Development of Electronic Record Form for Out of Hospital Cardiac Arrest Patients in Emergency Medical Service System of Thailand
Main Article Content
Abstract
This study was a part of the research on the development of health database system of patients with cardiac arrest in emergency medical service system of Thailand in new normal era which adopted an action research design. This study aimed to develop and evaluate suitability of the electronic record form for out-of-hospital cardiac arrest patients.
The subjects were 120 health professions consisted of physicians and registered nurses working at emergency rooms/ambulances, paramedics, advanced emergency medical technicians of Police General Hospital, Lerdsin Hospital, Taksin Hospital, Nopparat Rajathanee Hospital, and Charoenkrung Pracharak Hospital. The participants were selected using snowball sampling. The instruments composed of demographic data and suitability evaluation form of electronic record form for out-of-hospital cardiac arrest patients. Validity was tested by using index of item objective congruence with a value between 0.57 - 1. Intraclass Correlation Coefficient (ICC) with inter-rater reliability was applied and received a confidence score of 0.85. Data were analyzed using descriptive statistics.
The results demonstrated the following:
1) The electronic record form was 47 items divided into 7 sections consisting of: 1) time and distance data, 2) data of patients, 3) events data, 4) pre-Emergency Medical Services (EMS) First Aids, 5) Emergency Medical Service treatment at the scene, 6) Referral to emergency department, and 7) results of treatment.
2) The total suitability of the electronic record form of Out of Hospital Cardiac Arrest Patients was at a high level (Mean = 4.62, SD = 0.46)
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Jokkrajai P, Saisema W, Poopitukkul J, Rattanachankorn K. Resuscitation of adults having out-of-hospital cardiac arrest. Christian University Journal 2020;26(2):113125. (in Thai).
Garcia RA, Girotra S, Jones PG, McNally B, Spertus JA, Chan PS, et al. Variation in out-of-hospit al cardiac arrest survival across emergency medical service agencies. Circ Cardiovasc Qual Outcomes 2022;15(6):e008755.
Sudden Cardiac Arrest Foundation. The following summary by the Sudden Cardiac Arrest Foundation of selected highlights of the "American Heart Association Heart and Stroke Statistics - 2022 Update" focuses on out-of-hospital cardiac arrest in the U.S. [Internet]. [cited 2022 October 21]. Available from: https://www.sca-aware.org/about-sudden-cardiac-arrest/latest-statistics.
Strategy and Planning Group, Bureau of Non-communicable Diseases, Department Disease Control, Ministry of Public Health. Annual report 2015. Bangkok: Printing Office; The War Veterans Organization of Thailand; 2016. (in Thai).
Bielski K, Makowska K, Makowski A, Kopiec T, Gasecka A, Malecka M, et al. Impact of COVID-19 on in-hospital cardiac arrest outcomes: an updated meta-analysis. Cardiol J 2021;28(6):816-24.
American Heart Association. Highlights of the 2020 American Heart Association guidelines update for CPR and ECC. [Internet]. [cited 2022 October 21]. Available from:https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines.
Yeeheng U. Factors associated with successful resuscitation of out-of-hospital cardiac arrest at Rajavithi Hospital’s Narenthorn Emergency Medical Service Center, Thailand. Asia Pac J Public Health 2011;23(4):601-7. (in Thai).
Thamnamsin K, Punyapet K, Noitung S, Naktes C. The effect of self-efficacy program on basic cardiopulmonary resuscitation skills among fourth-grade elementary school students in Bangkok Metropolitan area. Royal Thai Navy Medical Journal 2022;49(2):334-49. (in Thai).
Pichedboonkiat P. Survival factors of out-of-hospital cardiac arrest in Chiangrai Prachanukroh hospital. CMJ 2021;13(1):43-57. (in Thai).
Aramrerng P, Sutham K, Wittayachamnankul B, Kaewpaengchan W, Laosuksri W, Sairai R, et al. Survival of out-of-hospital cardiac arrest of traumatic patients who received medical care from emergency medical service system. JHRS 2020;14(1):43-50. (in Thai).
Khunkongkaphan M, Chanphan T. Characteristics of cardiac arrest patients and factors associated with return of spontaneous circulation success at the emergency department Maesai Hospital Chiang Rai province. Nursing Public Health and Education Journal 2015;16(1):53-66. (in Thai).
van Nieuwenhuizen BP, Oving I, Kunst AE, Daams J, Blom MT, Tan HL, et al. Socio-economic differences in incidence, bystander cardiopulmonary resuscitation and survival from out-of-hospital cardiac arrest: a systematic review. Resuscitation 2019;141:44-62.
van de Glind EM, van Munster BC, van de Wetering FT, van Delden JJ, Scholten RJ, Hooft L. Pre-arrest predictors of survival after resuscitation from out-of-hospital cardiac arrest in the elderly a systematic review. BMC Geriatr 2013;13(1):1-10.
