Factors Associated With Successful Prehospital Resuscitation of Out of Hospital Cardiac Arrest By Emergency Medical Service, Uttaradit Hospital

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ชมพูนุท แสงพานิชย์


          Out of Hospital Cardiac Arrest (OHCA) is a leading causes of death worldwide, its outcome remains poor despite the efforts to improve quality of care. This study aimed to determine factors associated with successful resuscitation of OHCA patients by Emergency Medical Service (EMS), Uttaradit hospital. This retrospective study included all patients who were older than 18 years with OHCA and received cardiopulmonary resuscitation (CPR) by EMS Uttaradit team between January 2014 to December 2017. Descriptive statistics and multiple logistic regressions were used to analyze factors that related to the return of spontaneous circulation (ROSC).

          There were 139 OHCA patients enrolled. ROSC rate was 52.5%. The research results revealed that statistically significant factors related to ROSC were bystander CPR (OR= 24.188; 95% CI= 6.827 – 85.698) and witness arrest (OR=19.529; 95% CI=6.339 – 60.168). In contrast, traumatic cardiac arrest was associates with worse outcome (OR=0.085; 95%CI=0.023 – 0.316). Public awareness and community–based CPR education and training are needed to improve the chance of survival following OHCA.


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บทความวิจัย (Research articles)


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