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Table 1 Patient characteristics before- and after inclusion

From: Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial

 

Treatment group

Placebo, N = 58

Methylprednisolone, N = 56

p value

Before inclusion

Demographic characteristics

 Age, years, median (IQR)

67 (57, 75)

66 (58, 72)

0.7

 Male, n (%)

45 (78%)

45 (80%)

0.7

 Ischemic heart disease, n (%)

15 (26%)

9 (16%)

0.2

 Heart failure, n (%)

10 (17%)

14 (25%)

0.4

 Atrial fibrillation, n (%)

11 (19%)

7 (12%)

0.4

Prehospital variables

 Witnessed arrest, n (%)

53 (91%)

45 (80%)

0.09

 Bystander CPR, n (%)

49 (84%)

50 (89%)

0.4

 Epinephrine administered, n (%)

28 (48%)

39 (70%)

0.02

 Amiodarone administered, n (%)

14 (24%)

27 (48%)

0.007

 Time to ROSC, min, median (IQR)

14 (10, 20)

18 (15, 21)

0.02

Post-resuscitation ECG rhythm, n (%)

  

0.4

 Sinus rhythm

44 (76%)

40 (71%)

 

 Atrial fibrillation

12 (21%)

10 (18%)

 

 Other*

2 (3%)

6 (11%)

 

Post-resuscitation ECG, signs of ischemia, n (%)

  

0.2

 STEMI

24 (41%)

24 (43%)

 

 LBBB or RBBB

19 (33%)

15 (27%)

 

 Unspecific ischemia†

7 (12%)

2 (4%)

 

 No ischemia

8 (14%)

15 (27%)

 

After inclusion, in-hospital

Hospital arrival characteristics

 LVEF at arrival, (%), median (IQR)

38 (25, 45)

40 (29, 50)

0.6

 Lactate at arrival, mmol/L, median (IQR)

4.6 (2.8, 6.8)

5.3 (3.6, 6.8)

0.3

 Cardiogenic shock at arrival, n (%)

6 (10%)

2 (4%)

0.3

 Acute CAG, n (%)

38 (66%)

31 (55%)

0.3

 Acute PCI, n (%)

22 (58%)

18 (60%)

0.9

During admission

 ICU length of stay, days, median (IQR)

5.1 (2.6, 7.6)

4.1 (2.1, 6.5)

0.5

 Ventilator, days, median (IQR)

2.7 (1.3, 4.3)

1.9 (1.0, 3.5)

0.2

 Best LVEF in the ICU, (%), median (IQR)

40 (30, 50)

45 (35, 50)

0.4

 Day 1, SOFA cardiovascular score, median (IQR)

4.0 (3.0, 4.0)

4.0 (3.0, 4.0)

0.2

 Day 2, SOFA cardiovascular score, median (IQR)

4.0 (3.0, 4.0)

3.0 (3.0, 4.0)

0.01

 Day 3, SOFA cardiovascular score, median (IQR)

3.0 (0.0, 3.3)

0.0 (0.0, 3.0)

0.009

 Day 1, SOFA total score, median (IQR)

12.0 (11.0, 13.0)

12.0 (11.0, 13.0)

0.6

 Day 2, SOFA total score, median (IQR)

11.5 (8.8, 12.3)

11.0 (9.5, 12.0)

0.3

 Day 3, SOFA total score, median (IQR)

8.0 (5.2, 11.0)

7.5 (4.2, 10.0)

0.3

 Death before hospital discharge, n (%)

21 (36%)

14 (25%)

0.2

 Death from any cause at 180 days, n (%)

22 (38%)

15 (27%)

0.2

  1. CAG coronary angiography, CPR cardiopulmonary resuscitation, ECG, electrocardiogram, ICU intensive care unit, IQR interquartile range, LBBB left bundle branch block, LVEF left ventricular ejection fraction, PCI percutaneous coronary intervention, RBBB right bundle branch block, ROSC return of spontaneous circulation, SOFA sequential organ failure assessment, STEMI ST-elevation myocardial infarction
  2. *Including pace rhythm, nodal rhythm, and sinus bradycardia
  3. †Non-specific ST-segment depression/elevation or T-wave changes