Majewski D, Ball S, Finn J. Systematic review of the relationship between comorbidity and out-of-hospital cardiac arrest outcomes. BMJ Open 2019;9(11):e031655.
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. Critical Care 2020;24(1):1-13.
Riva G, Ringh M, Jonsson M, Svensson L, Herlitz J, Claesson A, et al. Survival in out-of-hospital cardiac arrest after standard cardiopulmonary resuscitation or chest compressions only before arrival of emergency medical services: nationwide study during three guideline periods. Circulation 2019;139(23):2600-9.
Hawkes C, Booth S, Ji C, Brace-McDonnell SJ, Whittington A, Mapstone J, et al. Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation 2017;110:133-40.
Bürger A, Wnent J, Bohn A, Jantzen T, Brenner S, Lefering R, et al. The effect of ambulance response time on survival following out-of-hospital cardiac arrest: an analysis from the German resuscitation registry. Dtsch Arztebl Int 2018;115(33-34):541.
Meehanpong P, Boonsin S. The development of nursing research instruments. Journal of Royal Thai Army Nurses 2021;22(1):10-9. (in Thai).
Pipitkun K. Quality of questionnaire tools: validity and reliability in public administration for research. NEU Academic and Research Journal 2018;8(2):104-10. (in Thai).
Saengpanit C. Factors associated with successful prehospital resuscitation of Out of hospital cardiac arrest by emergency medical service, Uttaradit hospital. Boromarajonani College of Nursing, Uttaradit Journal 2018(suppl August-October):85-96. (in Thai).
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 Assciation of Thailand 2018;8(1):15-23. (in Thai).
Wongvatanakij P, Tadadej C, Meyai A, Suriyawongpaisal P. Relation of factor on survival outcomes among traumatic patients at the tertiary care hospital admitted for traffic accidents in Phuket province. Srinagarind Med J 2019;34(1):52-9.
Aves T, Chopra A, Patel M, Lin S. Epinephrine for out-of-hospital cardiac arrest: an updated systematic review and meta-analysis. Crit Care Med 2020;48(2):225-9.
Finn J, Jacobs I, Williams TA, Gates S, Perkins GD. Adrenaline and vasopressin for cardiac arrest. [Internet]. [cited 2022 October 24]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492484/pdf/CD003179.pdf.
Huan L, Qin F, Wu Y. Effects of epinephrine for out-of-hospital cardiac arrest: a systematic review and meta-analysis of randomized controlled trials. Medicine 2019;98(45):e17502.
Ran L, Liu J, Tanaka H, Hubble MW, Hiroshi T, Huang W. Early administration of adrenaline for out‐of‐hospital cardiac arrest: a systematic review and meta-analysis. J Am Heart Assoc 2020;9(11):e014330.
Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services. Data dictionary cardiac arrest registry to enhance survival (CARES). [Internet]. [cited 2022 October 24]. Available from: https://mycares.net/sitepages/uploads/2020/Data%20Dictionary%20(2021).pdf.
CARES. Data Sharing User Guide. [Internet]. [cited 2022 October 24]. Available from: https://mycares.net/sitepages/uploads/2020/Data%20Sharing%20User%20Guide%202020.pdf
Brown T, Booth S. Out-of-hospital cardiac arrest outcome database (OHCAO). [Internet]. [cited 2022 October 24]. Available from: https://warwick.ac.uk/fac/sci/med/research/ctu/trials/ohcao/publications/epidemiologyreports/ohcao_annual_report_2017_final.pdf.
Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein resuscitation registry templates for out-of-hospital cardiac arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, critical care, perioperative and resuscitation. Circulation. 2015;132(3):1286-300.
Eftestøl T, Sherman LD. Towards the automated analysis and database development of defibrillator data from cardiac arrest. Biomed Res Int 2014;2014:276965. doi: 10.1155/2014/276965.
Morrison LJ, Nichol G, Rea TD, Christenson J, Callaway CW, Stephens S, et al. Rationale, development and implementation of the resuscitation outcomes consortium epistry-cardiac arrest. Resuscitation 2008;78(2):161-9.
Wanlor P, Srithammasak B, Vorapongsathorn S. The development of an information system in Srisaket province for retrieving patient referral data through the internet. Vajira Medical Journal 2017;61(3):215-24. (in Thai).