Cardiac arrest & resuscitation

Acute liver failure after out-of-hospital cardiac arrest: An observational study

ResuscitationPublished Retrospective cohort study

Authors' conclusion

ALF occurred frequently after OHCA and, unlike HH, was independently associated with day 28 mortality.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) patients admitted to two ICUs, 2007–2017
Participants
418 patients
Exposure
Acute liver failure (ALF) vs no ALF at admission after OHCA
  • ALFn = 67
Outcome
Mortality (association of ALF with death)
Follow-up
Day 28
Methodological detailstwo ICUs
  • Two ICUs

Main finding

As reported in the abstract

Day 28 mortality

Overall day 28 deaths

337

80.6%

Observational data: associations, not effects.

Further findings

Frequency of ALF and hypoxic hepatitis (HH) at admission

ALF
67 (16.0%)
HH
61 (14.6%)

Indocyanine green (ICG) clearance impairment and correlation with prothrombin time (PT) ratio (CYRUS trial subset)

ICG clearance impaired (of 22 patients)
17 (77.3%)
PT ratio correlation with ICG clearance
r = −0.66, p < 0.01
  • PT ratio the only static liver function test correlating significantly

Original publication

Acute liver failure after out-of-hospital cardiac arrest: An observational study. Resuscitation. Published 8 February 2024. doi:10.1016/j.resuscitation.2024.110136

Composed by AI from the published abstract and checked against it. How Briefs are made →

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