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"Seung Pill Choi"

Original Articles

Resuscitation

Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry
Soo Hyun Kim, Kyu Nam Park, Chun Song Youn, Minjung Kathy Chae, Won Young Kim, Byung Kook Lee, Dong Hoon Lee, Tae Chang Jang, Jae Hoon Lee, Yoon Hee Choi, Je Sung You, In Soo Cho, Su Jin Kim, Jong-Seok Lee, Yong Hwan Kim, Min Seob Sim, Jonghwan Shin, Yoo Seok Park, Young Hwan Lee, HyungJun Moon, Won Jung Jeong, Joo Suk Oh, Seung Pill Choi, Kyoung-Chul Cha, Korean Hypothermia Network investigators
Clin Exp Emerg Med 2020;7(4):250-258.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.20.035

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Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry
Clin Exp Emerg Med. 2020;7(4):250-258.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.20.035
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Outcome and status of postcardiac arrest care in Korea: results from the Korean Hypothermia Network prospective registry
Clin Exp Emerg Med. 2020;7(4):250-258.   Published online December 31, 2020
DOI: https://doi.org/10.15441/ceem.20.035
Close
Objective
High-quality intensive care, including targeted temperature management (TTM) for patients with postcardiac arrest syndrome, is a key element for improving outcomes after out-of-hospital cardiac arrest (OHCA). We aimed to assess the status of postcardiac arrest syndrome care, including TTM and 6-month survival with neurologically favorable outcomes, after adult OHCA patients were treated with TTM, using data from the Korean Hypothermia Network prospective registry.
Methods
We used the Korean Hypothermia Network prospective registry, a web-based multicenter registry that includes data from 22 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TTM between October 2015 and December 2018 were included. The primary outcome was neurological outcome at 6 months.
Results
Of the 1,354 registered OHCA survivors treated with TTM, 550 (40.6%) survived 6 months, and 413 (30.5%) had good neurological outcomes. We identified 839 (62.0%) patients with preClinsumed cardiac etiology. A total of 937 (69.2%) collapses were witnessed, shockable rhythms were demonstrated in 482 (35.6%) patients, and 421 (31.1%) patients arrived at the emergency department with prehospital return of spontaneous circulation. The most common target temperature was 33°C, and the most common target duration was 24 hours.
Conclusion
The survival and good neurologic outcome rates of this prospective registry show great improvements compared with those of an earlier registry. While the optimal target temperature and duration are still unknown, the most common target temperature was 33°C, and the most common target duration was 24 hours.

