Survival Factors of Out-of-Hospital Cardiac Arrest Patients in Kuchinarai Crown Prince Hospital, Kalasin Province
Keywords:
out-of-hospital cardiac arrest, cardiopulmonary resuscitation, survival factors, emergency medical services, Keyword:out-of-hospital cardiac arrest, cardiopulmonary resuscitation, survival factors , emergency medical services,response timeAbstract
Out-of-hospital cardiac arrest (OHCA) is an emergency health condition that requires cardiopulmonary resuscitation (CPR). Worldwide, results for OHCA survival rates remained low and OHCA became a serious concern for global public health and Emergency Medical Services System. The aim of the study was to determine the relevant factors affecting the survivability of OHCA patients. The method of this study was a retrospective study. Data were collected from medical records of OHCA patients at an emergency department, Kuchinarai Crown Prince Hospital during January 2021 to December 2021. The data were analyzed using t-test and logistic regression. The results showed that the influencing factors of sustained Return of Spontaneous Circulation (ROSC) were bystander CPR (p = 0.042) and response time <8 minutes (p=0.046). These results suggested that providing education of basic life support (BLS) for people to increase awareness of bystander CPR and developing emergency medical services including network strengthening could be the crucial parts of improving the survival rate of OHCA patients.
References
Meaney PA, Bobrow BJ, Mancini ME, Christenson J, de Caen AR, Bhanji F, et al. Cardiopulmonary resuscitation quality: [corrected] improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation. 2013;128(4):417-35.
Bernhard M, Behrens NH, Wnent J, Seewald S, Brenner S, Jantzen T, et al. Out-of hospital airway management during manual compression or automated chest compression devices: A registry-based analysis. Anaesthesist 2018;67(2):109-17.
รังสรรค์ คูหากาญจน์, โสรัจจะ ชูแสง, อนุรัตน์ สมตน, อุรา สุวรรณรักษ์, สุนิสา สุวรรณรักษ์, บรรณาธิการ. รายงานสถานการณ์ระบบการแพทย์ฉุกเฉินไทย 2559. พิมพ์ครั้งที่1. กรุงเทพมหานคร: ปัญญมิตรการพิมพ์; 2560.
American Heart Association. Out-of-hospital chain of survival: American Heart Association CPR & First Aid [Internet]. 2022 [cited 2022 Dec 14]. Available from: https://cpr.heart.org/en/resources/cpr-facts-and-stats/out-of-hospital-chain-of-survival
American Heart Association. CPR facts and stats [Internet]. 2023 [cited 2023 Aug 27]. Available from: https://cpr.heart.org/en/resources/cpr-facts-and-stats
Chocron R, Jobe J, Guan S, Kim M, Shigemura M, Fahrenbruch C, et al. Bystander cardiopulmonary resuscitation quality: potential for improvements in cardiac arrest resuscitation. Journal of the American Heart Association [Internet]. 2021 [cited 2023 Jul 5];10(6): e017930. Available from: https://doi.org/10.1161/JAHA.120.017930
Christensen DM, Rajan S, Kragholm K, Søndergaard KB, Hansen OM, Gerds TA, et al. Bystander cardiopulmonary resuscitation and survival in patients with out-of-hospital cardiac arrest of non-cardiac origin. Resuscitation [Internet]. 2019 [cited 2023 Aug 10]; 140:98–105. Available from: https://doi.org/10.1016/j.resuscitation.2019.05.014
Myat A, Song KJ, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet [Internet]. 2018 [cited 2023 May 2]; 391(10124): 970-79. Available from: https://pubmed.ncbi.nlm.nih.gov/29536861/
Al-Dury N, Ravn-Fischer A, Hollenberg J, Israelsson J, Nordberg P, Strömsöe A, et al. Identifying the relative importance of predictors of survival in out of hospital cardiac arrest: a machine learning study. Scandinavian J Trauma, Resusc Emerg Med [Internet]. 2020 [cited 2023 Aug 27];28(1):60. Available from: https://sjtrem.biomedcentral.com/articles/10.1186/s13049-020-00742-9
Rhee BY, Kim B, Lee YH. Effects of prehospital factors on survival of out-of-hospital cardiac arrest patients: age-dependent patterns. Int J Environ Res Public Health [Internet]. 2020 [cited 2023 Aug 27]; 17(15):5481. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432520/
Viereck S, Palsgaard Møller T, Kjær Ersbøll A, Folke F, Lippert F. Effect of bystander CPR initiation prior to the emergency call on ROSC and 30 day survival-An evaluation of 548 emergency calls. Resuscitation [Internet]. 2017 [cited 2023 Aug 24]; 111: 55-61. Available from: https://pubmed.ncbi.nlm.nih.gov/27923114/
Yates EJ, Schmidbauer S, Smyth AM, Ward M, Dorrian S, Siriwardena AN, et al. Out-of-hospital cardiac
arrest termination of resuscitation with ongoing CPR: an observational study. Resuscitation [Internet]. 2018 [cited 2023 Jul 7];130:21–7. Available from: https://pubmed.ncbi.nlm.nih.gov/29958956/
Ballesteros-Peña S, Abecia-Inchaurregui LC, Echevarría-Orella E. Factors associated with mortality in out-of-hospital cardiac arrests attended in basic life support units in the Basque Country (Spain). Rev Esp Cardiol (Engl Ed) [Internet]. 2013 [cited 2023 Jul 26];66(4):269-74. Available from: https://pubmed.ncbi.nlm.nih.gov/24775616/
ปพิชญา พิเชษฐบุญเกียรติ. ปัจจัยที่มีผลต่อการรอดชีวิตของผู้ป่วยหัวใจหยุดเต้นนอกโรงพยาบาลที่เข้ารับการรักษาในโรงพยาบาลเชียงรายประชานุเคราะห์. เชียงรายเวชสาร [อินเทอร์เน็ต]. 2564 [สืบค้นเมื่อ 22 ส.ค. 2566];13(1): 43-57. แหล่งข้อมูล: https://he01.tci-thaijo.org/index.php/crmjournal/article/view/246423/168785
Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: A systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes [Internet]. 2010 [cited 2023 Jul 31]; 3(1):63–81. Available from: https://doi.org/10.1161/CIRCOUTCOMES.109.889576
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