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dc.contributor.authorWachira Wongtanasarasinen_US
dc.contributor.authorNat Ungrungseesoponen_US
dc.contributor.authorPhichayut Phinyoen_US
dc.date.accessioned2022-10-16T07:03:59Z-
dc.date.available2022-10-16T07:03:59Z-
dc.date.issued2022-06-01en_US
dc.identifier.issn20770383en_US
dc.identifier.other2-s2.0-85130867327en_US
dc.identifier.other10.3390/jcm11113067en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85130867327&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/75979-
dc.description.abstractSince current cardiac arrest guidelines do not address the benefit of blood glucose mea-surement, the ideal ranges and target of blood glucose (BG) levels during cardiac arrest to achieve a better result are warranted. We intended to investigate the associations between intra-arrest BG levels and outcomes of cardiac arrest resuscitation at the emergency department (ED). We conducted a retrospective observational study at a single university hospital. Cardiac arrest patients at the ED between 2017 and 2020 were included. Multivariable logistic regression analysis was performed to examine the associations between intra-arrest BG levels and clinical outcomes. We categorized intra-arrest BG into five groups: <70 mg/dL, 70–99 mg/dL, 100–180 mg/dL, 181–250 mg/dL, and >250 mg/dL. Eight hundred and nineteen patients experienced ED cardiac arrest during the study period. Of all, 385 intra-arrest BG measurements were included in the data analysis. The mean age was 60.4 years. The mean intra-arrest BG level was 171.1 mg/dL, with 64 (16.6%) patients who had intra-arrest BG level below 70 mg/dL and 73 (19.0%) patients who had intra-arrest BG level more than 250 mg/dL. Markedly low (<70 mg/dL) and low (70–99 mg/dL) intra-arrest BG levels were significantly associated with a lower chance of return of spontaneous circulation (ROSC, OR 0.36, 95% CI 0.14–0.99, p = 0.05 and OR 0.33, 95% CI 0.12–0.93, p = 0.04, respectively). For patients who experienced cardiac arrest at the ED, an intra-arrest BG level of less than 100 was inversely correlated with sustained ROSC. Although we could not draw a causal relationship between vari-ables concerning this study design, normalizing intra-arrest BG was shown to result in good clinical outcomes.en_US
dc.subjectMedicineen_US
dc.titleAssociation between Intra-Arrest Blood Glucose Level and Outcomes of Resuscitation at the Emergency Department: A Retrospective Studyen_US
dc.typeJournalen_US
article.title.sourcetitleJournal of Clinical Medicineen_US
article.volume11en_US
article.stream.affiliationsFaculty of Medicine, Chiang Mai Universityen_US
article.stream.affiliationsUC Davis School of Medicineen_US
Appears in Collections:CMUL: Journal Articles

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