Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest
Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Aufderheide, Tom P. [verfasserIn] Engel, Thomas W. [verfasserIn] Saleh, Hadi O. [verfasserIn] Gutterman, David D. [verfasserIn] Weston, Benjamin W. [verfasserIn] Pepe, Paul E. [verfasserIn] Baker, John E. [verfasserIn] Labinski, Jacob [verfasserIn] Debaty, Guillaume [verfasserIn] Tang, Lujia [verfasserIn] Szabo, Aniko [verfasserIn] Kalra, Rajat [verfasserIn] Yannopoulos, Demetris [verfasserIn] Colella, M. Riccardo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Resuscitation - Amsterdam [u.a.] : Elsevier Science, 1972, 169, Seite 45-52 |
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| Übergeordnetes Werk: |
volume:169 ; pages:45-52 |
| DOI / URN: |
10.1016/j.resuscitation.2021.10.012 |
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| Katalog-ID: |
ELV007143419 |
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| 024 | 7 | |a 10.1016/j.resuscitation.2021.10.012 |2 doi | |
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| 100 | 1 | |a Aufderheide, Tom P. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
| 264 | 1 | |c 2021 | |
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| 520 | |a Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. | ||
| 650 | 4 | |a Cardiac arrest | |
| 650 | 4 | |a 12-lead electrocardiogram | |
| 650 | 4 | |a Out-of-hospital | |
| 650 | 4 | |a Acute myocardial infarction | |
| 650 | 4 | |a Resuscitation | |
| 650 | 4 | |a Emergency medical services | |
| 700 | 1 | |a Engel, Thomas W. |e verfasserin |4 aut | |
| 700 | 1 | |a Saleh, Hadi O. |e verfasserin |4 aut | |
| 700 | 1 | |a Gutterman, David D. |e verfasserin |4 aut | |
| 700 | 1 | |a Weston, Benjamin W. |e verfasserin |4 aut | |
| 700 | 1 | |a Pepe, Paul E. |e verfasserin |4 aut | |
| 700 | 1 | |a Baker, John E. |e verfasserin |4 aut | |
| 700 | 1 | |a Labinski, Jacob |e verfasserin |4 aut | |
| 700 | 1 | |a Debaty, Guillaume |e verfasserin |4 aut | |
| 700 | 1 | |a Tang, Lujia |e verfasserin |4 aut | |
| 700 | 1 | |a Szabo, Aniko |e verfasserin |4 aut | |
| 700 | 1 | |a Kalra, Rajat |e verfasserin |4 aut | |
| 700 | 1 | |a Yannopoulos, Demetris |e verfasserin |4 aut | |
| 700 | 1 | |a Colella, M. Riccardo |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Resuscitation |d Amsterdam [u.a.] : Elsevier Science, 1972 |g 169, Seite 45-52 |h Online-Ressource |w (DE-627)320488543 |w (DE-600)2010733-X |w (DE-576)099879042 |x 1873-1570 |7 nnns |
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10.1016/j.resuscitation.2021.10.012 doi (DE-627)ELV007143419 (ELSEVIER)S0300-9572(21)00408-1 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Aufderheide, Tom P. verfasserin aut Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services Engel, Thomas W. verfasserin aut Saleh, Hadi O. verfasserin aut Gutterman, David D. verfasserin aut Weston, Benjamin W. verfasserin aut Pepe, Paul E. verfasserin aut Baker, John E. verfasserin aut Labinski, Jacob verfasserin aut Debaty, Guillaume verfasserin aut Tang, Lujia verfasserin aut Szabo, Aniko verfasserin aut Kalra, Rajat verfasserin aut Yannopoulos, Demetris verfasserin aut Colella, M. Riccardo verfasserin aut Enthalten in Resuscitation Amsterdam [u.a.] : Elsevier Science, 1972 169, Seite 45-52 Online-Ressource (DE-627)320488543 (DE-600)2010733-X (DE-576)099879042 1873-1570 nnns volume:169 pages:45-52 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 169 45-52 |
| spelling |
10.1016/j.resuscitation.2021.10.012 doi (DE-627)ELV007143419 (ELSEVIER)S0300-9572(21)00408-1 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Aufderheide, Tom P. verfasserin aut Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services Engel, Thomas W. verfasserin aut Saleh, Hadi O. verfasserin aut Gutterman, David D. verfasserin aut Weston, Benjamin W. verfasserin aut Pepe, Paul E. verfasserin aut Baker, John E. verfasserin aut Labinski, Jacob verfasserin aut Debaty, Guillaume verfasserin aut Tang, Lujia verfasserin aut Szabo, Aniko verfasserin aut Kalra, Rajat verfasserin aut Yannopoulos, Demetris verfasserin aut Colella, M. Riccardo verfasserin aut Enthalten in Resuscitation Amsterdam [u.a.] : Elsevier Science, 1972 169, Seite 45-52 Online-Ressource (DE-627)320488543 (DE-600)2010733-X (DE-576)099879042 1873-1570 nnns volume:169 pages:45-52 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 169 45-52 |
