Consideration of treatment interventions for patients with subarachnoid hemorrhage following cardiopulmonary arrest

Objective : To evaluate the outcome and appropriateness of treatment for OHCA-SAH (out-of-hospital cardiac arrest caused by subarachnoid hemorrhage) cases transported to our hospital’s emergency medical center. Subjects : 87 cases transported from 2015 to 7 years thereafter. Results : Five cases tha...

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Published inKANTO Journal of Japanese Association for Acute Medicine Vol. 44; no. 4; pp. 283 - 288
Main Authors Ogawa, Futoshi, Kanaya, Takahiro, Shigeta, Kenta, Suzuki, Go, Naoe, Yasutaka
Format Journal Article
LanguageJapanese
Published Japanese Association for Acute Medicine of Kanto 28.12.2023
日本救急医学会関東地方会
Subjects
emergency medical center
prognosis
suitable for treatment
救命救急センター
治療適応
転帰
Online AccessGet full text
ISSN0287-301X
2434-2580
DOI10.24697/jaamkanto.44.4_283

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Abstract Objective : To evaluate the outcome and appropriateness of treatment for OHCA-SAH (out-of-hospital cardiac arrest caused by subarachnoid hemorrhage) cases transported to our hospital’s emergency medical center. Subjects : 87 cases transported from 2015 to 7 years thereafter. Results : Five cases that received treatment survived, and one case had a good outcome. Discussion : Cases with witnesses, bystander CPR, normal pupillary light reflex, and relatively young age had good outcomes. Conclusion : Treatment intervention should be considered for OHCA-SAH cases as good outcomes are possible.
AbstractList Objective : To evaluate the outcome and appropriateness of treatment for OHCA-SAH (out-of-hospital cardiac arrest caused by subarachnoid hemorrhage) cases transported to our hospital’s emergency medical center. Subjects : 87 cases transported from 2015 to 7 years thereafter. Results : Five cases that received treatment survived, and one case had a good outcome. Discussion : Cases with witnesses, bystander CPR, normal pupillary light reflex, and relatively young age had good outcomes. Conclusion : Treatment intervention should be considered for OHCA-SAH cases as good outcomes are possible.
Objective : To evaluate the outcome and appropriateness of treatment for OHCA-SAH (out-of-hospital cardiac arrest caused by subarachnoid hemorrhage) cases transported to our hospital’s emergency medical center. Subjects : 87 cases transported from 2015 to 7 years thereafter. Results : Five cases that received treatment survived, and one case had a good outcome. Discussion : Cases with witnesses, bystander CPR, normal pupillary light reflex, and relatively young age had good outcomes. Conclusion : Treatment intervention should be considered for OHCA-SAH cases as good outcomes are possible. 【目的】院外心停止くも膜下出血症例 (out-of-hospital cardiac arrest caused by subarachnoid hemorrhage ; OHCA-SAH) は非常に転帰不良と報告されている。そこで, 当院救命救急センターに搬送されたOHCA-SAH症例の治療の転帰, 治療の妥当性, 転帰に関与する因子を検討することとした。【対象】2015年11月～2022年7月に当院救命救急センターに搬送されたOHCA-SAH症例の87例を対象とした。【結果】治療介入できたのは5例であった。前方循環2例, 後方循環3例。開頭術3例, 血管内治療2例であった。転帰はmRS 2～4が各1例, mRS 5が2例であった。【考察】OHCA-SAH症例は転帰不良の報告も多く治療適応になることはきわめて少なく, われわれの検討でも治療介入できた症例はわずかであった。対光反射が保たれている症例, 比較的若い症例は転帰良好症例も存在した。【結語】OHCA-SAH症例は転帰不良例が多いが, そのなかでも転帰良好症例はわずかながら存在するので治療介入の検討はすべきと考える。
Author Shigeta, Kenta
Naoe, Yasutaka
Ogawa, Futoshi
Kanaya, Takahiro
Suzuki, Go
Author_FL Shigeta Kenta
直江 康孝
Ogawa Futoshi
Kanaya Takahiro
鈴木 剛
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DocumentTitleAlternate 心肺停止蘇生後くも膜下出血患者の治療介入の検討
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References 4) Miyata K, Mikami T, Asai Y, et al : Subarachnoid hemorrhage after resuscitation from out-of-hospital cardiac arrest. J Stroke Cerebrovasc Dis 2014 ; 23 : 446-452.
1) Wostrack M, Sandow N, Vajkoczy P, et al : Subarachnoid haemorrhage WFNS grade V : is maximal treatment worthwhile? Acta Neurochir (Wien). 2013 ; 155 : 579-586.
3) Toussaint LG 3rd, Friedman JA, Wijdicks EF, et al : Survival of cardiac arrest after aneurysmal subarachnoid hemorrhage. Neurosurgery 2005 ; 57 : 25-31.
2) 池田英敏, 石黒友也, 寺田愛子, 他 : 院外心停止症例を含めたGCS 3-4重症くも膜下出血症例の特徴とその予後, 脳卒中の外　2019 ; 47 : 174-178.
6) Kürkciyan I, Meron G, Sterz F, et al : Spontaneous subarachnoid haemorrhage as a cause of out-of-hospital cardiac arrest. Resuscitation 2001 ; 51 : 27-32.
5) Inamasu J, Nakamura Y, Saito R, et al : Normokalemia and hyperglycemia in subarachnoid hemorrhage patients resuscitated from prehospital cardiopulmonary arrest. Resuscitation 2002 ; 54 : 255-258.
References_xml – reference: 4) Miyata K, Mikami T, Asai Y, et al : Subarachnoid hemorrhage after resuscitation from out-of-hospital cardiac arrest. J Stroke Cerebrovasc Dis 2014 ; 23 : 446-452.
– reference: 5) Inamasu J, Nakamura Y, Saito R, et al : Normokalemia and hyperglycemia in subarachnoid hemorrhage patients resuscitated from prehospital cardiopulmonary arrest. Resuscitation 2002 ; 54 : 255-258.
– reference: 1) Wostrack M, Sandow N, Vajkoczy P, et al : Subarachnoid haemorrhage WFNS grade V : is maximal treatment worthwhile? Acta Neurochir (Wien). 2013 ; 155 : 579-586.
– reference: 6) Kürkciyan I, Meron G, Sterz F, et al : Spontaneous subarachnoid haemorrhage as a cause of out-of-hospital cardiac arrest. Resuscitation 2001 ; 51 : 27-32.
– reference: 2) 池田英敏, 石黒友也, 寺田愛子, 他 : 院外心停止症例を含めたGCS 3-4重症くも膜下出血症例の特徴とその予後, 脳卒中の外　2019 ; 47 : 174-178.
– reference: 3) Toussaint LG 3rd, Friedman JA, Wijdicks EF, et al : Survival of cardiac arrest after aneurysmal subarachnoid hemorrhage. Neurosurgery 2005 ; 57 : 25-31.
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SubjectTerms emergency medical center
prognosis
suitable for treatment
救命救急センター
治療適応
転帰
Title Consideration of treatment interventions for patients with subarachnoid hemorrhage following cardiopulmonary arrest
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