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Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study
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 ou...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842019/ https://www.ncbi.nlm.nih.gov/pubmed/33509251 http://dx.doi.org/10.1186/s13049-021-00837-x |
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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 |
author_facet | 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 |
author_sort | Lee, Heekyung |
collection | PubMed |
description | 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(2)), normal weight (≥18.5 to < 25 kg/m(2)), overweight (≥25 to < 30 kg/m(2)), and obese groups (≥30 kg/m(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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-021-00837-x. |
format | Online Article Text |
id | pubmed-7842019 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78420192021-01-28 Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study 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 Scand J Trauma Resusc Emerg Med Original Research 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(2)), normal weight (≥18.5 to < 25 kg/m(2)), overweight (≥25 to < 30 kg/m(2)), and obese groups (≥30 kg/m(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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-021-00837-x. BioMed Central 2021-01-28 /pmc/articles/PMC7842019/ /pubmed/33509251 http://dx.doi.org/10.1186/s13049-021-00837-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research 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 Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title | Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title_full | Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title_fullStr | Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title_full_unstemmed | Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title_short | Association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
title_sort | association between the body mass index and outcomes of patients resuscitated from out-of-hospital cardiac arrest: a prospective multicentre registry study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7842019/ https://www.ncbi.nlm.nih.gov/pubmed/33509251 http://dx.doi.org/10.1186/s13049-021-00837-x |
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