|
KMID : 0613620140340020484
|
|
Health Social Welfare Review
2014 Volume.34 No. 2 p.484 ~ p.513
|
|
|
Predictors of Survival from Out-of-Hospital Cardiac Arrest by Four Levels
|
|
Park Il-Su
Kim Yoo-Mi
Kang Sung-Hong
|
|
|
Abstract
|
|
|
|
This study was performed to determine the survival factors from out-of-hospital cardiac arrest (OHCA) with a step-by-step analysis. All of 21,821 patients experiencing OHCA in 2010 who were reported to the Korea OHCA Surveillance by Korea Centers for Disease Control and Prevention were included in the study. We identified factors on four levels using stepwise logistic regression. Return rate of spontaneous circulation before hospital arrival was 1.5%, survival rate in the ER resuscitation was 14.4%, survival rate at leaving ER was 9.8%, and survival rate at discharge was 2.2%. Factors affecting return of spontaneous circulation were witnesses, bystander CPR, prehospital defibrillation, and on-site arrival time. Factors affecting outcome of ER resuscitation were sex, age, cause of arrest, whether or not witnessed, on-site and hospital arrival time, and hospital types. Factors affecting result of ER care were age, cause of cardiac arrest, prehospital defibrillation, residential area. And the impacters on survival at discharge were age, prehospital defibrillation, emergency crew rescue services, hospital arrival time, residential area. Of factors on affecting results of OHCA in prehospital level, emergency medical services (EMS) system is the most important. In-hospital level, patient and hospital factors are important. However local EMS factor is still influencing results on in-hospital level. National and local emergency medical service system including function of hospitals is needed to be systemized.
|
|
|
KEYWORD
|
|
|
Out-of-Hospital Cardiac Arrest, Survival Factors, Emergency Medical Services, Prehospital Emergency Care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|