Citations

Citations to this article as recorded by  Crossref logo
  • Effects of Intrathecal Magnesium Administration on Neurologic Outcomes in a Porcine Model of Asphyxial Cardiac Arrest
    Hyoung Youn Lee, Najmiddin Mamadjonov, Wan Young Heo, Yeon Heo, Hussain Ahmad, Yong Hun Jung, Dong Hun Lee, Byung Kook Lee, Kyung Woon Jeung
    Journal of the American Heart Association.2026;[Epub]     CrossRef
  • Impact of Magnetic Field Strength (1.5 T vs. 3.0 T) on the Prognostic Value of Quantitative ADC Indices in Patients After Out-of-Hospital Cardiac Arrest: A Prospective Multicenter Observational Study in Korea (The KORHN-PRO Registry)
    Jae Hun Oh, Soo Hyun Kim, Seung Pill Choi, Se Won Oh, In Soo Cho, Yong Hwan Kim, Kyung Woon Jeung
    Journal of Clinical Medicine.2026; 15(14): 5411.     CrossRef
  • Multimodal Prediction of Progression Toward Brain Death After Out-of-Hospital Cardiac Arrest
    Jae Hun Oh, Jisu Kim, Jong Ho Zhu, Mi Kyong Kwon, Seung Pill Choi, Hyo Joon Kim, Kiwook Kim, Hwan Song, Soo Hyun Kim
    Journal of Clinical Medicine.2026; 15(14): 5751.     CrossRef
  • Relationships of Jugular Bulb Parameters with Cerebral Perfusion and Metabolism After Resuscitation from Cardiac Arrest: A Post-Hoc Analysis of Experimental Studies Using a Minipig Model
    Hyoung Youn Lee, Najmiddin Mamadjonov, Yong Hun Jung, Kyung Woon Jeung, Tae-Hoon Kim, Jin Woong Kim, Hyung Joong Kim, Jorge Antonio Gumucio, David D. Salcido
    Neurocritical Care.2025; 42(1): 261.     CrossRef
  • Prediction of good functional outcome decreases diagnostic uncertainty in unconscious survivors after out-of-hospital cardiac arrest
    Alice Lagebrant, Claudio Sandroni, Jerry P. Nolan, Jan Bělohlávek, Alain Cariou, Riccardo Carrai, Josef Dankiewicz, Anders Morten Grejs, Antonello Grippo, Christian Hassager, Janneke Horn, Matthias Haenggi, Janus C. Jakobsen, Thomas R. Keeble, Hans Kirkeg
    Resuscitation.2025; 214: 110686.     CrossRef
  • Withdrawal of life-sustaining therapies after cardiac arrest
    Jonathan Tam, Jonathan Elmer
    Current Opinion in Critical Care.2025; 31(6): 735.     CrossRef
  • Effects of withdrawal of life-sustaining therapy on long-term neurological outcome after cardiac arrest − A multicentre matched cohort study
    Alice Lagebrant, Byung Kook Lee, Chun Song Youn, Claudio Sandroni, Jan Bělohlávek, Alain Cariou, Riccardo Carrai, Josef Dankiewicz, Hans Friberg, Anders M. Grejs, Antonello Grippo, Christian Hassager, Janneke Horn, Matthias Haenggi, Janus C. Jakobsen, Tho
    Resuscitation.2025; 215: 110747.     CrossRef
  • What can we learn from international variations in withdrawal of life-sustaining therapy?
    Jonathan Tam, Jonathan Elmer
    Resuscitation.2025; 215: 110779.     CrossRef
  • High-Quality Targeted Temperature Management After Cardiac Arrest; Results from the Korean Hypothermia Network Prospective Registry
    Hyo Jin Bang, Chun Song Youn, Byung Kook Lee, Sang Hoon Oh, Hyo Joon Kim, Ae Kyung Gong, Ji-Sook Lee, Soo Hyun Kim, Kyu Nam Park, In Soo Cho
    Journal of Clinical Medicine.2025; 14(16): 5898.     CrossRef
  • Stress hyperglycemia ratio is associated with neurological outcome after cardiac arrest
    Dong Hun Lee, Byung Kook Lee, Seok Jin Ryu, Yong Hun Jung, Hyoung Youn Lee, Soo Hyun Kim, Chun Song Youn, Youn-Jung Kim, Won Young Kim, Kyung Woon Jeung
    Scientific Reports.2025;[Epub]     CrossRef
  • Explainable machine learning for neurological outcome prediction in out-of-hospital cardiac arrest survivors undergoing targeted temperature management: a multi-cohort validation study
    Oluwaseun Adebayo Bamodu, Yu-Xin Goh, Chien-Tai Hong, Po-Chih Chen, Wei-Ting Chiu, Lung Chan, Chen-Chih Chung
    Journal of NeuroEngineering and Rehabilitation.2025;[Epub]     CrossRef
  • A Systematic Literature Review to Assess Fever Management and the Quality of Targeted Temperature Management in Critically Ill Patients
    Benjamin Miao, Jeffrey R. Skaar, Matthew O'Hara, Andrew Post, Tim Kelly, Benjamin S. Abella
    Therapeutic Hypothermia and Temperature Management.2024; 14(2): 68.     CrossRef
  • Association Between Procalcitonin Level at 72 Hours After Cardiac Arrest and Neurological Outcomes in Cardiac Arrest Survivors
    Ji Ho Lee, Dong Hun Lee, Byung Kook Lee, Dong Ki Kim, Seok Jin Ryu
    Therapeutic Hypothermia and Temperature Management.2023; 13(1): 23.     CrossRef
  • A novel cardiac arrest severity score for the early prediction of hypoxic-ischemic brain injury and in-hospital death
    Hyo Jin Bang, Sang Hoon Oh, Won Jung Jeong, Kyungman Cha, Kyu Nam Park, Chun Song Youn, Han Joon Kim, Jee Yong Lim, Hyo Joon Kim, Hwan Song
    The American Journal of Emergency Medicine.2023; 66: 22.     CrossRef
  • Are serial neuron-specific enolase levels associated with neurologic outcome of ECPR patients: A retrospective multicenter observational study
    Han Bit Kim, Jeong Hoon Yang, Young Hwan Lee
    The American Journal of Emergency Medicine.2023; 69: 58.     CrossRef
  • Association between the number of prehospital defibrillation attempts and a sustained return of spontaneous circulation: a retrospective, multicentre, registry-based study
    Byuk Sung Ko, Youn-Jung Kim, Kap Su Han, You Hwan Jo, JongHwan Shin, Incheol Park, Hyunggoo Kang, Tae Ho Lim, SO Hwang, Won Young Kim
    Emergency Medicine Journal.2023; 40(6): 424.     CrossRef
  • Preliminary Prognostication for Good Neurological Outcomes in the Early Stage of Post-Cardiac Arrest Care
    Sunghyuk Lee, Jung Soo Park, Yeonho You, Jin Hong Min, Wonjoon Jeong, Hong Joon Ahn, Yong Nam In, Yong Chul Cho, In Ho Lee, Jae Kwang Lee, Changshin Kang
    Diagnostics.2023; 13(13): 2174.     CrossRef
  • Sex Difference on Neurological Outcomes and Post-Cardiac Arrest Care in Out-of-Hospital Cardiac Arrest Patients Treated with Targeted Temperature Management: Post-Hoc Study of a Prospective, Multicenter, Observational Cohort Study
    Seon Yeong Park, Sang Hoon Oh, Sang Hyun Park, Jae Hun Oh, Soo Hyun Kim
    Journal of Clinical Medicine.2023; 12(16): 5297.     CrossRef
  • Different neuroprognostication thresholds of neuron-specific enolase in shockable and non-shockable out-of-hospital cardiac arrest: a prospective multicenter observational study in Korea (the KORHN-PRO registry)
    Youn-Jung Kim, Yong Hwan Kim, Chun Song Youn, In Soo Cho, Su Jin Kim, Jung Hee Wee, Yoo Seok Park, Joo Suk Oh, Byung Kook Lee, Won Young Kim
    Critical Care.2023;[Epub]     CrossRef
  • Assessment of the Effects of Sodium Nitroprusside Administered Via Intracranial Subdural Catheters on the Cerebral Blood Flow and Lactate Using Dynamic Susceptibility Contrast Magnetic Resonance Imaging and Proton Magnetic Resonance Spectroscopy in a Pig
    Hyoung Youn Lee, Yong Hun Jung, Najmiddin Mamadjonov, Kyung Woon Jeung, Byung Kook Lee, Tae‐Hoon Kim, Hyung Joong Kim, Jorge Antonio Gumucio, David D. Salcido
    Journal of the American Heart Association.2023;[Epub]     CrossRef
  • Effect of adjuvant thiamine and ascorbic acid administration on the neurologic outcomes of out-of-hospital cardiac arrest patients: A before-and-after study
    Youn-Jung Kim, You Jin Lee, Yong Hwan Kim, Won Young Kim
    Resuscitation.2023; 193: 110018.     CrossRef
  • Rearrest during hospitalisation in adult comatose out-of-hospital cardiac arrest patients: Risk factors and prognostic impact, and predictors of favourable long-term outcomes
    Yong Hun Jung, Kyung Woon Jeung, Hyoung Youn Lee, Byung Kook Lee, Dong Hun Lee, Jonghwan Shin, Hui Jai Lee, In Soo Cho, Young-Min Kim
    Resuscitation.2022; 170: 150.     CrossRef
  • Late Awakening Is Common in Settings Without Withdrawal of Life-Sustaining Therapy in Out-of-Hospital Cardiac Arrest Survivors Who Undergo Targeted Temperature Management*
    Dong Hun Lee, Yong Soo Cho, Byung Kook Lee, Hyoung Youn Lee, Kyung Woon Jeung, Yong Hun Jung, Kyu Nam Park, Youn-Jung Kim, Minjung Kathy Chae, Dong-Woo Seo
    Critical Care Medicine.2022; 50(2): 235.     CrossRef
  • External validation of cardiac arrest-specific prognostication scores developed for early prognosis estimation after out-of-hospital cardiac arrest in a Korean multicenter cohort
    Wan Young Heo, Yong Hun Jung, Hyoung Youn Lee, Kyung Woon Jeung, Byung Kook Lee, Chun Song Youn, Seung Pill Choi, Kyu Nam Park, Yong Il Min, Muhammad Tarek Abdel Ghafar
    PLOS ONE.2022; 17(4): e0265275.     CrossRef
  • External validation of the 2020 ERC/ESICM prognostication strategy algorithm after cardiac arrest
    Chun Song Youn, Kyu Nam Park, Soo Hyun Kim, Byung Kook Lee, Tobias Cronberg, Sang Hoon Oh, Kyung Woon Jeung, In Soo Cho, Seung Pill Choi
    Critical Care.2022;[Epub]     CrossRef
  • Effects of Sodium Nitroprusside Administered Via a Subdural Intracranial Catheter on the Microcirculation, Oxygenation, and Electrocortical Activity of the Cerebral Cortex in a Pig Cardiac Arrest Model
    Hyoung Youn Lee, Yong Hun Jung, Najmiddin Mamadjonov, Kyung Woon Jeung, Min Chul Kim, Kyung Seob Lim, Chang‐Yeop Jeon, Youngjeon Lee, Hyung Joong Kim
    Journal of the American Heart Association.2022;[Epub]     CrossRef
  • The association of different target temperatures in targeted temperature management with neurological outcome after out-of-hospital cardiac arrest based on a prospective multicenter observational study in Korea (the KORHN-PRO registry): IPTW analysis
    Hyo Joon Kim, Chun Song Youn, Kyu Nam Park, Young-Min Kim, Byung Kook Lee, Kyung Woon Jeung, Won Young Kim, Seung Pill Choi, Soo Hyun Kim, Jignesh K. Patel
    PLOS ONE.2022; 17(7): e0271605.     CrossRef
  • Association between insulin administration method and six-month neurological outcome in survivors of out-of-hospital cardiac arrest who underwent targeted temperature management
    Dong Hun Lee, Byung Kook Lee, Yong Soo Cho, Yong Hun Jung, Hyoung Youn Lee, Kyung Woon Jeung, Chun Song Youn, Soo Hyun Kim, Simone Savastano
    PLOS ONE.2022; 17(12): e0279776.     CrossRef
  • Augmented-Medication CardioPulmonary Resuscitation (AMCPR) trial: a study protocol for a randomized controlled trial
    Dong Kun Oh, June-sung Kim, Seung Mok Ryoo, Youn-Jung Kim, Sang Min Kim, Seok In Hong, Bora Chae, Won Young Kim
    Clinical and Experimental Emergency Medicine.2022; 9(4): 361.     CrossRef
  • Cardiopulmonary Resuscitation and Rescue Therapies
    Heidi J. Dalton, Robert A. Berg, Vinay M. Nadkarni, Patrick M. Kochanek, Samuel A. Tisherman, Ravi Thiagarajan, Peta Alexander, Robert H. Bartlett
    Critical Care Medicine.2021; 49(9): 1375.     CrossRef
  • 17,748 View
  • 221 Download
  • 30 Web of Science
  • 30 Crossref
Assessment of serum biomarkers and coagulation/fibrinolysis markers for prediction of neurological outcomes of out of cardiac arrest patients treated with therapeutic hypothermia
Jeong Ho Park, Jung Hee Wee, Seung Pill Choi, Jae Hun Oh, Shin Cheol
Clin Exp Emerg Med 2019;6(1):9-18.   Published online February 20, 2019
DOI: https://doi.org/10.15441/ceem.17.273