| allfields_unstemmed |
10.1016/j.resuscitation.2021.10.012 doi (DE-627)ELV007143419 (ELSEVIER)S0300-9572(21)00408-1 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Aufderheide, Tom P. verfasserin aut Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services Engel, Thomas W. verfasserin aut Saleh, Hadi O. verfasserin aut Gutterman, David D. verfasserin aut Weston, Benjamin W. verfasserin aut Pepe, Paul E. verfasserin aut Baker, John E. verfasserin aut Labinski, Jacob verfasserin aut Debaty, Guillaume verfasserin aut Tang, Lujia verfasserin aut Szabo, Aniko verfasserin aut Kalra, Rajat verfasserin aut Yannopoulos, Demetris verfasserin aut Colella, M. Riccardo verfasserin aut Enthalten in Resuscitation Amsterdam [u.a.] : Elsevier Science, 1972 169, Seite 45-52 Online-Ressource (DE-627)320488543 (DE-600)2010733-X (DE-576)099879042 1873-1570 nnns volume:169 pages:45-52 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 169 45-52 |
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10.1016/j.resuscitation.2021.10.012 doi (DE-627)ELV007143419 (ELSEVIER)S0300-9572(21)00408-1 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Aufderheide, Tom P. verfasserin aut Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services Engel, Thomas W. verfasserin aut Saleh, Hadi O. verfasserin aut Gutterman, David D. verfasserin aut Weston, Benjamin W. verfasserin aut Pepe, Paul E. verfasserin aut Baker, John E. verfasserin aut Labinski, Jacob verfasserin aut Debaty, Guillaume verfasserin aut Tang, Lujia verfasserin aut Szabo, Aniko verfasserin aut Kalra, Rajat verfasserin aut Yannopoulos, Demetris verfasserin aut Colella, M. Riccardo verfasserin aut Enthalten in Resuscitation Amsterdam [u.a.] : Elsevier Science, 1972 169, Seite 45-52 Online-Ressource (DE-627)320488543 (DE-600)2010733-X (DE-576)099879042 1873-1570 nnns volume:169 pages:45-52 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 169 45-52 |
| allfieldsSound |
10.1016/j.resuscitation.2021.10.012 doi (DE-627)ELV007143419 (ELSEVIER)S0300-9572(21)00408-1 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Aufderheide, Tom P. verfasserin aut Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services Engel, Thomas W. verfasserin aut Saleh, Hadi O. verfasserin aut Gutterman, David D. verfasserin aut Weston, Benjamin W. verfasserin aut Pepe, Paul E. verfasserin aut Baker, John E. verfasserin aut Labinski, Jacob verfasserin aut Debaty, Guillaume verfasserin aut Tang, Lujia verfasserin aut Szabo, Aniko verfasserin aut Kalra, Rajat verfasserin aut Yannopoulos, Demetris verfasserin aut Colella, M. Riccardo verfasserin aut Enthalten in Resuscitation Amsterdam [u.a.] : Elsevier Science, 1972 169, Seite 45-52 Online-Ressource (DE-627)320488543 (DE-600)2010733-X (DE-576)099879042 1873-1570 nnns volume:169 pages:45-52 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 169 45-52 |
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Enthalten in Resuscitation 169, Seite 45-52 volume:169 pages:45-52 |
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Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services |
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Aufderheide, Tom P. @@aut@@ Engel, Thomas W. @@aut@@ Saleh, Hadi O. @@aut@@ Gutterman, David D. @@aut@@ Weston, Benjamin W. @@aut@@ Pepe, Paul E. @@aut@@ Baker, John E. @@aut@@ Labinski, Jacob @@aut@@ Debaty, Guillaume @@aut@@ Tang, Lujia @@aut@@ Szabo, Aniko @@aut@@ Kalra, Rajat @@aut@@ Yannopoulos, Demetris @@aut@@ Colella, M. Riccardo @@aut@@ |
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2021-01-01T00:00:00Z |
