SURVIVAL FACTORS OF OUT-OF-HOSPITAL CARDIAC ARREST IN CHIANGRAI PRACHANUKROH HOSPITAL
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Abstract
Background: Out-of-hospital Cardiac Arrest (OHCA) is emergency condition that requires
cardiopulmonary resuscitation (CPR). The OHCA has low survival rate. The survival factor of
OHCA is important to develop anemergency medical service.
Objective: The study aims to define the epidemiological characteristics and survival factors of
OHCA and analyze relevant factors to outcome of OHCA.
Methods: Retrospective study was performed on OHCA patient (aged ≥18 years) in emergency
department at Chiang Rai Prachanukroh Hospital from October 1, 2016 to September 30, 2018.
The statistical analysis in this study was t-test, exact probability test and logistic regression
analysis.
Results: During the study period, total 133 patients who met inclusion criteria were male (63.90
%). The most common cause of OHCA was non-cardiovascular cause. The sustained return of
spontaneous circulation (ROSC) was 36.80 %. The influence factors related to sustained ROSC
were response time within 8 minutes (OR 2.31, 95%CI0.98-5.43) and bystander CPR (OR 5.92,
95%CI1.95-18.01).
Conclusions: The OHCA has low survival rate. The education of basic life support for Thai people, increasing number of AED in public place and potential development of emergency medical services (EMS) are important and another way to improve survival rate of OHCA.
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References
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