Pulse oximetry waveform: A non-invasive physiological predictor for the return of spontaneous circulation in cardiac arrest patients - A multicenter, prospective observational study

被引：9

作者：

Xu, Jun ^{[1
]}

Li, Chen ^{[1
,2
]}

Tang, Hanqi ^{[1
]}

Tan, Dingyu ^{[1
,3
]}

Fu, Yangyang ^{[1
]}

Zong, Liang ^{[1
]}

Jing, Daoyuan ^{[4
]}

Ding, Banghan ^{[5
]}

Cao, Yu ^{[6
]}

Lu, Zhongqiu ^{[7
]}

Tian, Yingping ^{[8
]}

Chai, Yanfen ^{[2
]}

Meng, Yanli ^{[9
]}

Wang, Zhen ^{[10
]}

Zheng, Ya-an ^{[11
]}

Zhao, Xiaodong ^{[12
]}

Zhang, Xinyan ^{[13
]}

Liang, Lu ^{[14
]}

Zeng, Zhongyi ^{[15
]}

Li, Yan ^{[1
]}

Walline, Joseph H. ^{[16
]}

Song, Priscilla P. ^{[16
]}

Zheng, Liangliang ^{[17
]}

Sun, Feng ^{[18
]}

Shao, Shihuan ^{[1
,19
]}

Sun, Ming ^{[20
]}

Huang, Mingwei ^{[4
]}

Zeng, Ruifeng ^{[5
]}

Zhang, Shu ^{[6
]}

Yang, Xiaoya ^{[7
]}

Yao, Dongqi ^{[8
]}

Yu, Muming ^{[2
]}

Liao, Hua ^{[9
]}

Xiong, Yingxia ^{[10
]}

Zheng, Kang ^{[11
]}

Qin, Yuhong ^{[12
]}

An, Yingbo ^{[13
]}

Liu, Yuxiang ^{[14
]}

Chen, Kun ^{[4
]}

Zhu, Huadong ^{[1
]}

Yu, Xuezhong ^{[1
]}

Du, Bin ^{[21
]}

机构：

[1] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Emergency Med, Beijing 100730, Peoples R China

[2] Tianjin Med Univ Gen Hosp, Dept Emergency Med, Tianjin 300052, Peoples R China

[3] Northern Jiangsu Peoples Hosp, Dept Emergency Med, Yangzhou 225001, Peoples R China

[4] Jinhua Municipal Cent Hosp, Dept Emergency Med, Jinhua 321000, Peoples R China

[5] Guangdong Prov Hosp Chinese Med, Dept Emergency Med, Guangdong Prov Key Lab Res Emergency TCM, Guangzhou 510120, Peoples R China

[6] Sichuan Univ, West China Hosp, Dept Emergency Med, Chengdu 610041, Peoples R China

[7] Wenzhou Med Univ, Dept Emergency Med, Affiliated Hosp 1, Wenzhou 325000, Peoples R China

[8] Hebei Med Univ, Dept Emergency Med, Hosp 2, Shijiazhuang 050000, Peoples R China

[9] HuaBei Petr Gen Hosp, Dept Emergency Med, Renqiu 062552, Peoples R China

[10] Capital Med Univ, Dept Emergency Med, Beijing Shijitan Hosp, Beijing 100038, Peoples R China

[11] Peking Univ Third Hosp, Dept Emergency Med, Beijing 100191, Peoples R China

[12] PLA Hosp, Affiliated Hosp 2, Dept Emergency Med, Beijing 100048, Peoples R China

[13] Beijing Haidian Hosp, Dept Emergency Med, Beijing 100080, Peoples R China

[14] Hebei Univ, Affiliated Hosp, Dept Emergency Med, Baoding 071000, Peoples R China

[15] Shenzhen Tradit Chinese Med Hosp, Dept Emergency Med, Shenzhen 518033, Peoples R China

[16] Univ Hong Kong, Ctr Humanities & Med, Hong Kong, Peoples R China

[17] Beijing Hosp, Natl Ctr Gerontol, Beijing 100730, Peoples R China

[18] Jiangsu Prov Hosp, Dept Emergency Med, Yangzhou 210029, Peoples R China

[19] Peking Univ, Peoples Hosp, Dept Emergency Med, Beijing 100044, Peoples R China

[20] Xuzhou Med Univ, Affiliated Suqian Hosp, Dept Emergency Med, Xuzhou 221004, Jiangsu, Peoples R China

[21] Chinese Acad Med Sci, Dept Med Intens Care, Peking Union Med Coll Hosp, Beijing 100730, Peoples R China

来源：

RESUSCITATION | 2021年 / 169卷

关键词：

Cardiac arrest; Cardiopulmonary resuscitation; Oximetry; Plethysmography; Return of spontaneous circulation; TIDAL CARBON-DIOXIDE; CORONARY PERFUSION-PRESSURE; CARDIOPULMONARY-RESUSCITATION; BLOOD-PRESSURE; QUALITY; UTILITY; FINGER;

D O I：

10.1016/j.resuscitation.2021.09.032

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: This study aimed to investigate the predictive value of pulse oximetry plethysmography (POP) for the return of spontaneous circulation (ROSC) in cardiac arrest (CA) patients. Methods: This was a multicenter, observational, prospective cohort study of patients hospitalized with cardiac arrest at 14 teaching hospitals cross China from December 2013 through November 2014. The study endpoint was ROSC, defined as the restoration of a palpable pulse and an autonomous cardiac rhythm lasting for at least 20 minutes after the completion or cessation of CPR. Results: 150 out-of-hospital cardiac arrest (OHCA) patients and 291 in-hospital cardiac arrest (IHCA) patients were enrolled prospectively. ROSC was achieved in 20 (13.3%) and 64 (22.0%) patients in these cohorts, respectively. In patients with complete end-tidal carbon dioxide (ETCO2) and POP data, patients with ROSC had significantly higher levels of POP area under the curve (AUCp), wave amplitude (Amp) and ETCO2 level during CPR than those without ROSC (all p < 0.05). Pairwise comparison of receiver operating characteristic (ROC) curve analysis indicated no significant dierence was observed between ETCO2 and Amp (p = 0.204) or AUCp (p = 0.588) during the first two minutes of resuscitation. Conclusion: POP may be a novel and eective method for predicting ROSC during resuscitation, with a prognostic value similar to ETCO2 at early stage.

引用

页码：189 / 197

页数：9

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