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Assessment of serum biomarkers and coagulation/fibrinolysis markers for prediction of neurological outcomes of out of cardiac arrest patients treated with therapeutic hypothermia
Clin Exp Emerg Med. 2019;6(1):9-18.   Published online February 20, 2019
DOI: https://doi.org/10.15441/ceem.17.273
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Assessment of serum biomarkers and coagulation/fibrinolysis markers for prediction of neurological outcomes of out of cardiac arrest patients treated with therapeutic hypothermia
Clin Exp Emerg Med. 2019;6(1):9-18.   Published online February 20, 2019
DOI: https://doi.org/10.15441/ceem.17.273
Close
Objective
Despite increased survival in patients with cardiac arrest, it remains difficult to determine patient prognosis at the early stage. This study evaluated the prognosis of cardiac arrest patients using brain injury, inflammation, cardiovascular ischemic events, and coagulation/fibrinolysis markers collected 24, 48, and 72 hours after return of spontaneous circulation (ROSC).
Methods
From January 2011 to December 2016, we retrospectively observed patients who underwent therapeutic hypothermia. Blood samples were collected immediately and 24, 48, and 72 hours after ROSC. Neuron-specific enolase (NSE), S100-B protein, procalcitonin, troponin I, creatine kinase-MB, pro-brain natriuretic protein, D-dimer, fibrin degradation product, antithrombin-III, fibrinogen, and lactate levels were measured. Prognosis was evaluated using GlasgowPittsburgh cerebral performance categories and the predictive accuracy of each marker was evaluated. The secondary outcome was whether the presence of multiple markers improved prediction accuracy.
Results
A total of 102 patients were included in the study: 39 with good neurologic outcomes and 63 with poor neurologic outcomes. The mean NSE level of good outcomes measured 72 hours after ROSC was 18.50 ng/mL. The area under the curve calculated on receiver operating characteristic analysis was 0.92, which showed the best predictive power among all markers included in the study analysis. The relative integrated discrimination improvement and categoryfree net reclassification improvement models showed no improvement in prognostic value when combined with all other markers and NSE (72 hours).
Conclusion
Although biomarker combinations did not improve prognostic accuracy, NSE (72 hours) showed the best predictive power for neurological prognosis in patients who received therapeutic hypothermia.

