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Purpose: Return of spontaneous circulation (ROSC) is closely related to a favorable treatment outcome in out-ofhospital cardiac arrest and is also a reliable treatment target in clinical trials. The aim of this study is the identification of major factors affecting field ROSC by analyzing the updated data encompassing the pre-hospital treatment processes. Methods: This is a retrospective review of cardiopulmonary resuscitation (CPR) cases performed by 119 rescuers before hospital arrival from January 2012 to December 2014 in one province. Cases with traumatic cardiac arrest, unnecessary CPR, arrest occurred during transport, under age 14 years, and incomplete medical records were excluded. Results: Of 1,832 patients enrolled in the study, ROSC was achieved in 99 cases (5.4%). Among them, 50 (50.5%) had ROSC at the event field and others achieved ROSC during the transport process, respectively. Total cases were divided into two groups based on ROSC before arrival at the hospital. Age, underlying cardiovascular illnesses, the event place, presence of a witness, bystander CPR, application of an automated external defibrillator (AED), the initial shockable rhythm, defibrillation, advanced airway, hydration, the arrival time of rescuer CPR, application time of AED, and defibrillation showed significant statistical differences. In multivariate analysis, age, defibrillation, hydration, bystander CPR, and the call-to-rescuer CPR interval appeared to be correlated with field ROSC. Conclusion: To improve the survival rate through field ROSC, a public campaign to improve bystander CPR, prompt recognition of cardiac arrest, and rapid application of pre-hospital treatment and political support of the public institution are mandatory.
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참고문헌 (27)
참고문헌 신청
Lund-Kordahl I / 2010 / Improving outcome after out-of-hospital cardiac arrest by strengthening weak links of the local Chain of Survival; quality of advanced life support and post-resuscitation care / Resuscitation 81:422~426
Travers AH / 2010 / Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S676~S684
Jacobs I / 2004 / Cardiac arrest and cardiopulmonary resuscitation outcome reports : update and simplification of the Utstein templates for resuscitation registries : a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation(American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa) / Circulation 110:3385~3397
Perkins GD / 2015 / Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports : Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest : A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation(American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation / Resuscitation 96:328~340
Morrison LJ / 2006 / Validation of a rule for termination of resuscitation in out-of-hospital cardiac arrest / N Engl J Med 355:478~487
Travers AH / 2010 / Part 4: CPR overview: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S676~S684
Jacobs I / 2004 / Cardiac arrest and cardiopulmonary resuscitation outcome reports : update and simplification of the Utstein templates for resuscitation registries : a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation(American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa) / Circulation 110:3385~3397
Perkins GD / 2015 / Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports : Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest : A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation(American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation / Resuscitation 96:328~340
Morrison LJ / 2006 / Validation of a rule for termination of resuscitation in out-of-hospital cardiac arrest / N Engl J Med 355:478~487
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