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

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ชมพูนุท แสงพานิชย์

Abstract

          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)

References

1. Beck B., Bray JE., Cameron P., Straney L., Andrew E. & Bernard S., et al.(2017). Predicting outcome in traumatic out of hospital cardiac arrest: the relevance of Utstein factors: Emergency Medicine Journal, 34(12),786-792.

2. Hansen M., Schmicker R., Newgard C.,Grunau B., Scheuermeyer F., Cheskes S., et al. (2018).
Time to epinephrine administration and survival from non shockable out of hospital cardiac arrest among children and adult.Circulation,137(11),1161-1168.

3. Jabre P., Penaloza A., Pinero D.,Duchateau F., Borron S. & Javaudin F., et al. (2018).Effect of
bag mask ventilation vs endotracheal during cardiopulmonary resuscitation on Neurological outcome after out-of-hospital cardiorespiratory arrest. JAMA,319(8),779-87.

4. Morais D.,Carvalho D. &Correa A.(2014). Out-of-hospital cardiac arrest : determinant factors for immediate survival after cardiopulmonary resuscitation. Revista Latino-Americanade Enfermagem, 22(4),562-568.

5. Nongchang P., Laohasiriwong W., Pitaksanurat S. & Boonsirikamchai P. (2017). Intravenous fluid administration and the survival of pre hospital resuscitated out of hospital cardiac arrest patients in Thailand. Journal of Clinical and Diagnostic Reserch, 11(9), 29-32.

6. Ong M., Shin S., Souza N., Tanaka H., Nishiuchi T. & Song K., et al.(2015).Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS).Resuscitation, 96,100–108.

7. Photipim M., Laohasiriwong W., Thinkhamrop B., Sethasathien A. & Hurst C. (2016).The effect of response time on survival among non traumatic out of hospital cardiac arrest patients in Thailand. The Journal of Health Research, 30(1),19-24.

8. Soholm H., Hassager C., Lippert F., Jensen M., Thomsen J., Friberg H., et al. (2015). Factors associated with successful resuscitation after out-of-hospital cardiac arrest and temporal trends in survival and comorbidity. Annals of Emergency Medicine, 65(5), 523-531.

9. Syvaoja S., Salo A., Uusaro A.,Jantti H. & Kuisma M. (2018). Witnessed out of hospital cardiac arrest- effect of emergency dispatch recognition. ActaAnaesthesiologica Scandinavica, 62(4), 558-567.

10. Yeeeng U.(2011). Factors associated with successful resuscitation of out-of-hospital cardiac arrest at Rajavithi hospital’s narenthorn emergency medical service center, Thailand. Asia-Pacific Journal of Public Health, 23(4), 601–607. (in Thai)