Citations

Citations to this article as recorded by  Crossref logo
  • Lactate and pH as Independent Biomarkers for Prognosticating Meaningful Post-out-of-Hospital Cardiac Arrest Outcomes: A Systematic Review and Meta-Analysis
    Nishil T. Patel, Casey T. Carr, Charlotte M. Hopson, Charles W. Hwang
    Journal of Clinical Medicine.2025; 14(7): 2244.     CrossRef
  • Inflammation and Neurological Outcomes in Cardiac Arrest – a Narrative Review of Serum Biomarker Investigations
    Sergio L. Angulo, Thomas W. Johnson, Lilly Hutchinson, Bhagyashri Bhende, Yama Akbari, Sung-Min Cho, Imad R. Khan
    Journal of Intensive Care Medicine.2025;[Epub]     CrossRef
  • Prognostic Value of Serum S100B Protein for Neurological Outcomes After Cardiac Arrest: A Systematic Review and Meta-Analysis
    Łukasz Szpinda, Michal Lis, Michal Pruc, Weronika Goraj, Iwona Niewiadomska, Maciej Maslyk, Katarzyna Kotfis, Hanno L. Tan, Enrico Baldi, Lukasz Szarpak
    Journal of Clinical Medicine.2025; 15(1): 238.     CrossRef
  • Recovery and Survival of Patients After Out-of-Hospital Cardiac Arrest: A Literature Review Showcasing the Big Picture of Intensive Care Unit-Related Factors
    Srdjan S Nikolovski, Aleksandra D Lazic, Zoran Z Fiser, Ivana A Obradovic, Jelena Z Tijanic, Violetta Raffay
    Cureus.2024;[Epub]     CrossRef
  • Influence of different intraoperative fluid management on postoperative outcome after abdominal tumours resection
    Matej Jenko, Katarina Mencin, Vesna Novak-Jankovic, Alenka Spindler-Vesel
    Radiology and Oncology.2024; 58(2): 279.     CrossRef
  • The Association between Disseminated Intravascular Coagulation Profiles and Neurologic Outcome in Patients with In-Hospital Cardiac Arrest
    Dong Hun Lee, Byung Kook Lee, Seok Jin Ryu, Ji Ho Lee, Sung Jin Bae, Yun Hyung Choi
    Reviews in Cardiovascular Medicine.2024;[Epub]     CrossRef
  • Coagulation measures after cardiac arrest (CMACA)
    Hyo Joon Kim, Kurz Michael, Jung Hee Wee, Joo Suk Oh, Won Young Kim, In Soo Cho, Mi Jin Lee, Dong Hun Lee, Yong Hwan Kim, Chun Song Youn, Chiara Lazzeri
    PLOS ONE.2023; 18(1): e0279653.     CrossRef
  • Blood-Based Biomarkers for Neuroprognostication in Acute Brain Injury
    Andrew M. Nguyen, Vishal Saini, H. E. Hinson
    Seminars in Neurology.2023; 43(05): 689.     CrossRef
  • Predictive Performance of Neuron-Specific Enolase (NSE) for Survival after Resuscitation from Cardiac Arrest: A Systematic Review and Meta-Analysis
    Krzysztof Kurek, Damian Swieczkowski, Michal Pruc, Monika Tomaszewska, Wieslaw Jerzy Cubala, Lukasz Szarpak
    Journal of Clinical Medicine.2023; 12(24): 7655.     CrossRef
  • Blood–brain barrier disruption as a cause of various serum neuron-specific enolase cut-off values for neurological prognosis in cardiac arrest patients
    Changshin Kang, Yeonho You, Hong Joon Ahn, Jung Soo Park, Wonjoon Jeong, Jin Hong Min, Yong Nam In, Insool Yoo, Yongchul Cho, Seung Ryu, Jinwoong Lee, Seung Whan Kim
    Scientific Reports.2022;[Epub]     CrossRef
  • Skin sympathetic nerve activity as a biomarker for neurologic recovery during therapeutic hypothermia for cardiac arrest
    Issa Kutkut, Domingo Uceda, Awaneesh Kumar, Johnson Wong, Xiaochun Li, Keith C. Wright, Susan Straka, David Adams, Michelle Deckard, Richard Kovacs, Peng-Sheng Chen, Thomas H. Everett
    Heart Rhythm.2021; 18(7): 1162.     CrossRef
  • Prediction of Neurological Outcomes in Patients with Post-Cardiac Arrest Syndrome
    T. G. Markova, N. V. Bragina, V. I. Gorbachev
    Messenger of ANESTHESIOLOGY AND RESUSCITATION.2021; 18(3): 72.     CrossRef
  • Neuroprognostic accuracy of blood biomarkers for post-cardiac arrest patients: A systematic review and meta-analysis
    Chih-Hung Wang, Wei-Tien Chang, Ke-Ing Su, Chien-Hua Huang, Min-Shan Tsai, Eric Chou, Tsung-Chien Lu, Wen-Jone Chen, Chien-Chang Lee, Shyr-Chyr Chen
    Resuscitation.2020; 148: 108.     CrossRef
  • Prognostic Abilities of Serial Neuron-Specific Enolase and Lactate and their Combination in Cardiac Arrest Survivors During Targeted Temperature Management
    Seung Mok Ryoo, Youn-Jung Kim, Chang Hwan Sohn, Shin Ahn, Dong Woo Seo, Won Young Kim
    Journal of Clinical Medicine.2020; 9(1): 159.     CrossRef
  • State‐of‐the‐art considerations in post‐arrest care
    Michael Sonnier, Jon C. Rittenberger
    JACEP Open.2020; 1(2): 107.     CrossRef
  • The value of cerebrospinal fluid ubiquitin C-terminal hydrolase-L1 protein as a prognostic predictor of neurologic outcome in post-cardiac arrest patients treated with targeted temperature management
    Hong Joon Ahn, Sangmin Jung, Yeonho You, Jung Soo Park, Jin Hong Min, Wonjoon Jeong, Changshin Kang, Insool Yoo, Yongchul Cho, Seung Ryu, Jinwoong Lee, Seung Whan Kim, Sung Uk Cho, Se Kwang Oh, Junwan Lee, In Ho Lee
    Resuscitation.2020; 151: 50.     CrossRef
  • Neurologic prognostication after resuscitation from cardiac arrest
    Joshua R. Lupton, Michael C. Kurz, Mohamud R. Daya
    JACEP Open.2020; 1(4): 333.     CrossRef
  • Prognostic value of repeated thromboelastography measurement for favorable neurologic outcome during targeted temperature management in out-of-hospital cardiac arrest survivors
    Gina Yu, Youn-Jung Kim, June-sung Kim, Sang-Il Kim, Seung Mok Ryoo, Shin Ahn, Won Young Kim
    Resuscitation.2020; 155: 65.     CrossRef
  • 11,529 View
  • 210 Download
  • 18 Web of Science
  • 18 Crossref

