Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study

  • Lee, Heekyung
  • Oh, Jae hoon
  • Kang, Hyung goo
  • Lim, Tae Ho
  • Ko, Byuk Sung
  • 외 111명
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초록

Background The effects of the body mass index (BMI) on outcomes of patients resuscitated from cardiac arrest are controversial. Therefore, the current study investigated the association between the BMI and the favourable neurologic outcomes and survival to discharge of patients resuscitated from out-of-hospital cardiac arrest (OHCA). Methods This multicentre, prospective, nationwide OHCA registry-based study was conducted using data from the Korean Cardiac Arrest Resuscitation Consortium (KoCARC). We enrolled hospitals willing to collect patient height and weight and included patients who survived to the hospital between October 2015 and June 2018. The included patients were categorised into the underweight (< 18.5 kg/m2), normal weight (≥18.5 to < 25 kg/m2), overweight (≥25 to < 30 kg/m2), and obese groups (≥30 kg/m2) according to the BMI per the World Health Organization (WHO) criteria. The primary outcome was a favourable neurologic outcome; the secondary outcome was survival to discharge. Univariate and multivariate analyses were performed to investigate the association between BMI and outcomes. Results Nine hospitals were enrolled; finally, 605 patients were included in our analysis and categorised per the WHO BMI classification. Favourable neurologic outcomes were less frequent in the underweight BMI group than in the other groups (p = 0.002); survival to discharge was not significantly different among the BMI groups (p = 0.110). However, the BMI classification was not associated with favourable neurologic outcomes or survival to discharge after adjustment in the multivariate model. Conclusion The BMI was not independently associated with favourable neurologic and survival outcomes of patients surviving from OHCA.

키워드

Body mass indexObesityOut-of-hospital cardiac arrestRISK-FACTOROBESITYSURVIVORSPROGNOSIS
제목
Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study
저자
Lee, HeekyungOh, Jae hoonKang, Hyung gooLim, Tae HoKo, Byuk SungChoi, Hyuk JoongPark, Seung MinYoon, Young-HoonLee, Jong SukPark, Yoo SeokYoon, Young-HoonKim, Su JinMin, Y.-G.Kim, D.K.Han, S.K.Choi, P.C.Park, S.O.Won, J.Sung, H.Choi, S.H.Sim, M.S.Lee, G.T.Ahn, S.Shin, J.W.Park, S.H.Park, K.H.Park, I.C.Kong, T.Y.Lee, K.W.Kim, C.H.Cho, Y.Kang, G.H.Jang, Y.S.Yeom, S.R.Han, S.K.Lee, J.H.Park, J.B.Ryoo, H.W.Lee, K.W.Jang, T.C.Woo, J.-H.Lee, W.J.Woo, S.H.Yun, S.H.Cho, T.J.Kim, S.P.Park, Y.J.Lee, J.W.Jeong, W.Park, S.S.Lee, J.K.Ahn, R.Choi, W.J.Min, Y.G.Park, E.J.Kim, J.H.Kim, I.B.Ahn, K.O.Cho, H.J.Lee, S.C.Lee, S.H.Kim, Y.S.Ha, Y.R.Park, J.S.Lee, M.W.Wi, D.H.Ha, S.O.Yang, W.S.Kim, O.J.Chung, T.N.Wang, S.J.Park, H.A.Cho, J.H.Park, C.W.Eob, A.M.Lee, T.H.Kim, S.C.Kim, H.Choi, H.J.Koh, C.Y.Lee, J.W.Lee, D.W.Jung, T.O.Yoon, J.C.Choi, D.H.Choi, J.T.Jeong, J.H.Lee, S.H.Ryu, J.H.Park, M.R.Kim, W.Song, S.W.Kim, W.J.Kwon, J.-M.Kang, E.H.Jin, S.C.Kim, T.-K.Kim, S.C.Hwang, S.O.Do, Shin S.Yang, H.J.Chung, S.P.Lee, S.W.Song, K.J.Hwang, S.S.Cho, G.C.Moon, S.W.Cha, K.C.Kim, W.Y.Na, S.H.Kwack, Y.H.Kim, J.Y.Park, J.H.Lee, S.Y.Kim, J.E.for the Korean Cardiac Arrest Research Consortium (KoCARC) Investigators
DOI
10.1186/s13049-021-00837-x
발행일
2021-01
유형
Article
저널명
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
29
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페이지
1 ~ 11

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