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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.7 No.2
- 발행연도
- 2020.1
- 수록면
- 95 - 106 (12page)
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초록· 키워드
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Objective To investigate variations in the effects of prehospital advanced airway management (AAM) on outcomes of out-of-hospital cardiac arrest (OHCA) patients according to regional emergency medical service (EMS) systems in four Asian cities. Methods We enrolled adult patients with EMS-treated OHCA of presumed cardiac origin between 2012 and 2014 from Osaka (Japan), Seoul (Republic of Korea), Singapore (Singapore), and Taipei (Taiwan). The main exposure variable was prehospital AAM. The primary endpoint was neurological recovery. We compared outcomes between the prehospital AAM and non-AAM groups using multivariable logistic regression with an interaction term between prehospital AAM and the four Asian cities. Results A total of 16,510 patients were included in the final analyses. The rates of prehospital AAM varied among Osaka, Seoul, Singapore, and Taipei (65.0%, 19.2%, 84.9%, and 34.1%, respectively). The non-AAM group showed better outcomes than the AAM group (adjusted odds ratio [aOR] for neurological recovery 0.30; 95% confidence interval [CI], 0.24–0.38]). In the interaction model for neurological recovery, the aORs for AAM in Osaka and Singapore were 0.12 (95% CI, 0.06–0.26) and 0.21 (95% CI, 0.16–0.28), respectively. In Seoul and Taipei, the association between prehospital AAM and neurological recovery was not significant (aOR 0.58 [95% CI, 0.31–1.10] and 0.79 [95% CI, 0.52–1.20], respectively). The interaction between prehospital AAM and region was significant (P=0.01). Conclusion The effects of prehospital AAM on outcomes of OHCA patients differed according to regional variability in the EMS systems.
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참고문헌 (23)
참고문헌 신청
Mozaffarian D / 2015 / Heart disease and stroke statistics : 2015 update : a report from the American Heart Association / Circulation 131:e29~322
Iwami T / 2009 / Continuous improvements in"chain of survival"increased survival after out-of-hospital cardiac arrests : a large-scale population-based study / Circulation 119:728~734
Jeong S / 2016 / The role of prehospital advanced airway management on outcomes for out-of-hospital cardiac arrest patients : a meta-analysis / Am J Emerg Med 34:2101~2106
Fouche PF / 2014 / Airways in out-of-hospital cardiac arrest : systematic review and meta-analysis / Prehosp Emerg Care 18:244~256
Beck B / 2018 / Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand: results from the Aus-ROC Epistry / Resuscitation 126:49~57
Iwami T / 2009 / Continuous improvements in"chain of survival"increased survival after out-of-hospital cardiac arrests : a large-scale population-based study / Circulation 119:728~734
Jeong S / 2016 / The role of prehospital advanced airway management on outcomes for out-of-hospital cardiac arrest patients : a meta-analysis / Am J Emerg Med 34:2101~2106
Fouche PF / 2014 / Airways in out-of-hospital cardiac arrest : systematic review and meta-analysis / Prehosp Emerg Care 18:244~256
Beck B / 2018 / Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand: results from the Aus-ROC Epistry / Resuscitation 126:49~57
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