorcontrib><creatorcontrib>Ahn, Hong Joon</creatorcontrib><creatorcontrib>Song, Ho Gul</creatorcontrib><creatorcontrib>Lee, Byung Kook</creatorcontrib><creatorcontrib>Lee, Dong Hun</creatorcontrib><creatorcontrib>Youn, Chun Song</creatorcontrib><creatorcontrib>Oh, Eungseok</creatorcontrib><title>Usefulness of Intracranial Pressure and Mean Arterial Pressure for Predicting Neurological Prognosis in Cardiac Arrest Survivors Who Undergo Target Temperature Management</title><title>Therapeutic hypothermia and temperature management</title><description>We aimed to compare the relationship of mean arterial pressure (MAP) and intracranial pressure (ICP) to predict the neurological prognosis in cardiac arrest (CA) survivors. We retrospectively examined out-of-hospital CA patients treated with targeted temperature management. ICP was measured using cerebrospinal fluid (CSF) pressure, whereas MAP was measured as blood pressure monitored through the radial or femoral artery during CSF pressure measurement. Primary outcome was 6-month neurological outcome. Of 92 enrolled patients, the favorable outcome group comprised 31 (34%) patients. The median and interquartile range of MAP were significantly higher and ICP was significantly lower in patients with favorable neurological outcomes than in those with unfavorable neurological outcomes (94.3 mmHg [80.0–105.3] vs. 82.0 mmHg [65.3–96.3],
p
= 0.021 and 9.4 mmHg [10.8–8.7] vs. 18.8 mmHg [20.0–15.7],
p
< 0.001, respectively). ICP showed the higher area under the receiver operating characteristic curve (area under curve [AUC] = 0.953, 95% confidence interval [CI] = 0.888–0.986) for neurological outcome prediction. MAP showed the lower AUC (0.648, 95% CI = 0.541–0.744). Higher accurate prognosis was predicted by ICP than MAP, and the prognostic performance was good. Prospective multicenter studies are required to confirm these results.</description><subject>Body temperature</subject><subject>Cardiac arrest</subject><subject>Heart attacks</subject><subject>Hypothermia</subject><subject>Intracranial pressure</subject><subject>Original Articles</subject><issn>2153-7658</issn><issn>2153-7933</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v1DAQhiNEJarSa8-WuHDZxV9xkmO14qNSC0jdVY_RrDNOXWXtZexU4i_xK3FYOMCF03w978xIb1VdCb4WvO3e5UekteSiW3POzYvqXIparZpOqZd_clO3r6rLlJ4KwTWX2qjz6scuoZungCmx6NhNyASWIHiY2Fcq3ZmQQRjYHUJg15SR_hq5SEsxeJt9GNlnnClOcfT2FxTHEJNPzAe2ARo82LKiSDO7n-nZP0dK7OExsl0YkMbItkAjZrbFwxEJ8nLgDgKMeMCQX1dnDqaEl7_jRbX78H67-bS6_fLxZnN9u7JK13nVdYN2AhG0a_R-j4Ox0rYKDA412LaplZPQKCOUwY4b7QaDIG3TIDqlTKMuqrenvUeK3-bybH_wyeI0QcA4p17KTnZtK4wq6Jt_0Kc4Uyjf9VJrqYWo27ZQ6xNlKaZE6Poj-QPQ917wfnGvX9zrF_f6xb0i0CfBAkEIk8c9Uv6f7CfZuqN0</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Son, Seung Ha</creator><creator>Park, Jung Soo</creator><creator>Yoo, In Sool</creator><creator>You, Yeon Ho</creator><creator>Min, Jin Hong</creator><creator>Jeong, Won Joon</creator><creator>Cho, Yong Chul</creator><creator>Cho, Sung Uk</creator><creator>Oh, Se Kwang</creator><creator>Ahn, Hong Joon</creator><creator>Song, Ho Gul</creator><creator>Lee, Byung Kook</creator><creator>Lee, Dong Hun</creator><creator>Youn, Chun Song</creator><creator>Oh, Eungseok</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20200901</creationdate><title>Usefulness of Intracranial Pressure and Mean Arterial Pressure for Predicting Neurological Prognosis in Cardiac Arrest Survivors Who Undergo Target Temperature Management</title><author>Son, Seung Ha ; Park, Jung Soo ; Yoo, In Sool ; You, Yeon Ho ; Min, Jin Hong ; Jeong, Won Joon ; Cho, Yong Chul ; Cho, Sung Uk ; Oh, Se Kwang ; Ahn, Hong Joon ; Song, Ho Gul ; Lee, Byung Kook ; Lee, Dong Hun ; Youn, Chun Song ; Oh, Eungseok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-99d4f1eea4f74bbed6c2c83a6ed5ac8753f2a736136e9064fd6ea2c77eef33673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Body