Gastric regurgitation predicts neurological outcome in out-of-hospital cardiac arrest survivors

Hypoxic-ischemic brain injury can affect and disturb the autonomous nervous system (ANS), which regulates various visceral systems including gastro-intestinal emetic system. The present study aimed to analyze predictive value of gastric regurgitation (GReg) for neurological outcome in out-of-hospital cardiac arrest (OHCA) survivors. In this prospective, single-center study, 79 OHCA survivors treated at a university-affiliated tertiary care centre were included GReg was measured first day after successful cardiopulmonary resuscitation. Neurological assessed by Cerebral Performance Categories score discharge. Seventy-six percent population had poor outcome. found be associated with an adjusted OR 5.37 (95% CI 1.41–20.46; p = 0.01). area under ROC curve 0.69 CI, 0.56–0.81) on is early, strong independent predictor comatose These results are particularly compelling because measurement inexpensive routinely performed critical units.