Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study
Introduction: Hypokalemia, hyperkalemia, and acidosis are among the reversible causes of out-of-hospital cardiac arrest (OHCA) that can be promptly identified using point-of-care testing (POCT) for blood gas and electrolyte analysis. This study aimed to evaluate the efficacy of POCT in the prehospi...
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| Format: | Article |
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Shahid Beheshti University of Medical Sciences
2025-01-01
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| Series: | Archives of Academic Emergency Medicine |
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| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2590 |
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| author | Welawat Tienpratarn Chaiyaporn Yuksen Lunlita Chukaew Chetsadakon Jenpanitpong Chavin Triganjananun Suteenun Seesuklom |
| author_facet | Welawat Tienpratarn Chaiyaporn Yuksen Lunlita Chukaew Chetsadakon Jenpanitpong Chavin Triganjananun Suteenun Seesuklom |
| author_sort | Welawat Tienpratarn |
| collection | DOAJ |
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Introduction: Hypokalemia, hyperkalemia, and acidosis are among the reversible causes of out-of-hospital cardiac arrest (OHCA) that can be promptly identified using point-of-care testing (POCT) for blood gas and electrolyte analysis. This study aimed to evaluate the efficacy of POCT in the prehospital setting for OHCA management.
Methods: In this cross-sectional study the management and outcomes of OHCA patients were compared before and after implementing the POCT for blood gas and electrolyte analysis by EMS in the prehospital setting of Ramathibodi Hospital, Thailand.
Results: 217 OHCA patients with a mean age of 61 ± 17.07 (range: 58.72-63.28) years were studied (64.06 % male). 148 (68.2%) patients received POCT in the prehospital setting. Patients in the POCT group received higher administration of sodium bicarbonate (p < 0.001) and calcium gluconate (p < 0.001) compared to those without POCT. Sustained ROSC was achieved in 25% of the POCT group, compared to 11.59% in the no POCT group (p = 0.030). POCT blood gas analysis was identified as an independent predictor of sustained ROSC based on multivariable analysis (adjusted Odds: 4.60, 95% CI: 1.35-15.69; p = 0.015).
Conclusions: It seems that POCT for blood gas and electrolyte analysis in the prehospital setting could improve sustained ROSC in OHCA patients by enabling rapid and targeted management of cardiac arrest’s reversible causes.
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| format | Article |
| id | doaj-art-6b0fe2b823c9427a8f23e574273698af |
| institution | Kabale University |
| issn | 2645-4904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj-art-6b0fe2b823c9427a8f23e574273698af2025-02-11T20:47:48ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042025-01-0113110.22037/aaemj.v13i1.2590Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional StudyWelawat TienpratarnChaiyaporn Yuksen0Lunlita ChukaewChetsadakon JenpanitpongChavin TriganjananunSuteenun Seesuklom Ramathibodi hospital Introduction: Hypokalemia, hyperkalemia, and acidosis are among the reversible causes of out-of-hospital cardiac arrest (OHCA) that can be promptly identified using point-of-care testing (POCT) for blood gas and electrolyte analysis. This study aimed to evaluate the efficacy of POCT in the prehospital setting for OHCA management. Methods: In this cross-sectional study the management and outcomes of OHCA patients were compared before and after implementing the POCT for blood gas and electrolyte analysis by EMS in the prehospital setting of Ramathibodi Hospital, Thailand. Results: 217 OHCA patients with a mean age of 61 ± 17.07 (range: 58.72-63.28) years were studied (64.06 % male). 148 (68.2%) patients received POCT in the prehospital setting. Patients in the POCT group received higher administration of sodium bicarbonate (p < 0.001) and calcium gluconate (p < 0.001) compared to those without POCT. Sustained ROSC was achieved in 25% of the POCT group, compared to 11.59% in the no POCT group (p = 0.030). POCT blood gas analysis was identified as an independent predictor of sustained ROSC based on multivariable analysis (adjusted Odds: 4.60, 95% CI: 1.35-15.69; p = 0.015). Conclusions: It seems that POCT for blood gas and electrolyte analysis in the prehospital setting could improve sustained ROSC in OHCA patients by enabling rapid and targeted management of cardiac arrest’s reversible causes. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2590cardiac arrestprehospital careblood gas analysesResuscitation, cardiac arrest, duration of CPR, ROSC.point-of-care testing |
| spellingShingle | Welawat Tienpratarn Chaiyaporn Yuksen Lunlita Chukaew Chetsadakon Jenpanitpong Chavin Triganjananun Suteenun Seesuklom Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study Archives of Academic Emergency Medicine cardiac arrest prehospital care blood gas analyses Resuscitation, cardiac arrest, duration of CPR, ROSC. point-of-care testing |
| title | Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study |
| title_full | Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study |
| title_fullStr | Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study |
| title_full_unstemmed | Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study |
| title_short | Point-of-Care Testing (POCT) for Blood Gas and Electrolyte Analysis in Out-of-Hospital Cardiac Arrests’ Management; a Cross-sectional Study |
| title_sort | point of care testing poct for blood gas and electrolyte analysis in out of hospital cardiac arrests management a cross sectional study |
| topic | cardiac arrest prehospital care blood gas analyses Resuscitation, cardiac arrest, duration of CPR, ROSC. point-of-care testing |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2590 |
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