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Little is known about the long-term neurological outcomes after in-hospital cardiac arrest (IHCA). It is also not known whether withdrawal of life-sustaining measures will influence rates of survivors with poor neurological status. Currently, withdrawal of care in comatose patients after cardiac arrest is strongly forbidden by law in Korea. However, a new legislation on allowing withdrawal of care will come into effect since early 2018 in Korea. The investigators aim to determine 1) long-term neurological outcomes in patients who developed IHCA, 2) whether early neurological status can predict late neurological status after IHCA, and 3) whether the proportion of IHCA survivors with good neurological outcomes will change since implementation of new legislation on withdrawal of care.
<The schedule of assessment>
<Cerebral Performance Category(CPC) score>
<Acronyms>
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before Period | Patients who developed in-hosptial cardiac arrest before the implementation of new legislation on life-sustaining treatments | ||
| After Period | Patients who developed in-hosptial cardiac arrest after the implementation of new legislation on life-sustaining treatments |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention | Other | No intervention will be needed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cerebral Performance Category(CPC) score of 1-2 | CPC score is the most universal index to assess neurological outcome following cardiac arrest. CPC score is classified according to the point. Good neurological outcome is defined as CPC 1-2 and poor is CPC 3-5. CPC score will be evaluated by neurological examination and the results of other exam.
| 12 month after In-Hospital Cardiac Arrest(IHCA) |
| Measure | Description | Time Frame |
|---|---|---|
| CPC score | CPC score is the most universal index to assess neurological outcome following cardiac arrest. CPC score is classified according to the point. Good neurological outcome is defined as CPC 1-2 and poor is CPC 3-5. CPC score will be evaluated by neurological examination and the results of other exam.
|
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Inclusion Criteria:
Exclusion Criteria:
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The patient who experienced In-hospital cardiac arrest(IHCA) in Asan Medical Center.
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| Name | Affiliation | Role |
|---|---|---|
| Sang-Beom Jeon, Master | Asan Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Seoul | Songpa-gu | 05505 | South Korea |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Day 7, day 14, day 21, day 28, 3 month, 6 month, and 12 month after IHCA |
| Mortality | A measure of the number of deaths in a particular population | Day 0-28, 3 month, 6 month, and 12 month after IHCA |
| Awakening | Following commands | Day 0-28 after IHCA |
| Neurological recovery | CPC of 1 | Day 0-28 after IHCA |