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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 10 (10page)
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Background: Recovery after out-of-hospital cardiac arrest (OHCA) is difficult, and emergency medical services (EMS) systems apply various strategies to improve outcomes. Multi-dispatch is one means of providing high-quality cardiopulmonary resuscitation (CPR), but no definitive best-operation guidelines are available. We assessed the effects of a basic life support (BLS)-based dual-dispatch system for OHCA. Methods: This prospective observational study of 898 enrolled OHCA patients, conducted in Daegu, Korea from March 1, 2015 to June 30, 2016, involved patients > 18 years old with suspected cardiac etiology OHCA. In Daegu, EMS started a BLS-based dual-dispatch system in March 2015, for cases of cardiac arrest recognition by a dispatch center. We assessed the association between dual-dispatch and OHCA outcomes using multivariate logistic regressions. We also analyzed the effect of dual-dispatch according to the stratified on-scene time. Results: Of 898 OHCA patients (median, 69.0 years; 65.5% men), dual-dispatch was applied in 480 (53.5%) patients. There was no difference between the single-dispatch group (SDG) and the dual-dispatch group (DDG) in survival at discharge and neurological outcomes (survival discharge, P = 0.176; neurological outcomes, P = 0.345). In the case of less than 10 minutes of on-scene time, the adjusted odds ratio was 1.749 (95% confidence interval [CI], 0.490–6.246) for survival discharge and 6.058 (95% CI, 1.346–27.277) for favorable neurological outcomes in the DDG compared with the SDG. Conclusion: Dual-dispatch was not associated with better OHCA outcomes for the entire study population, but showed favorable neurological outcomes when the on-scene time was less than 10 minutes.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Cheskes S / 2017 / The association between AHA CPR quality guideline compliance and clinical outcomes from out-of-hospital cardiac arrest / Resuscitation 116:39~45
Grunau B / 2018 / Gains of continuing resuscitation in refractory out-of-hospital cardiac arrest : a model-based analysis to identify deaths due to intra-arrest prognostication / Prehosp Emerg Care 22(2):198~207
Shin SD / 2012 / Comparison of emergency medical services systems across Pan-Asian countries : a web-based survey / Prehosp Emerg Care 16(4):477~496
McMullan J / 2014 / Airway management and out-of-hospital cardiac arrest outcome in the CARES registry / Resuscitation 85(5):617~622
Saner H / 2013 / Dual dispatch early defibrillation in out-of-hospital cardiac arrest in a mixed urban-rural population / Resuscitation 84(9):1197~1202
Grunau B / 2018 / Gains of continuing resuscitation in refractory out-of-hospital cardiac arrest : a model-based analysis to identify deaths due to intra-arrest prognostication / Prehosp Emerg Care 22(2):198~207
Shin SD / 2012 / Comparison of emergency medical services systems across Pan-Asian countries : a web-based survey / Prehosp Emerg Care 16(4):477~496
McMullan J / 2014 / Airway management and out-of-hospital cardiac arrest outcome in the CARES registry / Resuscitation 85(5):617~622
Saner H / 2013 / Dual dispatch early defibrillation in out-of-hospital cardiac arrest in a mixed urban-rural population / Resuscitation 84(9):1197~1202
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