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

doi:10.1016/j.resuscitation.2021.09.032

科研成果详情

题名	Pulse oximetry waveform: A non-invasive physiological predictor for the return of spontaneous circulation in cardiac arrest patients ---- A multicenter, prospective observational study
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, Zhongqiu7; 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
发表日期	2021-12
发表期刊	Resuscitation 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Cardiac arrest Cardiopulmonary resuscitation Oximetry Plethysmography Return of spontaneous circulation.
其他关键词	TIDAL CARBON-DIOXIDE ; CORONARY PERFUSION-PRESSURE ; CARDIOPULMONARY-RESUSCITATION ; BLOOD-PRESSURE ; QUALITY ; UTILITY ; FINGER
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 difference 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 effective method for predicting ROSC during resuscitation, with a prognostic value similar to ETCO2 at early stage.
资助项目	Chinese Academy of Medical Sciences Fundamental Research Fund for the Central Public Welfare Research Institute[2017PT31009];National Health and Family Planning Commission of China[201502019];
出版者	ELSEVIER IRELAND LTD
ISSN	0300-9572
EISSN	1873-1570
卷号	169 页码:189-197.
DOI	10.1016/j.resuscitation.2021.09.032
页数	9
WOS类目	Critical Care Medicine ; Emergency Medicine
WOS研究方向	General & Internal Medicine ; Emergency Medicine
WOS记录号	WOS:000778827400011
收录类别	PUBMED ; SCIE ; SCOPUS
URL	查看原文
Pubmed记录号	34624410
Scopus记录号	2-s2.0-85117825757
通讯作者地址	[Yu, Xuezhong]Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing,100730,China
scopus学科分类	Emergency Medicine;Emergency Nursing;Cardiology and Cardiovascular Medicine
引用统计	被引频次：1[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/55467
专题	第一临床医学院（信息与工程学院）、附属第一医院_急诊医学附属第一医院
通讯作者	Yu, Xuezhong
作者单位	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; 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
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..
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, 189-197..
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..