Publications by authors named "Yu-Tzu Tien"
Background: Established protocols for implementing high-quality targeted temperature management (TTM) provide guidance concerning the cooling rate, duration of maintenance, and rewarming speed. However, whether compliant to TTM protocols results in improved survival and better neurological recovery has not been examined.
Methods: A retrospective cohort study enrolled 1141 survivors of non-traumatic adult cardiac arrest with a pre-arrest cerebral performance category (CPC) score of 1-2 from 2015 to 2020 at a tertiary medical center.
Article Synopsis
- Postarrest acute kidney injury (AKI) significantly contributes to complications like longer hospital stays, higher mortality rates, and adverse neurological outcomes in cardiac arrest survivors.
- A study involving 411 cardiac arrest patients found that 44% experienced early AKI, which notably increased the risk of in-hospital death and poor neurological recovery; this risk correlated with overall illness severity.
- The research identified that the level of vasopressor support in the first 24 hours after regaining circulation serves as an independent factor influencing the development and severity of AKI, irrespective of patients' pre-existing kidney conditions.
Background: Cerebral computed tomography (CT) and various severity scoring systems have been developed for the early prediction of the neurological outcomes of cardiac arrest survivors. However, few studies have combined these approaches. Therefore, we evaluated the value of the combination of cerebral CT and severity score for neuroprognostication.
View Article and Find Full Text PDFIntroduction: Isolated spaces impair communication and teamwork during tracheal intubation (TI) in suspected coronavirus disease 2019 patients. We thus aimed to evaluate the telemedicine-assisted airway model (TAM) to improve communication and teamwork during the pandemic.
Methods: This two-stage prospective study included adult patients intubated in the emergency department of the National Taiwan University Hospital between 1 August 2020 and 31 July 2021.
Background: Cardiogenic shock (CS) is a critical condition and the leading cause of mortality after acute myocardial infarction (AMI). Scores that predict mortality have been established, but a patient's clinical course is often nonlinear. Thus, factors present during acute care management may be explored.
View Article and Find Full Text PDFObjectives: To evaluate whether the recommended observation period of 7 days for cardiac arrest survivors is sufficient for conscious recovery and to identify the variables associated with eventual neurologic recovery among patients with delayed awakening.
Design: A retrospective cohort study.
Setting: A single tertiary medical center.