Table 3.
Comparison of baseline characteristics among Japanese patients with coma after cardiac arrest (n = 46), according to favorable and unfavorable outcomes
Total (n = 46) | Favorable outcome (n = 19) | Unfavorable outcome (n = 27) | P‐value | |
---|---|---|---|---|
Age, years | 62.0 (48.5–71.3) | 51.0 (34.0–68.0) | 67.0 (59.0–74.0) | 0.016 |
Sex, male | 38 (83) | 16 (84) | 22 (82) | 0.810 |
BMI | 22.2 (18.4–24.2) | 22.8 (19.4–24.5) | 21.7 (18.4–23.3) | 0.292 |
Initial rhythm of VT/VF | 26 (57) | 12 (63) | 14 (52) | 0.446 |
Time from collapse to ROSC, min | 30.5 (18.0–50.0) | 24.0 (15.0–41.0) | 45.0 (27.0–54.0) | 0.018 |
Witnessed cardiac arrest | 43 (94) | 19 (100) | 24 (89) | 0.133 |
Adrenaline dose at resuscitation, mg | 3.0 (0.0–4.0) | 1.0 (0.0–4.0) | 3.0 (1.0–5.0) | 0.072 |
Provision of defibrillation | 25 (54) | 11 (58) | 14 (52) | 0.685 |
Prehospital ROSC | 14 (30) | 8 (42) | 6 (22) | 0.149 |
In‐hospital cardiac arrest | 11 (24) | 4 (21) | 7 (26) | 0.703 |
Bystander CPR | 19 (41) | 11 (58) | 8 (30) | 0.055 |
Cardiac origin of arrest | 32 (70) | 15 (79) | 17 (63) | 0.246 |
Coronary disease | 15 (33) | 7 (37) | 8 (30) | 0.607 |
CAI | ||||
Day 1 | 5.00 (2.00–12.48) | 4.00 (0.00–12.00) | 8.00 (2.00–16.00) | 0.042 |
Day 2 | 4.50 (1.23–9.25) | 2.50 (0.10–8.00) | 5.00 (1.00–11.00) | 0.533 |
Day 3 | 3.00 (0.25–8.00) | 4.00 (0.90–8.00) | 3.00 (0.30–9.00) | 0.796 |
Day 4 | 2.00 (0.00–5.63) | 2.00 (0.90–5.00) | 2.00 (0.00–6.00) | 0.697 |
Day 5 | 1.10 (0.00–4.13) | 0.00 (0.00–4.00) | 2.00 (0.00–5.00) | 0.173 |
Day 6 | 0.00 (0.00–3.00) | 0.00 (0.00–2.00) | 0.00 (0.00–4.00) | 0.163 |
Survival | 33 (72) | 18 (95) | 15 (56) | 0.004 |
Data are shown as median (range) or n (%).
Favorable outcome = cerebral performance category score 1–2; unfavorable outcome = score 3–5.
Catecholamine index (CAI) = hourly doses (μg/kg/min) of dopamine + dobutamine + (adrenaline + noradrenaline) × 100 (μg/kg/min).
CAI of each day was calculated at the highest point of the day.
BMI, body mass index; CPR, cardiopulmonary resuscitation; ROSC, return of spontaneous circulation; VF, ventricular fibrillation; VT, ventricular tachycardia.