Factors Associated with The Return of Spontaneous Circulation of Cardiac Arrest Patients, Emergency Department, Somdejphrajaotaksinmaharaj Hospital
Keywords:
cardiac arrest, Emergency department cardiac, EDCA, Cardiopulmonary resuscitation, CPR, Return of spontaneous circulation; ROSCAbstract
Background: Cardiac arrest is a medical emergency that requires urgent treatment with resuscitation. Patients with cardiac arrest have a low survival rate. Studying the factors affecting survival of cardiac arrest patients is therefore important to develop an emergency operating system.
Objective: To study the rate of return of a pulse and factors affecting the return of a pulse in patients with cardiac arrest. Accident and Emergency Department Somdejphrajaotaksinmaharat
Materials and Methods: This research is an analytical cross-sectional study in patients with cardiac arrest. who come to receive service at the accident and emergency department Somdejphrajaotaksinmaharat Hospital between 1 October 2020 and 30 September 2021, a total of 106 cases, data were collected using a data collection form adapted from a resuscitation record form. 5th update (May 2014) Somdejphrajaotaksinmaharat Hospital Data were analyzed with ready-made data analysis programs. Using descriptive statistics and inferential statistics, including T-test, Chi-square and Fisher's exact test, statistical significance was set at the 0.05 level and finding correlation trends using regression statistics.
Results: From a study of 106 cardiac arrest patients divided into ROSC and No ROSC groups, it was found that 40.57% of patients with ROSC and 59.43% of No ROSC had age and the total amount of Adrenaline received. The total CPR time was different between the ROSC and No ROSC groups. Studying the factors related to the return of a pulse, it was found that the cause of the cardiac arrest was The first electrical wave detected And study the trend of the relationship using regression statistics. It was found that the factors that affect the success in returning to having a pulse include those who had the first electrical wave detected (OR=2.36, 95%CI =1.18-4.72) the cause of birth Cardiac arrest (OR=5.42, 95%CI=1.32-22.30)
Conclusion: Factors affecting success in returning to a ROSC pulse are those with the first ECG detected that can be stimulated electrically. Causes of cardiac arrest that are not accidental
References
Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate among adult out-of-hospital cardiac arrest patients who received cardiopulmonary resuscitation: a systematic review and meta-analysis. Crit Care. 2020;24(1):61.
Pichedboonkiat P. Survival factors of out-of-hospital cardiac arrest in chiangrai prachanukroh hospital. Chiangrai medical journal. 2564;13(1):43-57.
Tan SC, Leong BS-H. Cardiac arrests within the emergency department: an Utstein style report, causation and survival factors. European Journal of Emergency Medicine. 2018;25(1):12-17.
Santatianant J, Saelee R, Katekao W. Advance life support manual = ACLS provider manual : For medical personnel, year 2020. Life Support Standards Committee Club Thai Cardiology Association under royal patronage, Bangkok. 2021.
Limesuriyakan W. Factors associated with the outcome of out-of-hospital cardiac arrest at emergency department phra Nakhon si Ayutthaya hospital. Journal of preventive medicine association of Thailand. 2561;8(1):15-23.
American Heart Association. Highlights of the 2020 American Heart Association's Guidelines for CPR and ECG. [Internet]. 2020 [cited 2022 July 6]. Available from: https://cpr.heart.org/-/media/cpr-files/cpr-guidelinesfiles/highlights/hghlghts_2020
_ecc_guidelines_english.pdf
Sasson C, Rogers MA, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):63-81.
Fernando SM, Tran A, Cheng W, Rochwerg B, Taljaard M, Vaillancourt C, et al. Pre-arrest and intra-arrest prognostic factors associated with survival after in-hospital cardiac arrest: systematic review and meta-analysis. BMJ. 2019;367:l6373.
Chin YH, Yaow CYL, Teoh SE, Foo MZQ, Luo N, Graves N, et al. Long-term outcomes after out-of-hospital cardiac arrest: A systematic review and meta-analysis. Resuscitation. 2022;171:15-29.
Mir T, Qureshi WT, Uddin M, et al. Predictors and outcomes of cardiac arrest in the emergency department and in-patient settings in the United States (2016–2018). Resuscitation 2022;170:100–106.
Tan SC, Leong BS-H. Cardiac arrests within the emergency department: an Utstein style report, causation and survival factors. European Journal of Emergency Medicine. 2018;25(1):12-17.
Anuchprecha A, Tuamkokmoa K, Keawsuwan C. Success rates and factors affecting resuscitation in the hospital. [internet]. 2011. [cited 2022 July 6]. Available from: https://www.tsm.go.th/KM/see_research.php?see=112
Saengpanit C. factors associated with successful prehospital resuscitation of out of hospital cardiac arrest by emergency medical service, Uttaradit hospital. Boramarajonani college of nursing, Uttaradit journal. 2565; Aug – Oct 2018:85-96.
