Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea
Journal of Korean Medical Science
; : 95-103, 2015.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-154361
Biblioteca responsable:
WPRO
ABSTRACT
Sudden cardiac death (SCD) is a significant issue affecting national health policies. The National Emergency Department Information System for Cardiac Arrest (NEDIS-CA) consortium managed a prospective registry of out-of-hospital cardiac arrest (OHCA) at the emergency department (ED) level. We analyzed the NEDIS-CA data from 29 participating hospitals from January 2008 to July 2009. The primary outcomes were incidence of OHCA and final survival outcomes at discharge. Factors influencing survival outcomes were assessed as secondary outcomes. The implementation of advanced emergency management (drugs, endotracheal intubation) and post-cardiac arrest care (therapeutic hypothermia, coronary intervention) was also investigated. A total of 4,156 resuscitation-attempted OHCAs were included, of which 401 (9.6%) patients survived to discharge and 79 (1.9%) were discharged with good neurologic outcomes. During the study period, there were 1,662,470 ED visits in participant hospitals; therefore, the estimated number of resuscitation-attempted CAs was 1 per 400 ED visits (0.25%). Factors improving survival outcomes included younger age, witnessed collapse, onset in a public place, a shockable rhythm in the pre-hospital setting, and applied advanced resuscitation care. We found that active advanced multidisciplinary resuscitation efforts influenced improvement in the survival rate. Resuscitation by public witnesses improved the short-term outcomes (return of spontaneous circulation, survival admission) but did not increase the survival to discharge rate. Strategies are required to reinforce the chain of survival and high-quality cardiopulmonary resuscitation in Korea.
Texto completo:
Disponible
Contexto en salud:
Agenda de Salud Sostenible para las Américas
Problema de salud:
Objetivo 6: Sistemas de información para la salud
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Cardioversión Eléctrica
/
Sistema de Registros
/
Tasa de Supervivencia
/
Resultado del Tratamiento
/
Muerte Súbita Cardíaca
/
Reanimación Cardiopulmonar
/
Cuidados Críticos
/
Servicios Médicos de Urgencia
/
República de Corea
/
Paro Cardíaco Extrahospitalario
Tipo de estudio:
Estudio de tamizaje
Límite:
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2015
Tipo del documento:
Artículo