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

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收录情况： ◇ SCIE

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,*1] ; Du Bin[21,*2] ;
机构： [1]Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [2]Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China [3]Department of Emergency Medicine, Northern Jiangsu People’s Hospital, Yangzhou 225001, China [4]Department of Emergency Medicine, Jinhua Municipal Central Hospital, Jinhua 321000, China [5]Department of Emergency Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Key Laboratory of Research on Emergency in TCM, Guangzhou 510120, China [6]Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu 610041, China [7]Department of Emergency Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China [8]Department of Emergency Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China [9]Department of Emergency Medicine, HuaBei Petroleum General Hospital, Renqiu 062552, China [10]Department of Emergency Medicine, Beijing Shijitan Hospital Capital Medical University, Beijing 100038, China [11]Department of Emergency Medicine, Peking University Third Hospital, Beijing 100191, China [12]Department of Emergency Medicine, First Affiliated Hospital of PLA Hospital, Beijing 100048, China [13]Department of Emergency Medicine, Beijing Haidian Hospital, Beijing 100080, China [14]Department of Emergency Medicine, Affiliated Hospital of Hebei University, Baoding 071000, China [15]Department of Emergency Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China [16]Centre for the Humanities and Medicine, The University of Hong Kong, Hong Kong Special Administrative Region [17]Beijing Hospital, National Center of Gerontology, China, Beijing 100730, China [18]Department of Emergency Medicine, Jiangsu Province Hospital, Yangzhou 210029, China [19]Department of Emergency Medicine, Peking University People’s Hospital, Beijing 100044, China [20]Department of Emergency Medicine, Affiliated Suqian Hospital of Xuzhou Medical University, Xuzhou 221004, China [21]Department of Medical Intensive Care, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
出处：
DOI： 10.1016/j.resuscitation.2021.09.032
ISSN：

关键词： Cardiac arrest Cardiopulmonary resuscitation Oximetry Plethysmography Return of spontaneous circulation

摘要：
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.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.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 difference was observed between ETCO2 and Amp (p = 0.204) or AUCp (p = 0.588) during the first two minutes of resuscitation.POP may be a novel and effective method for predicting ROSC during resuscitation, with a prognostic value similar to ETCO2 at early stage.Copyright © 2021 Elsevier B.V. All rights reserved.

基金：
Special Scientific Research Funds of the Public Welfare Program of the National Health and Family Planning Commission of China (Grant Reference Number 201502019) and from the Chinese Academy of Medical Sciences Fundamental Research Fund for the Central Public Welfare Research Institute [2017PT31009].

基金编号： 2017PT31009

语种：
外文
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类 | 2 区 医学
小类 | 1 区 急救医学 3 区 危重病医学
最新[2025]版：
大类 | 1 区 医学
小类 | 1 区 急救医学 2 区 危重病医学
JCR分区：
出版当年[2019]版：
Q1 EMERGENCY MEDICINE Q1 CRITICAL CARE MEDICINE
最新[2023]版：
Q1 CRITICAL CARE MEDICINE Q1 EMERGENCY MEDICINE

影响因子： 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者：
第一作者机构： [1]Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [21]Department of Medical Intensive Care, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [*1]Department of Emergency, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China [*2]Department of Medical Intensive Care Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
推荐引用方式(GB/T 7714)：
Xu Jun,Li Chen,Tang Hanqi,et al.Pulse oximetry waveform: A non-invasive physiological predictor for the return of spontaneous circulation in cardiac arrest patients - A multicenter, prospective observational study[J].RESUSCITATION.2021,169:189-197.doi:10.1016/j.resuscitation.2021.09.032.
APA：
Xu Jun,Li Chen,Tang Hanqi,Tan Dingyu,Fu Yangyang...&Du Bin.(2021).Pulse oximetry waveform: A non-invasive physiological predictor for the return of spontaneous circulation in cardiac arrest patients - A multicenter, prospective observational study.RESUSCITATION,169,
MLA：
Xu Jun,et al."Pulse oximetry waveform: A non-invasive physiological predictor for the return of spontaneous circulation in cardiac arrest patients - A multicenter, prospective observational study".RESUSCITATION 169.(2021):189-197

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