Authors:E. Kovács, D. Pilecky, Z. Szakál-Tóth, A. Fekete-Győr, V.A. Gyarmathy, L. Gellér, B. Hauser, J. Gál, B. Merkely, and E. Zima
We investigated the effect of age on post-cardiac arrest treatment outcomes in an elderly population, based on a local database and a systemic review of the literature.
Data were collected retrospectively from medical charts and reports. Sixty-one comatose patients, cooled to 32–34 °C for 24 h, were categorized into three groups: younger group (≤65 years), older group (66–75 years), and very old group (>75 years). Circumstances of cardiopulmonary resuscitation (CPR), patients' characteristics, post-resuscitation treatment, hemodynamic monitoring, neurologic outcome and survival were compared across age groups. Kruskal-Wallis test, Chi-square test and binary logistic regression (BLR) were applied. In addition, a literature search of PubMed/Medline database was performed to provide a background.
Age was significantly associated with having a cardiac arrest on a monitor and a history of hypertension. No association was found between age and survival or neurologic outcome. Age did not affect hemodynamic parameter changes during target temperature management (TTM), except mean arterial pressure (MAP). Need of catecholamine administration was the highest among very old patients. During the literature review, seven papers were identified. Most studies had a retrospective design and investigated interventions and outcome, but lacked unified age categorization. All studies reported worse survival in the elderly, although old survivors showed a favorable neurologic outcome in most of the cases.
There is no evidence to support the limitation of post-cardiac arrest therapy in the aging population. Furthermore, additional prospective studies are needed to investigate the characteristics and outcome of post-cardiac arrest therapy in this patient group.
Authors:G. Ónodi, Gy. Kröel-Dulay, E. Kovács-Láng, P. Ódor, Z. Botta-Dukat, B. Lhotsky, S. Barabás, J. Garadnai, and M. Kertész
Aboveground plant biomass is one of the most important features of ecosystems, and it is widely used in ecosystem research. Non-destructive biomass estimation methods provide an important toolkit, because the destructive harvesting method is in many cases not feasible. However, only few studies have compared the accuracy of these methods in grassland communities to date. We studied the accuracy of three widely used methods for estimation of aboveground biomass: the visual cover estimation method, the point intercept method, and field spectroscopy. We applied them in three independent series of field samplings in semi-arid sand grasslands in Central Hungary. For each sampling method, we applied linear regression to assess the strength of the relationship between biomass proxies and actual aboveground biomass, and used coefficient of determination to evaluate accuracy. We found no evidence that the visual cover estimation, which is generally considered as a subjective method, was less accurate than point intercept method or field spectroscopy in estimating biomass. Based on our three datasets, we found that accuracy was lower for the point intercept method compared to the other two methods, while field spectroscopy and visual cover estimation were similar to each other in the semi-arid sand grassland community. We conclude that visual cover estimation can be as accurate for estimating aboveground biomass as other approaches, thus the choice amongst the methods should be based on additional pros and cons associated with each of the method and related to the specific research objective.
Authors:T. Tóth, T. Németh, A. Bidló, F. Dér, M. Fekete, T. Fábián, Z. Gaál, B. Heil, T. Hermann, E. Horváth, G. Kovács, A. Makó, F. Máté, K. Mészáros, Z. Patocskai, F. Speiser, I. Szűcs, G. Tóth, Gy. Várallyay, J. Vass, and Sz. Vinogradov