Polak R, Khemphromma S, Bunkerd T. factors related to cardiopulmonary resuscitation in thabo crown prince hospital. Nakhonphanom hospital journal. 2563;7(2):63-72.
Chayawuttinpong T. Factors associated with the return of spontaneous circulation of out-hospital cardiac arrest at emergency department, kumpawapi hospital udonthani. Udonthani hospital medical journal. 2565;30(1):58-67.
Seangsarang T, Tienpratarn W, Yuksen C. Factor related to outcome of out-of-hospital cardiac arrest at emergency department, nong khai hospital, Thailand. Journal of emergency medical services of Thailand. 2565;2(1):28-36.
An HR, Han YR, Wang TH, Chi F, Meng Y, Zhang CY, et al. Meta-Analysis of the Factors Influencing the Restoration of Spontaneous Circulation After Cardiopulmonary Resuscitation. Front Physiol. 2022;13:834352.
Chen Y, Yue P, Wu Y, Li J, Lei Y, Gao D, et al. Trend in survival after out-of-hospital cardiac arrest and its relationship with bystander cardiopulmonary resuscitation: a six-year prospective observational study in Beijing. BMC Cardiovasc Disord. 2021;21(1):625.
Giamello JD, Bertone C, Lauria G. Emergency department cardiac arrest. Resuscitation. 2022;175:175-6.
Hong S, Lee S, Lee J, Cha WC, Kim K. Prediction of Cardiac Arrest in the Emergency Department Based on Machine Learning and Sequential Characteristics: Model Development and Retrospective Clinical Validation Study. JMIR Med Inform. 2020;8(8):e15932.
Hu Y, Xu J, Zhu H, Zhang G, Sun F, Zhang Y, et al. [Profile and outcome of cardiopulmonary resuscitation after sudden cardiac arrests in the emergency department: a multicenter prospective observational study]. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018;30(3):234-9.
Mankidy B, Howard C, Morgan CK, Valluri KA, Giacomino B, Marfil E, et al. Reduction of in-hospital cardiac arrest with sequential deployment of rapid response team and medical emergency team to the emergency department and acute care wards. PLoS One. 2020;15(12):e0241816.
Mir T, Qureshi WT, Uddin M, Soubani A, Saydain G, Rab T, et al. Predictors and outcomes of cardiac arrest in the emergency department and in-patient settings in the United States (2016-2018). Resuscitation. 2022;170:100-6.
Mitchell OJL, Edelson DP, Abella BS. Predicting cardiac arrest in the emergency department. J Am Coll Emerg Physicians Open. 2020;1(4):321-326.
Oosterveer DM, de Visser M, Heringhaus C. Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers. Neth Heart J. 2023;31(1):36-41.
Ravindran R, Kwok CS, Wong CW, Siller-Matula JM, Parwani P, Velagapudi P, et al. Cardiac arrest and related mortality in emergency departments in the United States: Analysis of the nationwide emergency department sample. Resuscitation. 2020;157:166-73.
Richard O. Cummins,Douglas Chamberlain, Mary Fran Hazinski, Vinay Nadkarni, Walter Kloeck, Efraim Kramer, et al. Recommended Guidelines for Reviewing, Reporting, and Conducting Research on In-Hospital Resuscitation: The In-Hospital ‘Utstein Style’. Circulation.1997;95:2213–2239
Gavin D. Perkins,Ian G. Jacobs,Vinay M. Nadkarni,Robert A. Berg,Farhan Bhanji, Dominique Biarent, et al. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest. Circulation. 2015;132:1286–1300
Hulleman M, Zijlstra JA, Beesems SG, Blom MT, van Hoeijen DA, Waalewijn RA, Tan HL, Tijssen JG, Koster RW. Causes for the declining proportion of ventricular fibrillation in out-of-hospital cardiac arrest. Resuscitation. 2015;96:23-29.
Morrison LJ, Neumar RW, Zimmerman JL, Link MS, Newby L. KN., Mcmullan PW. et al, Strategies for Improving Survival After In-Hospital Cardiac Arrest in the United States: 2013 Consensus Recommendations. American Heart Association. 2013;127(14):1538-1563.
Beck B., Bray JE., Cameron P., Straney L., Andrew E., Bernard S., et al. Predicting outcome in traumatic out of hospital cardiac arrest: the relevance of Utstein factors: Emergency Medicine Journal. 2017;34(12):786-792.
Smith JE, Rickard A, Wise D. Traumatic cardiac arrest. J R Soc Med. 2015;108(1):11-6.
Menegazzi JJ, Callaway CW, Sherman LD, et al. Ventricular fibrillation scaling exponent can guide timing of defibrillation and other therapies. Circulation. 2004; 109(7):926-31.
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