학술논문
Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study
Document Type
Report
Author
Lee, Heekyung; Oh, Jaehoon; Kang, Hyunggoo; Lim, Tae Ho; Ko, Byuk Sung; Choi, Hyuk Joong; Park, Seung Min; Jo, You Hwan; Lee, Jong Suk; Park, Yoo Seok; Yoon, Young-Hoon; Kim, Su Jin; Min, Young-Gi; Kim, Do Kyun; Han, Sang Kuk; Choi, Phil Cho; Park, Sang O.; Won, Jong; Sung, Han; Choi, Sung Hyuk; Sim, Min Seob; Lee, Gun Tak; Ahn, Shin; Shin, Jong Whan; Park, Sang Hyun; Park, Keun Hong; Park, In Cheol; Kong, Tae Young; Lee, Kyoung Won; Kim, Chu Hyun; Cho, Youngsuk; Kang, Gu Hyun; Jang, Yong Soo; Yeom, Seok Ran; Han, Sang Kyoon; Lee, Jae Hoon; Park, Jeong Bae; Ryoo, Hyun Wook; Lee, Kyung Woo; Jang, Tae Chang; Woo, Jae-hyug; Lee, Woon Jeong; Woo, Seon Hee; Yun, Sung Hyun; Cho, Tae Jin; Kim, Sun Pyo; Park, Yong Jin; Lee, Jin Woong; Jeong, Wonjoon; Park, Sung Soo; Lee, Jae Kwang; Ahn, Ryeok; Choi, Wook Jin; Min, Young Gi; Park, Eun Jung; Kim, Joong Hee; Kim, In Byung; Ahn, Ki Ok; Cho, Han Jin; Lee, Seung Cheol; Lee, Sang Hun; Kim, Young Sik; Ha, Young Rock; Park, Jin Sik; Lee, Myoung Woo; Wi, Dai Han; Ha, Sang Ook; Yang, Won Seok; Kim, Ok Jun; Chung, Tae Nyoung; Wang, Soon Joo; Park, Hang A.; Cho, Jun Hwi; Park, Chan Woo; Eob, An Mu; Lee, Tae Hun; Kim, Sang Chul; Kim, Hoon; Choi, Han Joo; Koh, Chan Young; Lee, Jung Won; Lee, Dong Wook; Jung, Tae Oh.; Yoon, Jae Chol; Choi, Dai Hai; Choi, Jung Tae; Jeong, Jin Hee; Lee, Soo Hoon; Ryu, Ji Ho; Park, Maeng Real; Kim, Won; Song, Sung Wook; Kim, Woo Jung; Kwon, Joon-myoung; Kang, Eui Hyuk; Jin, Sang Chan; Kim, Tae-kwon; Kim, Seong Chun; Hwang, Sung Oh.; Do Shin, Sang; Yang, Hyuk Jun; Chung, Sung Phil; Lee, Sung Woo; Song, Kyung Jun; Hwang, Seung Sik; Cho, Gyu Chong; Moon, Sung Woo; Cha, Kyoung Chul; Kim, Won Young; Na, Sang Hoon; Kwack, Young Ho; Kim, Joo Yeong; Park, Jeong Ho; Lee, Sun Young; Kim, Jung Eun
Source
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. January 28, 2021, Vol. 29 Issue 1
Subject
Language
English
ISSN
1757-7241
Abstract
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/m.sup.2), normal weight ([greater than or equai to]18.5 to < 25 kg/m.sup.2), overweight ([greater than or equai to]25 to < 30 kg/m.sup.2), and obese groups ([greater than or equai to]30 kg/m.sup.2) 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. Keywords: Obesity, Body mass index, Out-of-hospital cardiac arrest
Author(s): Heekyung Lee[sup.1] , Jaehoon Oh[sup.1] , Hyunggoo Kang[sup.1] , Tae Ho Lim[sup.1] , Byuk Sung Ko[sup.1] , Hyuk Joong Choi[sup.1] , Seung Min Park[sup.2] , You Hwan Jo[sup.2] , [...]
Author(s): Heekyung Lee[sup.1] , Jaehoon Oh[sup.1] , Hyunggoo Kang[sup.1] , Tae Ho Lim[sup.1] , Byuk Sung Ko[sup.1] , Hyuk Joong Choi[sup.1] , Seung Min Park[sup.2] , You Hwan Jo[sup.2] , [...]