Emergency Medical Services

Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department
Sang Bum Lee, Jae Hun Oh, Jeong Ho Park, Seung Pill Choi, Jung Hee Wee
Clin Exp Emerg Med 2018;5(4):249-255.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.261

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Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department
Clin Exp Emerg Med. 2018;5(4):249-255.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.261
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Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department
Clin Exp Emerg Med. 2018;5(4):249-255.   Published online December 31, 2018
DOI: https://doi.org/10.15441/ceem.17.261
Close
Objective
As aging progresses, clinical characteristics of elderly patients in the emergency department (ED) vary by age. We aimed to study differences among elderly patients in the ED by age group.
Methods
For 2 years, patients aged 65 and older were enrolled in the study and classified into three groups: youngest-old, ages 65 to 74 years; middle-old, 75 to 84 years; and oldest-old, ≥85 years. Participants’ sex, reason for ED visit, transfer from another hospital, results of treatment, type of admission, admission department and length of stay were recorded.
Results
During the study period, a total 64,287 patients visited the ED; 11,236 (17.5%) were aged 65 and older, of whom 14.4% were 85 and older. With increased age, the female ratio (51.5% vs. 54.9% vs. 69.1%, P<0.001), medical causes (79.5% vs. 81.3% vs. 81.7%, P=0.045), and admission rate (35.3% vs. 42.8% vs. 48.5%, P<0.001) increased. Admissions to internal medicine (57.5% vs. 59.3% vs. 64.7%, P<0.001) and orthopedic surgery (8.5% vs. 11.6% vs. 13.8%, P< 0.001) also increased. The ratio of admission to intensive care unit showed no statistical significance (P=0.545). Patients over age 85 years had longer stays in the ED (330.9 vs. 378.9 vs. 407.2 minutes, P<0.001), were discharged home less (84.4% vs. 78.9% vs. 71.5%, P<0.001), and died more frequently (6.3% vs. 10.4% vs. 13.0%, P<0.001).
Conclusion
With increased age, the proportion of female patients and medical causes increased. Rates of admission and death increased with age and older patients had longer ED and hospital stays.

