Point-of-care testing in out-of-hospital cardiac arrest : a retrospective analysis of relevance and consequences
| Autor: | Willi Schmidbauer, Susanne Betz, Birgit Ploeger, Tobias Gruebl, Clemens Kill, Markus M. Mueller, Erich Wranze-Bielefeld |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Resuscitation Point-of-care testing Medizin Critical Care and Intensive Care Medicine Out of hospital cardiac arrest POCT Blood gas analysis Hyperkalaemia medicine Humans Retrospective Studies Original Research Hypokalaemia Out-of-hospital cardiac arrest business.industry RC86-88.9 Incidence (epidemiology) Retrospective cohort study Metabolic acidosis Medical emergencies. Critical care. Intensive care. First aid Venous blood medicine.disease Cardiopulmonary Resuscitation Point-of-Care Testing Point-of-care-testing Emergency medicine Emergency Medicine OHCA Arterial blood business Emergency Service Hospital H’s and T’s |
| Zdroj: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 29, Iss 1, Pp 1-10 (2021) |
| Popis: | Background Metabolic and electrolyte imbalances are some of the reversible causes of cardiac arrest and can be diagnosed even in the pre-hospital setting with a mobile analyser for point-of-care testing (POCT). Methods We conducted a retrospective observational study, which included analysing all pre-hospital resuscitations in the study region between October 2015 and December 2016. A mobile POCT analyser (Alere epoc®) was available at the scene of each resuscitation. We analysed the frequency of use of POCT, the incidence of pathological findings, the specific interventions based on POCT as well as every patient’s eventual outcome. Results N = 263 pre-hospital resuscitations were included and in n = 98 of them, the POCT analyser was used. Of these measurements, 64% were performed using venous blood and 36% using arterial blood. The results of POCT showed that 63% of tested patients had severe metabolic acidosis (pH 6.0 mmol/l/ p = 0.07). Overall, 21% of patients survived to hospital discharge (POCT 30% vs no POCT 16%, p = 0.01, Φ = 0.16). Conclusions Using a POCT analyser in pre-hospital resuscitation allows rapid detection of pathological acid–base imbalances and potassium concentrations and often leads to specific interventions on scene and could improve the probability of survival. |
| Databáze: | OpenAIRE |
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