Table 1 Baseline demographic data and cardiopulmonary resuscitation factors.
Characteristic | Overall cohort (n = 206) | HSI-absence group (n = 98) | HSI-presence group (n = 108) | P-valuea | Good neurological outcome (n = 74) | Poor neurological outcome (n = 132) | P-valuea |
---|---|---|---|---|---|---|---|
Age, median (IQR), y | 58.0 (41.0–69.0) | 55.0 (38.8–68.3) | 59.5 (42.3–69.0) | 0.28 | 57.0 (43.8–69.3) | 58.0 (41.0–68.0) | 0.93 |
Sex | |||||||
Female, n (%) | 54 (26.2) | 23 (23.5) | 31 (28.7) | 0.40 | 14 (18.9) | 40 (30.3) | 0.08 |
Male, n (%) | 123 (73.8) | 75 (76.5) | 77 (71.3) | 60 (81.1) | 92 (69.7) | ||
CCI score, median (IQR) | 2.0 (0–4.0) | 1.5 (0–4.0) | 2.0 (0.3–4.0) | 0.43 | 2.0 (0–4.0) | 2.0 (0–3.0) | 0.75 |
CPR factors | |||||||
Witness, n (%) | 123 (59.7) | 72 (73.5) | 51 (47.2) | < 0.001 | 60 (81.1) | 63 (47.7) | < 0.001 |
Bystander CPR, n (%) | 148 (71.8) | 80 (81.6) | 68 (63.0) | 0.003 | 66 (89.2) | 82 (62.1) | < 0.001 |
Shockable rhythm, n (%) | 58 (28.2) | 46 (46.9) | 12 (11.1) | < 0.001 | 42 (56.8) | 16 (12.1) | < 0.001 |
Cardiac etiology, n (%) | 60 (29.1) | 46 (46.9) | 14 (13.0) | < 0.001 | 41 (55.4) | 19 (14.4) | < 0.001 |
Low-flow time, median (IQR), min | 24.0 (13.8–35.3) | 15.0 (8.0–21.3) | 32.5 (25.0–43.0) | < 0.001 | 13.5 (6.8–19.3) | 30.0 (22.3–40.0) | < 0.001 |
Laboratory results after ROSC, median (IQR) | |||||||
Serum lactic acid level, mmol/L | 9.8 (6.2–13.4) | 7.4 (5.1–10.6) | 11.0 (7.2–14.4) | < 0.001 | 7.40 (4.3–10.8) | 10.8 (6.9–14.1) | < 0.001 |
Time to target temperature | 5.0 (4.0–7.0) | 5.5 (4.3–6.9) | 5.0 (4.0–7.0) | 0.34 | 5.3 (4.3–7.3) | 5.0 (4.0–6.7) | 0.33 |
ROSC to DW-MRI scan-interval, median (IQR), h | 2.7 (1.8–3.8) | 2.3 (1.7–3.6) | 2.9 (2.0–4.1) | 0.04 | 2.5 (1.7–3.6) | 2.8 (2.0–4.0) | 0.39 |
Ultra-early DW-MRI, n (%) | |||||||
HSI-presence on DW-MRI, n (%) | 108 (52.4) | 0 | 108 (81.8) | < 0.001 | |||
Diffuse and extensive anoxic injury, n (%) | 80 (38.8) | 0 | 80 (74.1) | < 0.001 | 0 | 80 (60.6) | < 0.001 |
72–96 h DW-MRI, n (%) | 168 (81.6) | 94 (95.9) | 74 (68.5) | 71 (95.9) | 97 (73.5) | ||
Diffuse and extensive anoxic injury, n (%) | 92 (44.7) | 19 (19.4) | 74 (100.0) | < 0.001 | 0 | 92 (94.8) | < 0.001 |
Poor neurological outcome, n (%) | 132 (64.1) | 24 (24.5) | 108 (100.0) | < 0.001 | |||
WLST after 72 h from ROSC | 8 (3.9) | 0 | 8 (7.4) | 0 | 8 (6.0) | ||
Diffuse and extensive anoxic injury in 72–96 h DW-MRI, n (%) | 8 (100.0) |