Factor related to outcomes of Out-of-Hospital Cardiac Arrest at Emergency Department, Thungsong Hospital, Nakhon Si Thammarat

Authors

  • Navara Nanakorn Department of Emergency, Thungsong Hospital, Nakhon Si Thammarat

Keywords:

Out-of-hospital Cardiac Arrest, cardiopulmonary resuscitation

Abstract

Background: Out-of-hospital Cardiac Arrest (OHCA) is an emergency condition that requires
cardiopulmonary resuscitation (CPR). The OHCA has a low survival rate. Studying factor related to outcomes of OHCA is therefore important to improve the development of emergency medical service.

Objective: The study aims to define the survival factors of OHCA and analyze the relevant factors to outcome of OHCA at Emergency Department, Thungsong Hospital, Nakhon Si Thammarat.

Materials and Methods: Retrospective study was performed on OHCA patients. Data was
collected from medical records of OHCA patients who attended the hospital between    May 1, 2021 to April 30, 2023.

Results: There were 162 OHCA patients enrolled and the sustained return of spontaneous circulation (ROSC) rate was 27.78%. The influence factors related to sustained ROSC were bystander CPR (OR 6.321, 95%CI 2.463-16.222) and transportation mode by EMS (OR 4.245, 95%CI 1.712-10.526).

Conclusions: This study found that major factors associated with successful resuscitation of OHCA patients were bystander CPR and transportation mode by EMS.

References

Myat A, Song KJ, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018;391(10124):970-79.

McNally B, Robb R, Mehta M, Vellano K, Valderrama AL, Yoon PW, et al. Out-of-hospital cardiac arrest surveillance - Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005 - December 31, 2010. MMWR Surveill Summ. 2011;60(8):1-19.

Atwood C, Eisenberg MS, Herlitz J, Rea TD. Incidence of EMS-treated out-of hospital cardiac arrest in Europe. Resuscitation. 2005;67(1):75–80.

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. 2010;3(1):63-81.

Berdowski J, Berg RA, Tijssen JGP, Koster RW. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation. 2010;81(11):1479–87.

Srichan P. Factors associated with survival rate and medical service system among out of hospital cardiac arrest patients under emergency medical service system in Thailand. Journal of emergency medical services of Thailand. 2564;2(1):4-5.

National Institute for Emergency Medicine. Situation report in Emergency Medical Services 2015. Bangkok: Phanyamit printing:2016.

Amnuaypattanapon K, Udomsubpayakul U. Evaluation of related factors and the outcome in cardiac arrest resuscitation at Thammasat Emergency Department. J Med Assoc Thai. 2010 Suppl 7:S26-34.

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.

Böttiger BW, Bernhard M, Knapp J, Nagele P. Influence of EMS-physician presence on survival after out-of-hospital cardiopulmonary resuscitation: systematic review and metaanalysis. Crit Care. 2016;20:4.

Travers AH, Rea TD, Bobrow BJ, Edelson DP, Berg RA, Sayre MR, et al. Part 4: CPR overview: 2010. American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. 2010;122(18 Suppl 3):S676-84.

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.

Lai CY, Lin FH, Chu H, Ku CH, Tsai SH, Chung CH, et al. Survival factors of hospitalized out-of-hospital cardiac arrest patients in Taiwan: a retrospective study. PLOS ONE 2018;13(2): e0191954.

Pichedboonkiat P. Survival factors of out-of-hospital cardiac arrest in Chiangrai Prachanukroh Hospital. Chiangrai medical journal. 2564;13(1):43-57.

Puyafa J. Survival Factors of Out-of-Hospital Cardiac Arrest Patients in Kuchinarai Crown Prince Hospital, Kalasin Province. Journal of Emergency Medicial Services of Thailand. 2023;3(2):128-35.

Pangma A. Policy of Emergency Medical Services of Thailand 2024. National Institute for Emergency Medicine [Internet]. 2023 [cited 2024 Jan 02]; 1 [18 screens]. Available from https://www.niems.go.th/1/UploadAttachFile/2024/EBook/420366_20241004090336

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.

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Published

2025-07-01

How to Cite

1.
Nanakorn N. Factor related to outcomes of Out-of-Hospital Cardiac Arrest at Emergency Department, Thungsong Hospital, Nakhon Si Thammarat . MNST Med J [internet]. 2025 Jul. 1 [cited 2026 Feb. 15];9(1):28-39. available from: https://he01.tci-thaijo.org/index.php/MNSTMedJ/article/view/280671