Acute cardiac care & resuscitation
Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest
Authors' conclusion
Over three-quarters of patients who survived to the hospital post OHCA and received a chest CT had lung parenchymal or pleural abnormalities, the most common of which were aspiration, pulmonary edema, and consolidation/pneumonia.
Study context
- Population
- Adults with return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA) who underwent head-to-pelvis or dedicated chest computed tomography (CT), 2014–2019
- Participants
- 204 adults
- Outcome
- Incidence of lung parenchymal and pleural abnormalities on CT (composite)
Methodological detailstwo academic hospitals, Median time from 911 call to CT 2.5 (IQR 2.0-3.4) hours, CT scans overread by attending radiologists; findings categorized by predefined criteria
- Two academic hospitals
- Median time from 911 call to CT 2.5 (IQR 2.0-3.4) hours
- CT scans overread by attending radiologists; findings categorized by predefined criteria
Main finding
As reported in the abstract
Abnormal lung parenchyma or pleural findings
Abnormal lung parenchyma or pleural findings
160
78 %
Observational data: associations, not effects.
Further findings
- Longer CPR duration or longer time to successful intubation associated with higher incidence of abnormal lung findings
- Multivariable analyses
Original publication
Lung parenchymal and pleural findings on computed tomography after out-of-hospital cardiac arrest. Resuscitation. Published 28 November 2024. doi:10.
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