Research Article

Comparison of Dopamine and Norepinephrine Use for the Treatment of Hypotension in Out-Of-Hospital Cardiac Arrest Patients with Return of Spontaneous Circulation

Table 1

Characteristics of patients treated with different inotropic agents after return of spontaneous circulation.

Dopamine (n = 670)Norepinephrine (n = 92)Dopamine + Norepinephrine (n = 249)-value

Age68.7 ± 15.8766.4 ± 18.0268.1 ± 16.260.438
Male367 (54.8%)52 (56.5%)138 (55.4%)0.989

Comobility
Heart failure92 (13.7%)10 (10.9%)26 (10.4%)0.355
CVA136 (20.3%)25 (27.2%)53 (21.3%)0.318
COPD165 (24.6%)16 (17.4%)47 (18.9%)0.083
DM194 (29.0%)32 (34.8%)84 (33.7%)0.252
Renal disease131 (19.6%)11 (12.0%)33 (13.3%)0.029
Liver cirrhosis85 (12.7%)11 (12.0%)30 (12.0%)0.955
Malignancy89 (13.3%)13 (14.1%)40 (16.1%)0.559
CCI3 ± 1.52 ± 2.03 ± 1.50.574

Status upon arrival
EMT transfer482 (71.9%)73 (79.3%)178 (71.5%)0.302
Shockable rhythm71 (10.6%)14 (15.2%)21 (8.4%)0.190

Treatment in ED
Epinephrine (mg)5 ± 2.55 ± 2.07 ± 3.5<0.001
Sodium bicarbonate (vial)4 ± 4.04 ± 4.58 ± 5.0<0.001
PCI28 (4.2%)4 (4.3%)5 (2.0%)0.278
ECMO7 (1.0%)2 (2.2%)1 (0.4%)0.330
ICU admission475 (70.9%)66 (71.7%)146 (58.6%)0.001

CVA: cerebrovascular accident; COPD: chronic obstruction pulmonary disease; DM: diabetes mellitus; EMT: emergency medical technician; shockable rhythm: ventricular fibrillation and pulseless ventricular tachycardia; ED: emergency department; PCI: percutaneous coronary intervention; ECMO: extracorporeal membrane oxygenation; ICU: intensive care unit.