Factor Related to Outcomes of Out-of-Hospital Cardiac Arrest at Emergency Department, Nong Khai Hospital, Thailand
DOI:
https://doi.org/10.14456/jemst.2022.3Keywords:
cardiopulmonary resuscitation, out-of-hospital cardiac arrest, return of spontaneous circulationAbstract
Out-of-hospital cardiac arrest (OHCA) is a leading cause of global mortality in adult. The objective of this study was to identify factors related to successful treatment outcome of patients with OHCA at emergency department. It was conducted as a prognostic retrospective cohort study at Emergency Department in Nong Khai Hospital, Thailand. Data were collected from medical records of OHCA patients who attended the hospital between October 2020 to September 2021. The data were analyzed by using STATA software Version 16. As for the results, there were 113 OHCA patients enrolled; and; and the sustained return of spontaneous circulation (ROSC) rate was 32.74%. Females had 4.77 times more chance of ROSC than male (95% CI=1.43-15.90); and every 1-minute increase in total CPR time reduced the chance of ROSC by 9% (95% CI=4.60-6.20). In conclusion, improving the chance of sustained ROSC for OHCA patients depends on the chain of survival; and this study found that major factors associated with successful resuscitation of OHCA patients were sex and total CPR time. Therefore, based on the results of this study, it is recommended to promote community training on basic life support program and prompt access to automatic external defibrillator (AED).
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