Citations

Citations to this article as recorded by  Crossref logo
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    Annals of Emergency Medicine.2026; 87(4): 490.     CrossRef
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    Geriatric Nursing.2026; 67: 103703.     CrossRef
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    Jacob Gould, Arjit Singh, Saarang Patel, Noah Yaffe, Guan Li, Lou Blanpain, Julian L. Gendreau
    Pituitary.2026;[Epub]     CrossRef
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Resuscitation

Variability of extracorporeal cardiopulmonary resuscitation utilization for refractory adult out-of-hospital cardiac arrest: an international survey study
Patrick J. Coppler, Benjamin S. Abella, Clifton W. Callaway, Minjung Kathy Chae, Seung Pill Choi, Jonathan Elmer, Won Young Kim, Young-Min Kim, Michael Kurz, Joo Suk Oh, Joshua C. Reynolds, Jon C. Rittenberger, Kelly N. Sawyer, Chun Song Youn, Byung Kook Lee, David F. Gaieski, on behalf of the Korean Hypothermia Network Investigators and the National Post-Arrest Research Consortium
Clin Exp Emerg Med 2018;5(2):100-106.   Published online April 30, 2018
DOI: https://doi.org/10.15441/ceem.17.219

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Variability of extracorporeal cardiopulmonary resuscitation utilization for refractory adult out-of-hospital cardiac arrest: an international survey study
Clin Exp Emerg Med. 2018;5(2):100-106.   Published online April 30, 2018
DOI: https://doi.org/10.15441/ceem.17.219
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Variability of extracorporeal cardiopulmonary resuscitation utilization for refractory adult out-of-hospital cardiac arrest: an international survey study
Clin Exp Emerg Med. 2018;5(2):100-106.   Published online April 30, 2018
DOI: https://doi.org/10.15441/ceem.17.219
Close
Objective
A growing interest in extracorporeal cardiopulmonary resuscitation (ECPR) as a rescue strategy for refractory adult out-of-hospital cardiac arrest (OHCA) currently exists. This study aims to determine current standards of care and practice variation for ECPR patients in the USA and Korea.
Methods
In December 2015, we surveyed centers from the Korean Hypothermia Network (KORHN) Investigators and the US National Post-Arrest Research Consortium (NPARC) on current targeted temperature management and ECPR practices. This project analyzes the subsection of questions addressing ECPR practices. We summarized survey results using descriptive statistics.
Results
Overall, 9 KORHN and 4 NPARC centers reported having ECPR programs and had complete survey data available. Two KORHN centers utilized extracorporeal membrane oxygenation only for postarrest circulatory support in patients with refractory shock and were excluded from further analysis. Centers with available ECPR generally saw a high volume of OHCA patients (10/11 centers care for >75 OHCA a year). Location of, and providers trained for cannulation varied across centers. All centers in both countries (KORHN 7/7, NPARC 4/4) treated comatose ECPR patients with targeted temperature management. All NPARC centers and four of seven KORHN centers reported having a standardized hospital protocol for ECPR. Upper age cutoff for eligibility ranged from 60 to 75 years. No absolute contraindications were unanimous among centers.
Conclusion
A wide variability in practice patterns exist between centers performing ECPR for refractory OHCA in the US and Korea. Standardized protocols and shared research databases might inform best practices, improve outcomes, and provide a foundation for prospective studies.

Citations

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  • Association between gasping and survival among out-of-hospital cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation: The SOS-KANTO 2017 study
    Makoto Aoki, Shotaro Aso, Yohei Okada, Akira Kawauchi, Tomoko Ogasawara, Takashi Tagami, Yusuke Sawada, Hideo Yasunaga, Nobuya Kitamura, Kiyohiro Oshima
    Resuscitation Plus.2024; 18: 100622.     CrossRef
  • Beyond Extracorporeal Cardiopulmonary Resuscitation: Systems of Care Supporting Cardiac Arrest Patients
    Nicholas George, Alexandra Lawler, Ian Leong, Ankur A. Doshi, Francis X. Guyette, Patrick J. Coppler
    Prehospital Emergency Care.2022; 26(2): 189.     CrossRef
  • Extracorporeal Life-support for Out-of-hospital Cardiac Arrest: A Nationwide Multicenter Study
    Daun Jeong, Gun Tak Lee, Jong Eun Park, Hansol Chang, Taerim Kim, Won Chul Cha, Hee Yoon, Sung Yeon Hwang, Tae Gun Shin, Min Sub Sim, IkJoon Jo, Seung-Hwa Lee, Sang Do Shin, Jin-Ho Choi
    Shock.2022; 57(5): 680.     CrossRef
  • Successful resuscitation of refractory ventricular fibrillation with double sequence defibrillation
    SungJoon Park, Jung-Youn Kim, Young-Duck Cho, Eusun Lee, Bosun Shim, Young-Hoon Yoon
    Acute and Critical Care.2021; 36(1): 67.     CrossRef
  • Variability of extracorporeal cardiopulmonary resuscitation practice in patients with out‐of‐hospital cardiac arrest from the emergency department to intensive care unit in Japan
    Toru Hifumi, Akihiko Inoue, Toru Takiguchi, Kazuhiro Watanabe, Takayuki Ogura, Tomoya Okazaki, Shinichi Ijuin, Ryosuke Zushi, Hideki Arimoto, Hiroaki Takada, Shinichirou Shiraishi, Yuko Egawa, Jun Kanda, Michitaka Nasu, Makoto Kobayashi, Masaaki Sakuraya,
    Acute Medicine & Surgery.2021;[Epub]     CrossRef
  • Perspectives on Temperature Management
    Graham Nichol, Kees H. Polderman, Hans Friberg, Michael Kurz, Gregory Kapinos
    Therapeutic Hypothermia and Temperature Management.2018; 8(4): 188.     CrossRef
  • 12,099 View
  • 218 Download
  • 6 Web of Science
  • 6 Crossref

