title: Early computed tomography in victims of non-traumatic out-of-hospital cardiac arrest.
abstract: Although early cranial and thoracic computed tomography (CT) is recommended in the early in-hospital treatment of victims of out-of-hospital cardiac arrest (OHCA), hardly anything is known regarding the proportions of therapy-relevant findings with this method. Victims of OHCA who were admitted to our hospital between January 1, 2008 and December 31, 2014 were studied. CT was classified as early if performed within the first 4 h following hospital admission. There were 32 (12.7 %) cranial, 31 (12.3 %) thoracic and 15 (6.0 %) abdominal CT. The major findings and associated number of patients were: intracranial bleeding in two patients (0.8 %), acute cerebral ischemia in two (0.8 %), cerebral oedema in four (1.6 %), pulmonary emboli in three (1.2 %), hemothorax in two (0.8 %), tracheal rupture in one (0.4 %), pneumonia in 11 (4.4 %), paralytic ileus in one (0.4 %), ascites in three (1.2 %), pneumoperitoneum in one (0.4 %), acute cholecystitis in two (0.8 %), mesenteric vascular occlusion in one (0.4 %) and ruptured abdominal aortic aneurysm in one (0.4 %). In victims of OHCA, early diagnostic CT provides therapy-relevant findings in a high proportion (42.3 %) of patients examined.
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany. martin.christ@marienhospital-herne.de.
authors.forename: Martin
authors.initials: M
authors.lastname: Christ
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany.
authors.forename: Katharina Isabel
authors.initials: KI
authors.lastname: von Auenmueller
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany.
authors.forename: Jan Peter
authors.initials: JP
authors.lastname: Noelke
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Sasko
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany.
authors.forename: Scharbanu
authors.initials: S
authors.lastname: Amirie
authors.affiliation: Department of Cardiology and Angiology, Marienhospital Herne, Ruhr-University Bochum, Hoelkeskampring 40, 44625, Herne, Germany.
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Trappe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058687:Out-of-Hospital Cardiac Arrest / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Computed tomography; Out-of-hospital cardiac arrest; Post-resuscitation treatment; Resuscitation