Your browser doesn't support javascript.
loading
The Scene Time Interval and Basic Life Support Termination of Resuscitation Rule in Adult Out-of-Hospital Cardiac Arrest
Journal of Korean Medical Science ; : 104-109, 2015.
Article Dans Anglais | WPRIM | ID: wpr-154360
ABSTRACT
We validated the basic life support termination of resuscitation (BLS TOR) rule retrospectively using Out-of-Hospital Cardiac Arrest (OHCA) data of metropolitan emergency medical service (EMS) in Korea. We also tested it by investigating the scene time interval for supplementing the BLS TOR rule. OHCA database of Seoul (January 2011 to December 2012) was used, which is composed of ambulance data and hospital medical record review. EMS-treated OHCA and 19 yr or older victims were enrolled, after excluding cases occurred in the ambulance and with incomplete information. The primary and secondary outcomes were hospital mortality and poor neurologic outcome. After calculating the sensitivity (SS), specificity (SP), and the positive and negative predictive values (PPV and NPV), tested the rule according to the scene time interval group for sensitivity analysis. Of total 4,835 analyzed patients, 3,361 (69.5%) cases met all 3 criteria of the BLS TOR rule. Of these, 3,224 (95.9%) were dead at discharge (SS,73.5%; SP,69.6%; PPV,95.9%; NPV, 21.3%) and 3,342 (99.4%) showed poor neurologic outcome at discharge (SS, 75.2%; SP, 89.9%; PPV, 99.4%; NPV, 11.5%). The cut-off scene time intervals for 100% SS and PPV were more than 20 min for survival to discharge and more than 14 min for good neurological recovery. The BLS TOR rule showed relatively lower SS and PPV in OHCA data in Seoul, Korea.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Facteurs temps / Défibrillation / Taux de survie / Études rétrospectives / Refus de traiter / Techniques d'aide à la décision / Résultat thérapeutique / Mortalité hospitalière / Réanimation cardiopulmonaire / Soins de réanimation Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Femelle / Humains / Mâle Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of Korean Medical Science Année: 2015 Type: Article

Documents relatifs à ce sujet

MEDLINE

...
LILACS

LIS

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Facteurs temps / Défibrillation / Taux de survie / Études rétrospectives / Refus de traiter / Techniques d'aide à la décision / Résultat thérapeutique / Mortalité hospitalière / Réanimation cardiopulmonaire / Soins de réanimation Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Femelle / Humains / Mâle Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of Korean Medical Science Année: 2015 Type: Article