Ā | Cathed (Group A) 63 patients | Non-cathed (Group B) 15 patients | p-value | Good outcome (Group C) 53 patients | Poor outcome (Group D) 25 patients | p-value |
---|---|---|---|---|---|---|
Risk factors | Ā | Ā | Ā | Ā | Ā | Ā |
Age, mean(Ā±SD) | 61.1(14.1) | 64.9(19.5) | 0.20 | 59.4(14.9) | 67.1(14.7) | 0.01 |
Males, no. (%) | 52(82.5) | 11(73.3) | 0.21 | 45(84.9) | 18(72.0) | 0.09 |
Diabetes, no. (%) [1]* | 11(17.5) | 2(14.3) | 0.39 | 3(5.7) | 10(41.7) | <0.01 |
Hypertension, no. (%) [1] | 32(50.8) | 7(50.0) | 0.48 | 27(50.9) | 12(50.0) | 0.46 |
Hyperlipidaemia, no. (%) [11] | 25(46.3) | 3(23.1) | 0.07 | 19(41.3) | 9(42.9) | 0.45 |
History of IHD, no. (%) [2] | 17(27.4) | 3(21.4) | 0.33 | 15(28.8) | 5(20.8) | 0.23 |
Serum creatinine Ī¼mol/L, median(IQR) | 102(86ā115) | 125(113ā161) | <0.01 | 100(84ā114) | 119(107ā142) | <0.01 |
GFR ml/min, median(IQR) | 63(52ā78) | 46(37ā54) | <0.01 | 66(55ā81) | 50(42ā60) | <0.01 |
History of smoking, no. (%) [19] | 41(80.4) | 6(75.0) | 0.37 | 34(79.1) | 13(81.3) | 0.42 |
Peri cardiac arrest factors | Ā | Ā | Ā | Ā | Ā | Ā |
Time, min to first hospital, median(IQR) [16] | 52(40ā61) | 70(51ā80) | <0.01 | 50(40ā60) | 63(50ā73) | 0.02 |
Time, hrs to TPCH, median(IQR) | 3.9(1.0 -9.3) | 4.0(1.9ā6.9) | 0.14 | 5.75(1.05ā11.8) | 1.25(1ā4) | <0.01 |
History of chest pain, no. (%) [3] | 21(33.9) | 4(30.8) | 0.42 | 16(31.4) | 9(37.5) | 0.30 |
Time to ROSC in min, median(IQR) [11] | 15(10ā25) | 22.5(15ā29) | 0.36 | 13.5(10ā22.2) | 20(15ā35) | 0.01 |
Treated at a peripheral hospital, no. (%) | 35(55.6) | 11(73.3) | 0.12 | 35(66.0) | 11(44.0) | 0.03 |
ECG factors | Ā | Ā | Ā | Ā | Ā | Ā |
Initial rhythm VF/VT, no. (%) | 56(88.9) | 9(60.0) | <0.01 | 47(88.7) | 18(72.0) | 0.03 |
ST elevation, no. (%) | 30(47.6) | 2(13.3) | <0.01 | 21(39.6) | 11(44.0) | 0.36 |
QTc in milliseconds, mean(Ā±SD) [2] | 453(46) | 464(51) | 0.23 | 454(48.4) | 457(43.4) | 0.42 |
Assessments and tests | Ā | Ā | Ā | Ā | Ā | Ā |
GCS by paramedics, mean(Ā±SD) [2] | 5.4(4.7) | 3.0(0) | 0.03 | 5.84(5.06) | 3.12(0.6) | <0.01 |
CCF in ED, no. (%) | 9(14.3) | 2(13.3) | 0.46 | 5(9.4) | 6(24.0) | 0.04 |
First measured LVEF, mean(Ā±SD) [6] | 37.7(17.2) | 36.7(21.6) | 0.43 | 39.2(18.2) | 33.5(16.8) | 0.11 |
Initial serum K mmol/L, mean(Ā±SD) | 3.9(0.7) | 4.2(0.6) | 0.06 | 3.9(0.7) | 4.0(0.7) | 0.20 |
Initial serum Mg mmol/l, mean(Ā±SD) [5] | 1.0(0.3) | 1.0(0.5) | 0.49 | 1.0(0.3) | 1.1(0.6) | 0.06 |
Peak CK in IU/L, median(IQR) [9] | 1440(524ā3562) | 1810(1070ā4050) | 0.15 | 1440(544ā3442) | 1810(613ā3870) | 0.37 |
Peak Troponin I in Ī¼mol/L, median(IQR) [5] | 20(4ā71) | 9(1ā35) | 0.20 | 15(5ā56) | 32(1ā75) | 0.42 |
Treatments | Ā | Ā | Ā | Ā | Ā | Ā |
Use of inotropes, no. (%) | 27(42.9) | 8(52.3) | 0.24 | 20(37.7) | 15(60.0) | 0.03 |
Heparin/Enoxaparin, no. (%) [1] | 59(93.7) | 14(100) | 0.34 | 51(96.2) | 22(91.7) | 0.21 |
Aspirin, no. (%) [1] | 62(98.4) | 11(78.6) | <0.01 | 52(98.1) | 21(87.5) | 0.03 |
Clopidogrel, no. (%) [1] | 50(79.4) | 3(21.4) | <0.01 | 37(69.8) | 16(66.7) | 0.39 |
Balloon pump, no. (%) | 20(31.7) | 2(13.3) | 0.08 | 15(28.3) | 7(28.0) | 0.49 |
ICU stay in days, median(IQR) | 4(2ā6) | 4(2ā5.5) | 0.36 | 4(2ā6) | 4(2ā4) | 0.15 |
Coronary angiogram at any time, no. (%) | N/A | N/A | N/A | 47(88.7) | 16(64.0) | <0.01 |
Initially presenting to TPCH | Ā | Ā | Ā | 18 patients | 14 patients | Ā |
Emergent coronary angiogram, no. (%) | Ā | Ā | Ā | 11(61.1) | 11(78.6) | 0.15 |
Coronary angiogram at any time, no. (%) | Ā | Ā | Ā | 16(88.9) | 12(85.7) | 0.40 |
Outcomes | Ā | Ā | Ā | Ā | Ā | Ā |
OOHCA caused by AMI, no. (%) | 45(71.4) | 6(40.0) | 0.01 | Ā | Ā | Ā |
Survived to discharge, no. (%) | 47(74.6) | 6(40.0) | <0.01 | Ā | Ā | Ā |
Neurological deficit, no. (%) | 7(11.1) | 0(0.0) | 0.09 | Ā | Ā | Ā |
Neurological deficit in survivors, no. (%) | 7/47(14.9) | 0/6(0.0) | 0.16 | Ā | Ā | Ā |