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Association of body mass index with clinical outcomes for in-hospital cardiac arrest adult patients following extracorporeal cardiopulmonary resuscitation.

Abstract Obesity might be associated with disturbance of cannulation in situation of extracorporeal cardiopulmonary resuscitation (ECPR). However, limited data are available on obesity in the setting of ECPR. Therefore, we investigated the association between body mass index (BMI) and clinical outcome in patients underwent ECPR.
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Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 28423065
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Association of body mass index with clinical outcomes for in-hospital cardiac
      arrest adult patients following extracorporeal cardiopulmonary resuscitation.
PG  - e0176143
LID - 10.1371/journal.pone.0176143 [doi]
AB  - BACKGROUND: Obesity might be associated with disturbance of cannulation in
      situation of extracorporeal cardiopulmonary resuscitation (ECPR). However,
      limited data are available on obesity in the setting of ECPR. Therefore, we
      investigated the association between body mass index (BMI) and clinical outcome
      in patients underwent ECPR. METHODS: From January 2004 to December 2013,
      in-hospital cardiac arrest patients who had ECPR were enrolled from a
      single-center registry. We divided patients into four group according to BMI
      defined with the WHO classification (underweight, BMI < 18.5, n = 14; normal
      weight, BMI = 18.5-24.9, n = 118; overweight, BMI = 25.0-29.9, n = 53; obese, BMI
      >/= 30, n = 15). The primary outcome was survival to hospital discharge. RESULTS:
      Analysis was carried out for a total of 200 adult patients (39.5% females). Their
      median BMI was 23.20 (interquartile range, 20.93-25.80). The rate of survival to 
      hospital discharge was 31.0%. There was no significant difference in survival to 
      hospital discharge among the four groups (underweight, 35.7%; normal, 31.4%;
      overweight, 30.2%; obese, 26.7%, p = 0.958). Neurologic outcomes (p = 0.85) and
      procedural complications (p = 0.40) were not significantly different among the
      four groups either. SOFA score, initial arrest rhythm, and CPR to extracorporeal 
      membrane oxygenation (ECMO) pump on time were significant predictors for survival
      to discharge, but not BMI. CONCLUSION: BMI was not associated with in-hospital
      mortality who underwent ECPR. Neurologic outcomes at discharge or procedural
      complications following ECPR were not related with BMI either.
FAU - Gil, Eunmi
AU  - Gil E
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
FAU - Na, Soo Jin
AU  - Na SJ
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
FAU - Ryu, Jeong-Am
AU  - Ryu JA
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
FAU - Lee, Dae-Sang
AU  - Lee DS
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
FAU - Chung, Chi Ryang
AU  - Chung CR
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
FAU - Cho, Yang Hyun
AU  - Cho YH
AD  - Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center,
      Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
FAU - Jeon, Kyeongman
AU  - Jeon K
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
AD  - Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung
      Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
FAU - Sung, Kiick
AU  - Sung K
AD  - Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center,
      Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
FAU - Suh, Gee Young
AU  - Suh GY
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
AD  - Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung
      Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
FAU - Yang, Jeong Hoon
AU  - Yang JH
AD  - Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan
      University School of Medicine, Seoul, Republic of Korea.
AD  - Division of Cardiology, Department of Medicine, Samsung Medical Center,
      Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20170419
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
PHST- 2017/01/09 [received]
PHST- 2017/04/05 [accepted]
AID - 10.1371/journal.pone.0176143 [doi]
AID - PONE-D-17-01003 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 19;12(4):e0176143. doi: 10.1371/journal.pone.0176143.
      eCollection 2017.

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