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Characteristics and outcomes of public bath-related out-of-hospital cardiac arrests in South Korea

Clinical and Experimental Emergency Medicine 2020년 7권 3호 p.225 ~ 233
유영재, Kim Gi-Woon, 이정아, 박용진, 이경미, 조진성, 정원중, 최혁중, 최한주, 허남훈, 문형준,
소속 상세정보
유영재 ( Yoo Yung-Jae ) - Soonchunhyang University College of Medicine Department of Emergency Medicine
 ( Kim Gi-Woon ) - Soonchunhyang University College of Medicine Department of Emergency Medicine
이정아 ( Lee Choung-Ah ) - Hallym University Dongtan Sacred Heart Hospital Department of Emergency Medicine
박용진 ( Park Yong-Jin ) - Chosun University Hospital Department of Emergency Medicine
이경미 ( Lee Kyoung-Mi ) - Myongji Hospital Department of Emergency Medicine
조진성 ( Cho Jin-Seong ) - Gachon University Gil Medical Center Department of Emergency Medicine
정원중 ( Jeong Won-Jung ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Emergency Medicine
최혁중 ( Choi Hyuk-Joong ) - Hanyang University Guri Hospital Department of Emergency Medicine
최한주 ( Choi Han-Joo ) - Dankook University Hospital Department of Emergency Medicine
허남훈 ( Heo Nam-Hun ) - Soonchunhyang University Cheonan Hospital Clinical Trial Center
문형준 ( Moon Hyung-Jun ) - Soonchunhyang University College of Medicine Department of Emergency Medicine

Abstract


Objective: To analyze the differences in characteristics and outcomes between public bath (PB)- related and non-PB-related out-of-hospital cardiac arrest (OHCA) patients in South Korea.

Methods: We performed a retrospective observational analysis of collected data from the Smart Advanced Cardiac Life Support (SALS) registry between September 2015 and December 2018. We included adult OHCA patients (aged >18 years) with presumed OHCA of non-traumatic etiology who were attended by dispatched emergency medical services. SALS is a field advanced life support with smartphone-based direct medical direction. The primary outcome was the survival to discharge rate measured at the time of discharge.

Results: Of 38,995 cardiac arrest patients enrolled in the SALS registry, 11,889 were included in the final analysis. In total, 263 OHCAs occurred in PBs. Male sex and bystander cardiopulmonary resuscitation proportions appeared to be higher among PB patients than among non-PB patients. Percentages for shockable rhythm, witnessed rate, and number of underlying disease were lower in the PB group than in the non-PB group. Prehospital return of spontaneous circulation (11.4% vs. 19.5%, P=0.001), survival to discharge (2.3% vs. 9.9%, P<0.001), and favorable neurologic outcome (1.9% vs. 5.8%, P=0.007) in PB patients were significantly poorer than those in non-PB patients.

Conclusion: Patient characteristics and emergency medical services factors differed between PB and non-PB patients. All outcomes of PB-related OHCA were poorer than those of non-PB-related OHCA. Further treatment strategies should be developed to improve the outcomes of PBrelated cardiac arrest.

키워드

Out-of-hospital cardiac arrest; Emergency medical services; Resuscitation; Baths

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