temperature</topic><topic>Cardiac arrest</topic><topic>Heart attacks</topic><topic>Hypothermia</topic><topic>Intracranial pressure</topic><topic>Original Articles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Son, Seung Ha</creatorcontrib><creatorcontrib>Park, Jung Soo</creatorcontrib><creatorcontrib>Yoo, In Sool</creatorcontrib><creatorcontrib>You, Yeon Ho</creatorcontrib><creatorcontrib>Min, Jin Hong</creatorcontrib><creatorcontrib>Jeong, Won Joon</creatorcontrib><creatorcontrib>Cho, Yong Chul</creatorcontrib><creatorcontrib>Cho, Sung Uk</creatorcontrib><creatorcontrib>Oh, Se Kwang</creatorcontrib><creatorcontrib>Ahn, Hong Joon</creatorcontrib><creatorcontrib>Song, Ho Gul</creatorcontrib><creatorcontrib>Lee, Byung Kook</creatorcontrib><creatorcontrib>Lee, Dong Hun</creatorcontrib><creatorcontrib>Youn, Chun Song</creatorcontrib><creatorcontrib>Oh, Eungseok</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Therapeutic hypothermia and temperature management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Son, Seung Ha</au><au>Park, Jung Soo</au><au>Yoo, In Sool</au><au>You, Yeon Ho</au><au>Min, Jin Hong</au><au>Jeong, Won Joon</au><au>Cho, Yong Chul</au><au>Cho, Sung Uk</au><au>Oh, Se Kwang</au><au>Ahn, Hong Joon</au><au>Song, Ho Gul</au><au>Lee, Byung Kook</au><au>Lee, Dong Hun</au><au>Youn, Chun Song</au><au>Oh, Eungseok</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of Intracranial Pressure and Mean Arterial Pressure for Predicting Neurological Prognosis in Cardiac Arrest Survivors Who Undergo Target Temperature Management</atitle><jtitle>Therapeutic hypothermia and temperature management</jtitle><date>2020-09-01</date><risdate>2020</risdate><volume>10</volume><issue>3</issue><spage>165</spage><epage>170</epage><pages>165-170</pages><issn>2153-7658</issn><eissn>2153-7933</eissn><abstract>We aimed to compare the relationship of mean arterial pressure (MAP) and intracranial pressure (ICP) to predict the neurological prognosis in cardiac arrest (CA) survivors. We retrospectively examined out-of-hospital CA patients treated with targeted temperature management. ICP was measured using cerebrospinal fluid (CSF) pressure, whereas MAP was measured as blood pressure monitored through the radial or femoral artery during CSF pressure measurement. Primary outcome was 6-month neurological outcome. Of 92 enrolled patients, the favorable outcome group comprised 31 (34%) patients. The median and interquartile range of MAP were significantly higher and ICP was significantly lower in patients with favorable neurological outcomes than in those with unfavorable neurological outcomes (94.3 mmHg [80.0–105.3] vs. 82.0 mmHg [65.3–96.3],
p
= 0.021 and 9.4 mmHg [10.8–8.7] vs. 18.8 mmHg [20.0–15.7],
p
< 0.001, respectively). ICP showed the higher area under the receiver operating characteristic curve (area under curve [AUC] = 0.953, 95% confidence interval [CI] = 0.888–0.986) for neurological outcome prediction. MAP showed the lower AUC (0.648, 95% CI = 0.541–0.744). Higher accurate prognosis was predicted by ICP than MAP, and the prognostic performance was good. Prospective multicenter studies are required to confirm these results.</abstract><cop>New Rochelle</cop><pub>Mary Ann Liebert, Inc., publishers</pub><doi>10.1089/ther.2019.0006</doi><tpages>6</tpages></addata></record> |
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| subjects | Body temperature Cardiac arrest Heart attacks Hypothermia Intracranial pressure Original Articles |
| title | Usefulness of Intracranial Pressure and Mean Arterial Pressure for Predicting Neurological Prognosis in Cardiac Arrest Survivors Who Undergo Target Temperature Management |
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