Infectious Disease | Emergency Medical Services

Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Hyunho Jeong, Sikyoung Jeong, Juseok Oh, Seon Hee Woo, Byung Hak So, Jeong Hee Wee, Ji Hoon Kim, Ji Yong Im, Seung Pill Choi, Kyoungnam Park, Byul Nim Hee Cho, Sungyoup Hong
Clin Exp Emerg Med 2017;4(2):94-101.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.166

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Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Clin Exp Emerg Med. 2017;4(2):94-101.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.166
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Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Clin Exp Emerg Med. 2017;4(2):94-101.   Published online June 30, 2017
DOI: https://doi.org/10.15441/ceem.16.166
Close
Objective
Outbreaks of transmissible respiratory infection are suspected to have significant effects on the health of pediatric and geriatric patients. The objective was to assess the impact of the Middle East respiratory syndrome (MERS) outbreak on the use of emergency resources.
Methods
An ecologic analysis of emergency department (ED) records between September and December 2015, was performed. Data was obtained from the National Emergency Department Information System database for Korea. All demographic and diagnostic data from patients presenting with febrile symptoms as a main complaint were collected. The data were compared to the equivalent period in the three years preceding the MERS outbreak in Korea.
Results
Following the MERS outbreak, there was an increase in overall ED visits by febrile patients and the proportion of visits by febrile patients, relative to total ED attendances. This effect was more prominent in the children under five years. The duration of the chief complaint before ED arrival and the length of ED stay were significantly increased among younger pediatric patients. Decreased body temperature on arrival was observed in younger pediatric patients.
Conclusion
MERS outbreak appears to have had a significant effects on ED use by febrile patients. The use of emergency care services by pediatric patients makes them more vulnerable to an outbreak of a transmissable disease. An effective strategy to control emergency center visits by non-urgent febrile patients and provide proper medical services is urgently needed.

Citations

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  • The Impact of the COVID-19 Pandemic on the Utilization of Outdoor Services at Secondary Care Hospitals of Punjab, Pakistan
    Atiq ur Rahman, Muhammad Imran, Zarmeena Yasmeen, Muzammil Irshad
    The International Journal of Frontier Sciences.2024; 4(2): 1.     CrossRef
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    Jin Hyuck Hong, So Hyun Paek, Taerim Kim, Seongjung Kim, Eunsil Ko, Young Sun Ro, Jungeon Kim, Jae Hyun Kwon
    Clinical and Experimental Emergency Medicine.2023; 10(S): S13.     CrossRef
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    Vivek Gopinathan, Sanjan Asanaru Kunju, Vimal Krishnan S, Freston Marc Sirur, Jayaraj Mymbilly Balakrishnan
    Disaster Medicine and Public Health Preparedness.2022; 16(5): 1910.     CrossRef
  • Comparison of clinical characteristics and hospital mortality in critically ill patients without COVID-19 before and during the COVID-19 pandemic: a multicenter, retrospective, propensity score-matched study
    Sua Kim, Hangseok Choi, Jae Kyeom Sim, Won Jai Jung, Young Seok Lee, Je Hyeong Kim
    Annals of Intensive Care.2022; 12(1): 57.     CrossRef
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    Dong Eun Lee, Young Sun Ro, Hyun Wook Ryoo, Sungwoo Moon
    The American Journal of Emergency Medicine.2021; 47: 35.     CrossRef
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    Ho Kyung Sung, Jin Hui Paik, Yu Jin Lee, Soo Kang
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Middle East Respiratory Syndrome (MERS) Virus—Pathophysiological Axis and the Current Treatment Strategies
    Abdullah M Alnuqaydan, Abdulmajeed G Almutary, Arulmalar Sukamaran, Brian Tay Wei Yang, Xiao Ting Lee, Wei Xuan Lim, Yee Min Ng, Rania Ibrahim, Thiviya Darmarajan, Satheeshkumar Nanjappan, Jestin Chellian, Mayuren Candasamy, Thiagarajan Madheswaran, Ankur
    AAPS PharmSciTech.2021;[Epub]     CrossRef
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    Soo Kang, Tae Kyu Ahn, Young Ho Seo, Young Ju Suh, Jin Hui Paik
    Medicine.2021; 100(32): e26847.     CrossRef
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    Thérèse McDonnell, Emma Nicholson, Ciara Conlon, Michael Barrett, Fergal Cummins, Conor Hensey, Eilish McAuliffe
    International Journal of Environmental Research and Public Health.2020; 17(18): 6719.     CrossRef
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    Silvia Bressan, Danilo Buonsenso, Ruth Farrugia, Niccolo’ Parri, Rianne Oostenbrink, Luigi Titomanlio, Damian Roland, Ruud G. Nijman, Ian Maconochie, Liviana Da Dalt, Santiago Mintegi, Said Hachimi-Idrissi, Marianne Sjølin Frederiksen, Ulle Uustalu, Gerar
    Annals of Emergency Medicine.2020; 76(6): 788.     CrossRef
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    Sun Young Lee, Young-Ho Khang, Hwa-Kyung Lim
    Yonsei Medical Journal.2019; 60(8): 796.     CrossRef
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    Rebecca E. Ramshaw, Ian D. Letourneau, Amy Y. Hong, Julia Hon, Julia D. Morgan, Joshua C. P. Osborne, Shreya Shirude, Maria D. Van Kerkhove, Simon I. Hay, David M. Pigott
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    Sangheon Shin, Soo Hoon Lee, Dong Hoon Kim, Seong Chun Kim, Tae Yun Kim, Changwoo Kang, Jin Hee Jeong, Daesung Lim, Yong Joo Park, Sang Bong Lee
    The American Journal of Emergency Medicine.2018; 36(4): 620.     CrossRef
  • 12,844 View
  • 140 Download
  • 12 Web of Science
  • 13 Crossref

