{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:33:13Z","timestamp":1753882393792,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":224,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002543","name":"Pusan National University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. We evaluated the prognosis of traumatic out\u2010of\u2010hospital cardiac arrest (OHCA) by assessing the presence of hepatic portal vein gas (HPVG) observed in ultrasound (US) or point\u2010of\u2010care ultrasonography (POCUS) performed during CPR. Furthermore, we aimed to understand the role of HPVG in decision\u2010making regarding CPR discontinuation or withholding in traumatic OHCA. <jats:italic>Methods<\/jats:italic>. The retrospective study was conducted at the level 1 trauma center of urban academic medical centers in South Korea. We included adult trauma OHCA patients who underwent CPR between January 1, 2020, and June 30, 2022. Data on traumatic OHCA patients who presented to the level I trauma center during this period were extracted from the hospital\u2019s electronic medical record system. The arrest data were separately managed through the hospital\u2019s electronic medical record system for quality control, specifically the arrest registry. US images or clips of the hepatic portal vasculature (HPV) during CPR were used to assess the presence of HPVG. These images were independently reviewed by two emergency medicine physicians with several years of US examination experience who were blinded to all clinical details and outcomes. We evaluated the prognosis of traumatic OHCA by assessing the presence of HPVG using the US. In addition, we analyzed the general characteristics and assessed the impact on the ROSC in traumatic OHCA. <jats:italic>Results<\/jats:italic>. Among the 383 cardiac arrest patients, 318 traumatic OHCA patients were included. The mean age was 54.9\u2009\u00b1\u200919.4\u2009years, and most patients were male. The initial rhythm was mainly asystole, and falls were the most frequent cause of injury. The overall ROSC rate was 18.8%, with a survival rate of 7.2% at hospital discharge. Among the 50 patients who underwent a US examination of HPV, 40 showed HPVG. The HPVG group had a significantly lower ROSC rate and survival rate at ED discharge and hospital discharge compared to the group without HPVG. <jats:italic>Conclusion<\/jats:italic>. Traumatic OHCA with HPVG presents a significantly worse prognosis. This suggests that early consideration of termination or withholding of CPR may be appropriate in such cases.<\/jats:p>","DOI":"10.1155\/2024\/7756946","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T12:33:52Z","timestamp":1723466032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Hepatic Portal Venous Gas on the Prognosis of Traumatic Out\u2010of\u2010Hospital Cardiac Arrest: A Reason to Consider Terminating Cardiopulmonary Resuscitation"],"prefix":"10.1155","volume":"2024","author":[{"given":"Seok Ran","family":"Yeom","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0759-5556","authenticated-orcid":false,"given":"Mun Ki","family":"Min","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae Sup","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Jee","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mo Se","family":"Chun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Wook","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wook Tae","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,12]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199309000-00022"},{"key":"e_1_2_11_2_2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1097\/00005373-198303000-00006","article-title":"Outcomes of trauma patients with no vital signs on hospital admission","volume":"23","author":"Shimazu S.","year":"1983","journal-title":"The Journal of Trauma and Acute Care Surgery"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(89)80003-4"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199111143252001"},{"key":"e_1_2_11_5_2","first-page":"406","article-title":"Adult advanced life support","volume":"24","author":"Soar J.","year":"2021","journal-title":"Notf Rett Med"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000916"},{"key":"e_1_2_11_7_2","article-title":"Mortality in patients with hepatic gas on point\u2010of\u2010care ultrasound in cardiac arrest: Does location matter?","volume":"49","author":"Ramamurti P.","year":"2020","journal-title":"Journal of Clinical Ultrasound"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2003.12.002"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.05.016"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2010.104117"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31827d5d3c"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2009.02.013"},{"key":"e_1_2_11_13_2","doi-asserted-by":"crossref","DOI":"10.1186\/cc11410","article-title":"Survival and neurologic outcome after traumatic out-of-hospital cardiopulmonary arrest in a pediatric and adult population: a systematic review","volume":"16","author":"Zwingmann J.","year":"2012","journal-title":"Crit Care"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2020.05.052"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmu.2014.04.008"},{"key":"e_1_2_11_16_2","first-page":"486","article-title":"Gas in the portal veins of the liver in infants; a roentgenographic demonstration with postmortem anatomical correlation","volume":"74","author":"WOLFE JN.","year":"1955","journal-title":"The American Journal of Roentgenology Radium Therapy and Nuclear Medicine"},{"key":"e_1_2_11_17_2","first-page":"803","article-title":"Image of the month. 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