Research Article

Prognostic Value of Serum Albumin at Admission for Neurologic Outcome with Targeted Temperature Management after Cardiac Arrest

Table 1

Baseline characteristics between patients with and without admission hypoalbuminemia.

Hypoalbuminemia (<3.5 g/dl, n = 109)Normal serum albumin (≥3.5 g/dl, n = 146)

Demographics
Male76 (69.7)104 (71.2)0.794
Age, years61.7 ± 15.949.5 ± 15.3<0.001

Comorbidities
CAD12 (11.0)19 (13.0)0.628
CHF2 (1.8)6 (4.1)0.472
Stroke3 (2.8)2 (1.4)0.654
Hypertension40 (36.7)36 (24.7)0.038
Diabetes mellitus36 (33.0)19 (13.0)<0.001
Renal disease14 (12.8)3 (2.1)0.001
Liver disease2 (1.8)0 (0.0)0.182
Malignancy7 (6.4)4 (2.7)0.213

Resuscitation variables
Cardiac cause71 (65.1)104 (71.2)0.299
Shockable rhythm23 (21.1)75 (51.4)<0.001
Witnessed75 (68.8)107 (73.8)0.383
Bystander CPR56 (51.4)86 (59.3)0.207
Anoxic time (min)37.4 ± 18.330.9 ± 20.70.009

Post-ROSC N/Ex
PLR26 (23.9)69 (47.3)<0.001
Self-respiration41 (37.6)90 (61.6)<0.001
GCS motor, yes14 (12.8)46 (31.5)<0.001

Hemodynamic status
MAP83.9 ± 26.997.1 ± 25.5<0.001
HR100.9 ± 28.3105.0 ± 26.90.234
Temperature35.3 ± 1.635.8 ± 1.00.005

Outcomes
Pneumonia56 (51.4)53 (36.3)0.016
Septic shock10 (9.2)16 (11.0)0.641
HD (days)7.0 (3.0–20.0)12.0 (6.0–20.0)0.005
6-month mortality90 (82.6)59 (40.4)<0.001
6-month poor neurologic outcome95 (87.2)76 (52.1)<0.001

CAD, coronary artery disease; CHF, congestive heart failure.