Guidelines

Resuscitation

Part 4. Post-cardiac arrest care: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Young-Min Kim, Kyu Nam Park, Seung Pill Choi, Byung Kook Lee, Kyungil Park, Jeongmin Kim, Ji Hoon Kim, Sung Phil Chung, Sung Oh Hwang
Clin Exp Emerg Med 2016;3:S27-S38.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.130

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Part 4. Post-cardiac arrest care: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S27-S38.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.130
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Part 4. Post-cardiac arrest care: 2015 Korean Guidelines for Cardiopulmonary Resuscitation
Clin Exp Emerg Med. 2016;3:S27-S38.   Published online July 5, 2016
DOI: https://doi.org/10.15441/ceem.16.130
Close

Citations

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  • Brain MRI–based prognostication after cardiac arrest: qualitative assessment outperforms variable voxel-wise ADC thresholds
    Ae Kyung Gong, Sang Hoon Oh, Jinhee Jang, Kyu Nam Park, Chun Song Youn, Ji Young Lee, Han Joon Kim, Hyo Joon Kim, Hyo Jin Bang, Ji-Sook Lee
    Resuscitation.2026; 218: 110938.     CrossRef
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    Dong Hun Lee, Seok Jin Ryu, Byung Kook Lee, Dong Ki Kim, Yong Soo Cho, Yong Hun Jung, Hyoung Youn Lee, Jung Soo Park, Jin Hong Min, Kyung Woon Jeung
    Resuscitation.2026; 226: 111205.     CrossRef
  • Tailoring Targeted Temperature Management in Comatose Out-of-Hospital Cardiac Arrest Survivors: A Retrospective Analysis Based on the rCAST Score Classification
    Hyojeong Kwon, Hanna Park, Dongju Kim, Sang-Min Kim, June-Sung Kim, Youn-Jung Kim, Won Young Kim
    Journal of Clinical Medicine.2025; 14(11): 3931.     CrossRef
  • Prognostic Implication of Ventricular Volumetry in Early Brain Computed Tomography after Cardiac Arrest
    Ae Kyung Gong, Sang Hoon Oh, Jinhee Jang, Kyu Nam Park, Han Joon Kim, Ji Young Lee, Chun Song Youn, Jee Yong Lim, Hyo Joon Kim, Hyo Jin Bang
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    Jae-Hyug Woo, Yong Su Lim, Jin Seong Cho, Hyuk Jun Yang, Jae Ho Jang, Jea Yeon Choi, Woo Sung Choi
    Journal of Clinical Medicine.2023; 12(15): 5040.     CrossRef
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    Journal of Clinical Medicine.2022; 11(13): 3677.     CrossRef
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Original Article
Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Byung Kook Lee, Kyu Nam Park, Gu Hyun Kang, Kyung Hwan Kim, Giwoon Kim, Won Young Kim, Jin Hong Min, Yooseok Park, Jung Bae Park, Gil Joon Suh, Yoo Dong Son, Jonghwan Shin, Joo Suk Oh, Yeon Ho You, Dong Hoon Lee, Jong Seok Lee, Hoon Lim, Tae Chang Jang, Gyu Chong Cho, In Soo Cho, Kyoung Chul Cha, Seung Pill Choi, Wook Jin Choi, Chul Han, The Korean Hypothermia Network Investigators
Clin Exp Emerg Med 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007

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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
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Outcome and current status of therapeutic hypothermia after out-of-hospital cardiac arrest in Korea using data from the Korea Hypothermia Network registry
Clin Exp Emerg Med. 2014;1(1):19-27.   Published online September 30, 2014
DOI: https://doi.org/10.15441/ceem.14.007
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Objective

Therapeutic hypothermia (TH) has become the standard strategy for reducing brain damage in the postresuscitation period. The aim of this study was to investigate current TH performance and outcomes in out-of-hospital cardiac arrest (OHCA) survivors using data from the Korean Hypothermia Network (KORHN) registry.

 Methods

We used the KORHN registry, a web-based multicenter registry that includes 24 participating hospitals throughout the Republic of Korea. Adult comatose OHCA survivors treated with TH between 2007 and 2012 were included. The primary outcomes were neurological outcome at hospital discharge and in-hospital mortality. The secondary outcomes were TH performance and adverse events during TH.

 Results

A total of 930 patients were included, of whom 556 (59.8%) survived to discharge and 249 (26.8%) were discharged with good neurologic outcomes. The median time from return of spontaneous circulation (ROSC) to the start of TH was 101 minutes (interquartile range [IQR], 46 to 200 minutes). The induction, maintenance, and rewarming durations were 150 minutes (IQR, 80 to 267 minutes), 1,440 minutes (IQR, 1,290 to 1,440 minutes), and 708 minutes (IQR, 420 to 900 minutes), respectively. The time from the ROSC to coronary angiography was 1,045 hours (IQR, 121 to 12,051 hours). Hyperglycemia (46.3%) was the most frequent adverse event.

 Conclusion

More than one-quarter of the OHCA survivors (26.8%) were discharged with good neurologic outcomes. TH performance was appropriately managed in terms of the factors related to its timing, including cooling start time and rewarming duration.

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