European Heart Journal Advance Access originally published online on December 1, 2006
European Heart Journal 2007 28(1):1-2; doi:10.1093/eurheartj/ehl397
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Will he ever be conscious again?
Department of Neurology, H-2-216, Academic Medical Center, University of Amsterdam, PO Box 226600, 1100 DD Amsterdam, The Netherlands
Corresponding author. Tel: +31 20 566 3842; fax: +31 20 566 9374. E-mail address: a.hijdra@amc.uva.nl
This editorial refers to ‘Prediction of neurological outcome after cardiopulmonary resuscitation by serial determination of serum neuron-specific enolase’
by J. Reisingeret al., on page 52
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For relatives and doctors alike, crucial questions about the patient who remains comatose after having been resuscitated from cardiac arrest are ‘will he survive?’, ‘will he ever be conscious again?’, and ‘will he ever be independent again?’. Reisinger et al.1 provide data to predict outcome at an early stage that could be helpful to address the first two questions.
Attempts to predict outcome date from the first years after the introduction of cardiopulmonary resuscitation in 1960. Early retrospective case series have gradually made place for prospective cohort studies, but methodological problems remain. The two most important problems are the inevitability of treatment restrictions in selected patients and the definition and validity of outcome measurements. In clinical cohort studies, just as in regular clinical practice,
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Related articles in EHJ:
- Prediction of neurological outcome after cardiopulmonary resuscitation by serial determination of serum neuron-specific enolase
- Johann Reisinger, Kurt Höllinger, Wolfgang Lang, Christoph Steiner, Thomas Winter, Eduard Zeindlhofer, Michael Mori, Alexandra Schiller, Alexander Lindorfer, Kurt Wiesinger, and Peter Siostrzonek
EHJ 2007 28: 52-58.[Abstract] [FREE Full Text]
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