A system-wide approach from the community to the hospital for improving neurologic outcomes in out-of-hospital cardiac arrest patients
| Autor: | Yun Sik Hong, Sungwoo Moon, Sung Woo Lee, Won Sook Hwang, Jong Su Park, Su Jin Kim |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Resuscitation Emergency Medical Services Defibrillation medicine.medical_treatment education 030204 cardiovascular system & hematology Extracorporeal 03 medical and health sciences 0302 clinical medicine Hypothermia Induced medicine Chain of survival Humans Cardiopulmonary resuscitation Coma Aged Capnography medicine.diagnostic_test business.industry Advanced cardiac life support 030208 emergency & critical care medicine Quality Improvement Cardiopulmonary Resuscitation Treatment Outcome Controlled Before-After Studies Emergency medicine Emergency Medicine Female medicine.symptom business Out-of-Hospital Cardiac Arrest |
| Zdroj: | European journal of emergency medicine : official journal of the European Society for Emergency Medicine. 24(2) |
| ISSN: | 1473-5695 |
| Popis: | OBJECTIVE In the present study, we aimed to determine the effects of a system-wide approach from the community to the hospital in improving the neurologic outcomes in out-of-hospital cardiac arrest (OHCA) patients within Sungbuk in Korea. METHODS This study used a before-after design. In 2011, compression-only cardiopulmonary resuscitation (CPR) for citizens, a state-wide standard dispatcher assisted-CPR protocol, medical control for regional emergency medical service (EMS), provision of high-quality advanced cardiac life support (ACLS) with capnography and extracorporeal CPR, and the standard postcardiac arrest care protocol were implemented in the system-wide CPR program. CPR provision and outcomes were compared between the 2009-2010 and the 2012-2013 periods. A multivariate logistic regression model for good outcome of OHCA was used to identify interventions with a significant impact. RESULTS In total, 581 adult nontraumatic OHCA patients who received resuscitation attempts from 2009 to 2013 were selected for the analysis of CPR provision and outcomes. CPR provision improved significantly, as indicated by the following results from 2009-2010 to 2012-2013: from 15.9 to 50.4% for bystander CPR (P |
| Databáze: | OpenAIRE |
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