Cardiac arrest & resuscitation
Diagnostic yield of computed tomography after non-traumatic out-of-hospital cardiac arrest
Authors' conclusion
CT identifies clinically important pathology after OHCA.
Study context
- Population
- Non-traumatic out-of-hospital cardiac arrest (OHCA) patients treated at a single centre, February 2019 to February 2021
- Participants
- 480 / 230 / 410 / 363
- Exposure
- Computed tomography (CT) head vs Cervical spine CT vs Chest CT vs Abdomen and pelvis CT
- CT headn = 480
- Cervical spine CTn = 230
- Chest CTn = 410
- Abdomen and pelvis CTn = 363
- Outcome
- Frequency of clinically important findings on CT after OHCA
- Follow-up
- Within 24 hours of ED arrival
Methodological detailssingle-centre, descriptive
- Single-centre
- Descriptive
Main finding
As reported in the abstract
Clinically important CT findings
| Group | Value | Intracranial hemorrhage | Cerebral edema | Acute vertebral fractures | Rib or sternal fractures | Pneumothorax | Aspiration or pneumonia | Mediastinal hematoma | PE | Bowel ischemia | Solid organ laceration |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CT head | 80.4% | 36 (7.5%) | 161 (33.5%) | ||||||||
| Cervical spine CT | 38.5% | 4 (1.7%) | |||||||||
| Chest CT | 68.7% | 227, 55.4% | 27, 6.6% | 309, 75.4% | 18, 4.4% | 6, 3.7% | |||||
| Abdomen and pelvis CT | 60.8% | 24, 6.6% | 7, 1.9% |
Value
CT head80.4%
Cervical spine CT38.5%
Chest CT68.7%
Abdomen and pelvis CT60.8%
Intracranial hemorrhage
CT head36 (7.5%)
Cervical spine CT— not stated in the abstract
Chest CT— not stated in the abstract
Abdomen and pelvis CT— not stated in the abstract
Cerebral edema
CT head161 (33.5%)
Cervical spine CT— not stated in the abstract
Chest CT— not stated in the abstract
Abdomen and pelvis CT— not stated in the abstract
Acute vertebral fractures
CT head— not stated in the abstract
Cervical spine CT4 (1.7%)
Chest CT— not stated in the abstract
Abdomen and pelvis CT— not stated in the abstract
Rib or sternal fractures
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT227, 55.4%
Abdomen and pelvis CT— not stated in the abstract
Pneumothorax
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT27, 6.6%
Abdomen and pelvis CT— not stated in the abstract
Aspiration or pneumonia
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT309, 75.4%
Abdomen and pelvis CT— not stated in the abstract
Mediastinal hematoma
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT18, 4.4%
Abdomen and pelvis CT— not stated in the abstract
PE
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT6, 3.7%
Abdomen and pelvis CT— not stated in the abstract
Bowel ischemia
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT— not stated in the abstract
Abdomen and pelvis CT24, 6.6%
Solid organ laceration
CT head— not stated in the abstract
Cervical spine CT— not stated in the abstract
Chest CT— not stated in the abstract
Abdomen and pelvis CT7, 1.9%
Observational data: associations, not effects.
Further findings
Time to CT
- Time to CT, hours [2.8-5.7]
- 4.1
Time from emergency department (ED) arrival to catheterization, CT deferred vs CT (post hoc)
- Most subjects with CT deferred were awake and had shorter time to catheterization
- Post hoc
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Diagnostic yield of computed tomography after non-traumatic out-of-hospital cardiac arrest. Resuscitation. Published 6 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →