지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.1
- 발행연도
- 2021.1
- 수록면
- 21 - 29 (9page)
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초록· 키워드
오류제보하기
Objective Delivery of prehospital defibrillation for shockable rhythms by emergency medical service providers is crucial for successful resuscitation in out-of-hospital cardiac arrest (OHCA) patients. The optimal range of prehospital defibrillation attempts for refractory shockable rhythms is unknown. This study evaluated the association between the number of prehospital defibrillation attempts and neurologic outcomes in OHCA patients. Methods A retrospective observational study was conducted using the nationwide OHCA registry. Adult OHCA patients who were treated by emergency medical service providers due to presumed cardiac origin with initial shockable rhythm were enrolled from 2013 to 2016. The final analysis was performed on patients without on-scene return of spontaneous circulation. The number of prehospital defibrillation attempts was categorized as follows: 2–3, 4–5, and ≥6 attempts. The primary outcome was a good neurologic recovery at hospital discharge. Multivariate logistic regression analysis was performed to evaluate the association between neurologic outcomes and the number of prehospital defibrillation attempts. Results A total of 4,513 patients were included in the final analysis. The numbers of patients for whom 2–3, 4–5, and ≥6 defibrillation attempts were made were 2,720 (60.3%), 1,090 (24.2%), and 703 (15.5%), respectively. Poorer outcomes were associated with ≥6 defibrillation attempts: survival to hospital discharge (adjusted odds ratio, 0.38; 95% confidence interval, 0.21–0.65) and good neurologic recovery (adjusted odds ratio, 0.42; 95% confidence interval, 0.21–0.84). Conclusion Six or more prehospital defibrillation attempts were associated with poorer neurologic outcomes in OHCA patients with an initial shockable rhythm who were unresponsive to on-scene defibrillation and resuscitation.
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등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Soar J / 2015 / European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support / Resuscitation 95:100~147
Kleinman ME / 2015 / Part 5 : adult basic life support and cardiopulmonary resuscitation quality : 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care / Circulation 132(18 Suppl 2):S414~S435
Nelson RD / 2015 / Mobile versus fixed deployment of automated external defibrillators in rural EMS / Prehosp Disaster Med 30:152~154
Emmerson AC / 2017 / Double sequential defibrillation therapy for out-of-hospital cardiac arrests : the London experience / Resuscitation 117:97~101
Beck LR / 2019 / Effectiveness of prehospital dual sequential defibrillation for refractory ventricular fibrillation and ventricular tachycardia cardiac arrest / Prehosp Emerg Care 23:597~602
Kleinman ME / 2015 / Part 5 : adult basic life support and cardiopulmonary resuscitation quality : 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care / Circulation 132(18 Suppl 2):S414~S435
Nelson RD / 2015 / Mobile versus fixed deployment of automated external defibrillators in rural EMS / Prehosp Disaster Med 30:152~154
Emmerson AC / 2017 / Double sequential defibrillation therapy for out-of-hospital cardiac arrests : the London experience / Resuscitation 117:97~101
Beck LR / 2019 / Effectiveness of prehospital dual sequential defibrillation for refractory ventricular fibrillation and ventricular tachycardia cardiac arrest / Prehosp Emerg Care 23:597~602
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