A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department

Purpose. At present, not enough is known about the symptoms before cardiac arrest. The purpose of this study is to describe the precursor symptoms of cardiac arrest, focusing on the relationship between symptoms and cardiac arrest, and to establish a quick scoring model of symptoms for predicting ca...

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Main Authors: Yaoke Xu, Hua Zhang, Zongxuan Zhao, Kaifeng Wen, Ci Tian, Qiangrong Zhai, Yi Bai, Shu Li, Hongxia Ge, Xiaodan Li, Qidi Zhou, Qingbian Ma
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2022/6889237
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author Yaoke Xu
Hua Zhang
Zongxuan Zhao
Kaifeng Wen
Ci Tian
Qiangrong Zhai
Yi Bai
Shu Li
Hongxia Ge
Xiaodan Li
Qidi Zhou
Qingbian Ma
author_facet Yaoke Xu
Hua Zhang
Zongxuan Zhao
Kaifeng Wen
Ci Tian
Qiangrong Zhai
Yi Bai
Shu Li
Hongxia Ge
Xiaodan Li
Qidi Zhou
Qingbian Ma
author_sort Yaoke Xu
collection DOAJ
description Purpose. At present, not enough is known about the symptoms before cardiac arrest. The purpose of this study is to describe the precursor symptoms of cardiac arrest, focusing on the relationship between symptoms and cardiac arrest, and to establish a quick scoring model of symptoms for predicting cardiac arrest. Patients and Methods. A retrospective case-control study was carried out on cardiac arrest patients who visited the emergency department of Peking University Third Hospital from January 2018 to June 2019. Symptoms that occurred or were obviously aggravated within the 14 days before CA were defined as warning symptoms. Results. More than half the cardiac arrest patients experienced warning symptoms within 14 days before cardiac arrest. Dyspnea (p<0.001) was found to be associated with cardiac arrest; syncope and cold sweat are other symptoms that may have particular clinical significance. Gender (p<0.001), age (p<0.001), history of heart failure (p=0.006), chronic kidney disease (p=0.011), and hyperlipidemia (p=0.004) were other factors contributing to our model. Conclusions. Warning symptoms during the 14 days prior to cardiac arrest are common for CA patients. The Quick Scoring Model for Cardiac Arrest (QSM-CA) was developed to help emergency physicians and emergency medical services (EMS) personnel quickly identify patients with a high risk of cardiac arrest.
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spelling doaj-art-781fc4d9e2854c9e8786ff710b12e2d22025-02-03T05:58:31ZengWileyEmergency Medicine International2090-28592022-01-01202210.1155/2022/6889237A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency DepartmentYaoke Xu0Hua Zhang1Zongxuan Zhao2Kaifeng Wen3Ci Tian4Qiangrong Zhai5Yi Bai6Shu Li7Hongxia Ge8Xiaodan Li9Qidi Zhou10Qingbian Ma11Emergency DepartmentResearch Center of Clinical EpidemiologyEmergency DepartmentEmergency DepartmentEmergency DepartmentResearch Center of Clinical EpidemiologyResearch Center of Clinical EpidemiologyResearch Center of Clinical EpidemiologyResearch Center of Clinical EpidemiologyEmergency DepartmentEmergency DepartmentEmergency DepartmentPurpose. At present, not enough is known about the symptoms before cardiac arrest. The purpose of this study is to describe the precursor symptoms of cardiac arrest, focusing on the relationship between symptoms and cardiac arrest, and to establish a quick scoring model of symptoms for predicting cardiac arrest. Patients and Methods. A retrospective case-control study was carried out on cardiac arrest patients who visited the emergency department of Peking University Third Hospital from January 2018 to June 2019. Symptoms that occurred or were obviously aggravated within the 14 days before CA were defined as warning symptoms. Results. More than half the cardiac arrest patients experienced warning symptoms within 14 days before cardiac arrest. Dyspnea (p<0.001) was found to be associated with cardiac arrest; syncope and cold sweat are other symptoms that may have particular clinical significance. Gender (p<0.001), age (p<0.001), history of heart failure (p=0.006), chronic kidney disease (p=0.011), and hyperlipidemia (p=0.004) were other factors contributing to our model. Conclusions. Warning symptoms during the 14 days prior to cardiac arrest are common for CA patients. The Quick Scoring Model for Cardiac Arrest (QSM-CA) was developed to help emergency physicians and emergency medical services (EMS) personnel quickly identify patients with a high risk of cardiac arrest.http://dx.doi.org/10.1155/2022/6889237
spellingShingle Yaoke Xu
Hua Zhang
Zongxuan Zhao
Kaifeng Wen
Ci Tian
Qiangrong Zhai
Yi Bai
Shu Li
Hongxia Ge
Xiaodan Li
Qidi Zhou
Qingbian Ma
A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
Emergency Medicine International
title A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
title_full A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
title_fullStr A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
title_full_unstemmed A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
title_short A Retrospective Study: Quick Scoring of Symptoms to Estimate the Risk of Cardiac Arrest in the Emergency Department
title_sort retrospective study quick scoring of symptoms to estimate the risk of cardiac arrest in the emergency department
url http://dx.doi.org/10.1155/2022/6889237
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