Renal function and clinical outcomes in survivors of out-of-hospital cardiac arrest

Bibliographic Details
Title: Renal function and clinical outcomes in survivors of out-of-hospital cardiac arrest
Authors: Hao-Wei Lee, Ming-Jen Kuo, Pai-Feng Hsu, I-Hsin Lee, Chih-Yu Yang, Teh-Fu Hsu, Chorng-Kuang How, Yenn-Jiang Lin, Chin-Chou Huang
Source: Resuscitation Plus, Vol 22, Iss , Pp 100881- (2025)
Publisher Information: Elsevier, 2025.
Publication Year: 2025
Collection: LCC:Specialties of internal medicine
Subject Terms: Acute kidney injury, End-stage renal disease, Out-of-hospital cardiac arrest, Renal function, Specialties of internal medicine, RC581-951
More Details: Background: Comprehensive studies about renal-function changes in the context of out-of-hospital cardiac arrest (OHCA) have been lacking. Therefore, we investigated the impact of renal function on clinical outcomes among patients with OHCA. Method: This retrospective cohort study enrolled consecutive patients with OHCA between June 2017 and December 2021. Acute kidney injury (AKI) was defined based on the “Kidney Disease: Improving Global Outcomes (KDIGO)” guidelines. AKI recovery was defined as a decrease in serum creatinine below the level determined in the definition of AKI. Clinical outcomes included neurological outcomes and all-cause mortality. Result: A total of 258 patients were enrolled, including 35 patients with underlying end-stage renal disease (ESRD). Among patients without ESRD, 82.5% developed AKI, of which 31.0% achieved AKI recovery, while 61.0% were discharged with impaired renal function. Multivariable analysis using regression models revealed that unfavorable neurological outcomes at discharge and higher mortality at 2 years were associated with AKI (odds ratio [OR] 7.684, 95% confidence interval (CI) 2.683–22.010, P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2666-5204
Relation: http://www.sciencedirect.com/science/article/pii/S2666520425000189; https://doaj.org/toc/2666-5204
DOI: 10.1016/j.resplu.2025.100881
Access URL: https://doaj.org/article/b61cee27f1554bab8f74d295d1d72ed5
Accession Number: edsdoj.b61cee27f1554bab8f74d295d1d72ed5
Database: Directory of Open Access Journals
More Details
ISSN:26665204
DOI:10.1016/j.resplu.2025.100881
Published in:Resuscitation Plus
Language:English