Non-traumatic out-of-hospital cardiac arrest in rural Taiwan: A retrospective study
| Autor: | Kai-Chun Cheng, Ssu-Hung Wang, Shih-Chang Hung, Jui-Wen Lin, Hung-Chang Hung, Shih-Wei Lai, Ching-Yi Mou, Chung-Kuang Chen, Chun-Chih Chen |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Resuscitation medicine.medical_treatment Taiwan 030204 cardiovascular system & hematology Return of spontaneous circulation Logistic regression Out of hospital cardiac arrest 03 medical and health sciences 0302 clinical medicine Non traumatic Prevalence Humans Medicine Cardiopulmonary resuscitation Aged Retrospective Studies Aged 80 and over business.industry Public Health Environmental and Occupational Health 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Cardiopulmonary Resuscitation Community hospital Logistic Models Emergency medicine Female Rural Health Services Family Practice business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Australian Journal of Rural Health. 25:354-361 |
| ISSN: | 1038-5282 |
| DOI: | 10.1111/ajr.12341 |
| Popis: | OBJECTIVE: Out‐of‐hospital cardiac arrest (OHCA) studies are usually conducted at metropolitan medical centres. Because rural studies are rare, our study aimed to assess non‐traumatic OHCA prevalence and resuscitation outcomes in rural Taiwan. DESIGN: A retrospective observational study. SETTING: All seven designated community hospital emergency departments (ED) in Nantou County, Taiwan. PARTICIPANTS: All OHCA patients from May 2011 to March 2013. MAIN OUTCOME MEASURES: Any return of spontaneous circulation (ROSC) and survival for ED discharge. RESULTS: In the 23‐month period, 850 OHCA cases were reported; 741 (87.2%) were non‐traumatic. The overall ROSC achievement rate was 19.7%, with 16.4% case survival for ED discharge. Logistic regression identified that arrest in public (OR: 2.62, 95% CI: 1.19–5.78), witness when collapsed (OR: 2.14, 95% CI: 1.28–3.60), and cardiopulmonary resuscitation (CPR) by bystander (OR: 2.09, 95% CI: 1.02–4.26) might increase the likelihood of any ROSC; arrest in public (OR: 2.68, 95% CI: 1.10–6.50), witnessed collapse (OR: 2.26, 95% CI: 1.24–4.09) and CPR by bystander (OR: 2.79, 95% CI: 1.28–6.05) might also increase the likelihood of survival. For non‐traumatic OHCA patients conveyed to EDs via emergency medical service system (EMS), a shorter response time (OR: 1.09, 95% CI: 1.01–1.18) and travelling time (OR: 1.04, 95% CI: 1.00–1.09) might also increase the chance of survival. CONCLUSION: Compared to previous data from metropolitan areas, ROSC achievement rate was lower in rural Taiwan. Witness presence, response and travelling times affect ROSC achievement in non‐traumatic OHCA patients in rural Taiwan. |
| Databáze: | OpenAIRE |
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