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Table 1 Data of the OHCA patients

From: Point-of-care testing in out-of-hospital cardiac arrest: a retrospective analysis of relevance and consequences

  Total POCT No POCT  
Source data
n 263 98 (37%)
Arterial 35 (36%)/venous 63 (64%)
165 (63%)  
Mean age (years) 70 (± 13) 69 (± 14) 70 (± 13) p = 0.86
Gender 185 male (70%) 78 female (30%) 73 male (74%) 25 female (26%) 112 male (68%) 53 female (32%) p = 0.26
Mean number patients with known pre-existing diseases 1.3 (± 0.9) 1.2 (± 0.9) 1.3 (± 1.0) p = 0.15
Mean PES 2.57 (± 0.8) 2.5 (± 0.8) 2.6 (± 0.7) p = 0.13
Observed collapse 149 (57%) 61 (62%) 88 (53%) p = 0.20
Initial VF/pVT 69 (26%) 38 (39%) 31 (19%) p < 0.001
Initial Asys/PEA 194 (74%) 60 (61%) 134 (81%) p < 0.001
Cardiac cause suspected 181 (69%) 72 (73%) 109 (66%) p = 0.21
POCT
pH 7.35–7.45   4 (4%)   
pH < 7.35   91 (93%)   
pH < 7.35 + pCO2 > 50 [BE in norm]   2 (2%)   
pH < 7.35 + BE <  − 2 [pCO2 in norm]   13 (13%)   
pH < 7.35 + pCO2 > 50 + BE <  − 2   68 (69%)   
pH < 7.2   77 (79%)   
pH < 7.2 + BE <  − 5 [regardless of CO2]   62 (63%)   
K+  > 5.2/K+  < 3.5 mmol/l   33 (34%)   
K+  > 5.2 mmol/l   22 (23%)   
K+  < 3.5 mmol/l   11 (11%)   
K+  > 6.0/K+  < 2.5 mmol/l   17 (17%)   
K+  > 6.0 mmol/l   16 (16%)   
K+  < 2.5 mmol/l   1 (1%)   
Lactate > 2.5 mmol/l   90 (92%)   
Glucose (1 mg/dl = 0.056 mmol/l)    > 200 mg/dl: 58 (59%)   
 < 50 mg/dl: 2 (2%)   
Specific therapy
Bicarb 8.4% 84 (32%) 61 (62%) 23 (14%) p < 0.001
Bicarb 8.4% in cases where, pH < 7.35 + BE <  − 2   11 (18%)   
Bicarb 8.4% in cases where, pH < 7.2 + BE <  − 5   50 (82%)   
K+-specific therapy 22 (8%) 22 (22%) 0 (0%)  
Calcium 10%   8 (36%)   
KCl 7.45%   14 (64%)   
KCl 7.45% + Bicarb 8.4%   10 (71%)   
Treatment time
Mean treatment time (min) 57 (± 19) 60 (± 17) 54 (± 20) p = 0.07
Mean time to POCT (min)   37 (± 21)   
POCT before ROSC   26 (± 15)   
Outcome
ROSC 141 (54%) 72 (73%) 69 (42%) p < 0.001
Hospital admission 163 (62%) 79 (81%) 84 (51%) p < 0.001
With ROSC 122 (46%) 65 (82%) 57 (68%) p < 0.001
Ongoing CPR 41 (16%) 14 (18%) 27 (32%) p = 0.78
Discharged 55 (21%) 29 (30%) 26 (16%) p = 0.01
  1. PES, pre-emergency status; VF, ventricular fibrillation; VT, ventricular tachycardia; Asys, asystole; PEA, pulseless electrical activity; pH, potentia hydrogenii; BE, base excess; K+, potassium; Bicarb, sodium hydrogen carbonate; KCl, potassium chloride; POCT, point-of-care testing;ROSC, return of spontaneous circulation