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OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. 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Aufderheide, Tom P. |
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Aufderheide, Tom P. ddc 610 bkl 44.80 misc Cardiac arrest misc 12-lead electrocardiogram misc Out-of-hospital misc Acute myocardial infarction misc Resuscitation misc Emergency medical services Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
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610 DE-600 44.80 bkl Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest Cardiac arrest 12-lead electrocardiogram Out-of-hospital Acute myocardial infarction Resuscitation Emergency medical services |
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Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
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Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
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Aufderheide, Tom P. |
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Aufderheide, Tom P. Engel, Thomas W. Saleh, Hadi O. Gutterman, David D. Weston, Benjamin W. Pepe, Paul E. Baker, John E. Labinski, Jacob Debaty, Guillaume Tang, Lujia Szabo, Aniko Kalra, Rajat Yannopoulos, Demetris Colella, M. Riccardo |
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10.1016/j.resuscitation.2021.10.012 |
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change in out-of-hospital 12-lead ecg diagnostic classification following resuscitation from cardiac arrest |
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Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
| abstract |
Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. |
| abstractGer |
Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. |
| abstract_unstemmed |
Introduction: We evaluated the incidence of change in serial 12-lead electrocardiogram (ECG) diagnostic classifications in patients resuscitated from out-of-hospital (OH) cardiac arrest (OHCA) comparing OH to emergency department (ED) ECGs.Methods: This retrospective case series included: 1) adults (≥ 18 years old), 2) resuscitated from OHCA, 3) ≥ 1 OH and 1 ED ECG/patient, and 4) emergency medical services (EMS) transport to the study hospital. OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). The OH STEMI classification changed to a less ischemic (non-STEMI) ED classification in 67% of cases. |
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Change in out-of-hospital 12-lead ECG diagnostic classification following resuscitation from cardiac arrest |
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Engel, Thomas W. Saleh, Hadi O. Gutterman, David D. Weston, Benjamin W. Pepe, Paul E. Baker, John E. Labinski, Jacob Debaty, Guillaume Tang, Lujia Szabo, Aniko Kalra, Rajat Yannopoulos, Demetris Colella, M. Riccardo |
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OH and ED ECGs were classified as: 1) STEMI (ST-segment Elevation Myocardial Infarction), 2) Ischemic, and 3) Non-ischemic. Two ED physicians and one cardiologist independently classified all ECGs, then generated a consensus opinion classification for each ECG based on American Heart Association’s 2018 Expert Consensus criteria. The most ischemic OH ECG classification was compared with the last ED ECG classification.Results: From 7/27/12 to 7/18/19, 176 patients were entered with a mean age of 61.2 ± 16.6 years; 102/176 (58%) were male. Overall, 504 OH and ED 12-lead ECGs were acquired (2.9 ECGs/patient). ECG classification inter-rater reliability kappa score was 0.63 ± 0.02 (substantial agreement). Overall, 86/176 (49%) changed ECG classification from the OH to ED setting; 69/86 (80%) of these ECGs changed from more to less ischemic classifications. Of 49 OH STEMI ECG classifications, 33/49 (67%) changed to a less ischemic (non-STEMI) ED ECG classification.Conclusions: Change in 12-lead ECG classification from OH to ED setting in patients resuscitated from OHCA was common (49%). 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