Correlation of prognosis and cost-effectiveness of computed tomography for out-of-hospital cardiac arrest patients with return of spontaneous circulation in the Emergency Department

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dc.contributor.authorKorkmaz, Tanzer
dc.contributor.authorSener, Asli
dc.contributor.authorDegerli, Vermi
dc.date.accessioned2023-03-22T19:47:23Z
dc.date.available2023-03-22T19:47:23Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractObjective: To assess the prevalence of computed tomography application in out-of-hospital cardiac arrest cases during emergency department processes, its contribution to changes in patient management, and effects on hospital discharge, and its cost-effectiveness. Method: The retrospective study was conducted at the Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turkey, and comprised data of adult out-of-hospital cardiac arrest patients who were brought to the emergency department and survived for at least 24 hours between June 21, 2016, and December 31, 2018. Demographic variables and computed tomography results were collected and analysed. Abnormalities found in computed tomography results that could have changed patient management, discharge results, and the cost of the computed tomography were recorded. Results: Of the 109 patients, 65(59.6%) were men with a mean age of 62.1 +/- 14.2 years (range: 28-95 years), and the mean age of the 44(40.3%) female patients was 69.2 +/- 15.8 years (range: 18-96 years). Overall, 74(67.9%) patients underwent computed tomography in the emergency department after resuscitation. Acute abnormalities were found in 4(3.6%) scans, and 3(2.7%) abnormal scans resulted in management changes. Conclusion: Computed tomography of out-of-hospital cardiac arrest patients in the emergency department should not be a matter of routine, and the scan, if necessary, should be done post-admission.en_US
dc.identifier.doi10.47391/JPMA.3208
dc.identifier.endpage1512en_US
dc.identifier.issn0030-9982
dc.identifier.issue8en_US
dc.identifier.pmid36280910en_US
dc.identifier.scopus2-s2.0-85135887517en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage1507en_US
dc.identifier.urihttps://doi.org/10.47391/JPMA.3208
dc.identifier.urihttps://hdl.handle.net/20.500.14034/675
dc.identifier.volume72en_US
dc.identifier.wosWOS:000834063900008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPakistan Medical Assocen_US
dc.relation.journalJournal Of The Pakistan Medical Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOut-of-hospital cardiac arresten_US
dc.subjectReturn of spontaneous circulationen_US
dc.subjectComputed tomographyen_US
dc.subjectEmergency medicineen_US
dc.subjectResuscitationen_US
dc.subjectCareen_US
dc.subjectCten_US
dc.subjectGuidelinesen_US
dc.subjectManagementen_US
dc.subjectMortalityen_US
dc.subjectTraumaen_US
dc.titleCorrelation of prognosis and cost-effectiveness of computed tomography for out-of-hospital cardiac arrest patients with return of spontaneous circulation in the Emergency Departmenten_US
dc.typeArticleen_US

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