TABLE 1.
Comparison of clinical and electrophysiological characteristics between the two groups.
Bad neurological outcome (n = 23 unless otherwise specified) (/29) | Good neurological outcome (n = 6) (/29) | p | |
Age (years), mean ± SD [min-max] Median [IQR 25–75] |
60 ± 16 [24–87] 62 [54–68.5] |
47.5 ± 16 [26–64] 52.5 [34.75–59] |
0.07 |
Male, n | 20 | 5 | 1 |
Shockable rhythm*, n | 6 | 2 | 1 |
Etiology Cardiac Non-cardiac Undetermined |
10 12 1 |
4 2 0 |
0.57 |
No-flow (minutes), mean ± SD Median [IQR 25–75] |
8.3 ± 8.4 (/21) 7 [1–15] |
2.7 ± 4.3 0 [0–4.5] |
0.07 |
Low-flow (minutes), mean ± SD Median [IQR 25–75] |
24.9 ± 16.4 20 [18.5–35] |
16.4 ± 11.7 15.5 [10.75–21] |
0.22 |
Time to ROSC (≤25 min), n | 8 (/21) | 4 | 0.20 |
GCS on admission /15), mean ± SD Median [IQR 25–75] |
3.1 ± 0.4 3 [3–3] |
3.5 ± 1.2 3 [3–3] |
0.21 |
SAPS II score, mean ± SD Median [IQR 25–75] |
73 ± 15 72 [63–85] |
62.5 ± 18 54 [49–76] |
0.15 |
Sedation, n | 8 | 3 | 0.65 |
EEG Grade I: predominant alpha with some theta, n | 0 | 1 | |
EEG Grade II: predominant theta with some alpha, n | 0 | 0 | |
EEG Grade III: predominant theta, n | 3 | 5 | 0.0002 |
EEG Grade IV: delta activity, n Generalized epileptiform periodic activity (GPEDs), n |
7 6 |
0 0 |
|
EEG Grade V electrocerebral silence, n Burst suppression patterns, n |
3 4 |
0 0 |
|
EEG reactivity, n | 3 | 2 | 0.27 |
SSEP (N20 -), n | 7 (/22) | 1/5 | 0.64 |
AEP (MMN+), n | 4 | 2 | 0.57 |
GOS-E (6 months) (n) | 3 (1/23) | 4–8 (5/6) |
*As the first documented rhythm; ROSC, return of spontaneous circulation; GCS, Glasgow Coma Scale; SAPS II score, simplified acute physiology score II; EEG, electroencephalography patterns according to the five major grades of severity scale for brain injury; SSEP, cortical somatosensory evoked potentials; AEP, auditory evoked potentials; MMN, mismatch negativity. No-flow data were missing in two patients and SSEP (N20 response) data in one patient (underlying Charcot Marie Tooth disease). GOS-E, Glasgow Outcome Scale-Extended.