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Open AccessArticle

Inter-Hospital Transfer after Return of Spontaneous Circulation Shows no Correlation with Neurological Outcomes in Cardiac Arrest Patients Undergoing Targeted Temperature Management in Cardiac Arrest Centers

by Yoon Hee Choi 1, Dong Hoon Lee 2,*, Je Hyeok Oh 2, Jin Hong Min 3, Tae Chang Jang 4, Won Young Kim 5, Won Jung Jeong 6 and Je Sung You 7 on behalf of the Korean Hypothermia Network Investigators
1
Department of Emergency Medicine, School of Medicine, Ewha Womans University, Seoul 07804, Korea
2
Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Korea
3
Department of Emergency Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Korea
4
Department of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu 42472, Korea
5
Department of Emergency Medicine, Ulsan University College of Medicine, Asan Medical Center, Seoul 05505, Korea
6
Department of Emergency Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea
7
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul 03722, Korea
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(6), 1979; https://doi.org/10.3390/jcm9061979
Received: 28 May 2020 / Revised: 19 June 2020 / Accepted: 22 June 2020 / Published: 24 June 2020
This study evaluated whether inter-hospital transfer (IHT) after the return of spontaneous circulation (ROSC) was associated with poor neurological outcomes after 6 months in post-cardiac-arrest patients treated with targeted temperature management (TTM). We used data from the Korean Hypothermia Network prospective registry from November 2015 to December 2018. These out-of-hospital cardiac arrest (OHCA) patients had either received post-cardiac arrest syndrome (PCAS) care at the same hospital or had been transferred from another hospital after ROSC. The primary endpoint was the neurological outcome 6 months after cardiac arrest. Subgroup analyses were performed to determine differences in the time from ROSC to TTM induction according to the electrocardiography results after ROSC. We enrolled 1326 patients. There were no significant differences in neurological outcomes between the direct visit and IHT groups. In patients without ST elevation, the mean time to TTM was significantly shorter in the direct visit group than in the IHT group. IHT after achieving ROSC was not associated with neurologic outcomes after 6 months in post-OHCA patients treated with TTM, even though TTM induction was delayed in transferred patients. View Full-Text
Keywords: inter-hospital transfer; cardiac arrest; neurological outcome; targeted temperature management; post-cardiac arrest syndrome; prognostic factor inter-hospital transfer; cardiac arrest; neurological outcome; targeted temperature management; post-cardiac arrest syndrome; prognostic factor
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Choi, Y.H.; Lee, D.H.; Oh, J.H.; Min, J.H.; Jang, T.C.; Kim, W.Y.; Jeong, W.J.; You, J.S., on behalf of the Korean Hypothermia Network Investigators; Inter-Hospital Transfer after Return of Spontaneous Circulation Shows no Correlation with Neurological Outcomes in Cardiac Arrest Patients Undergoing Targeted Temperature Management in Cardiac Arrest Centers. J. Clin. Med. 2020, 9, 1979.

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