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
- 발행연도
- 2015.1
- 수록면
- 104 - 109 (6page)
이용수
초록· 키워드
오류제보하기
We validated the basic life support termination of resuscitation (BLS TOR) ruleretrospectively using Out-of-Hospital Cardiac Arrest (OHCA) data of metropolitanemergency medical service (EMS) in Korea. We also tested it by investigating the scenetime interval for supplementing the BLS TOR rule. OHCA database of Seoul (January 2011to December 2012) was used, which is composed of ambulance data and hospital medicalrecord review. EMS-treated OHCA and 19 yr or older victims were enrolled, after excludingcases occurred in the ambulance and with incomplete information. The primary andsecondary outcomes were hospital mortality and poor neurologic outcome. Aftercalculating the sensitivity (SS), specificity (SP), and the positive and negative predictivevalues (PPV and NPV), tested the rule according to the scene time interval group forsensitivity analysis. Of total 4,835 analyzed patients, 3,361 (69.5%) cases met all 3 criteriaof the BLS TOR rule. Of these, 3,224 (95.9%) were dead at discharge (SS,73.5%;SP,69.6%; PPV,95.9%; NPV, 21.3%) and 3,342 (99.4%) showed poor neurologicoutcome at discharge (SS, 75.2%; SP, 89.9%; PPV, 99.4%; NPV, 11.5%). The cut-offscene time intervals for 100% SS and PPV were more than 20 min for survival to dischargeand more than 14 min for good neurological recovery. The BLS TOR rule showed relativelylower SS and PPV in OHCA data in Seoul, Korea.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Stiell IG / 1999 / The Ontario Prehospital Advanced Life Support (OPALS) study Part II: Rationale and methodol-ogy for trauma and respiratory distress patients. OPALS Study Group / Ann Emerg Med 34:256~262
Finlay I / 1991 / Your child is dead / BMJ 302:1524~1525
Kahn CA / 2001 / Characteristics of fatal ambulance crashes in the United States : an 11-year retrospective analysis / Prehosp Emerg Care 5:261~269
Morrison LJ / 2010 / Part 3: ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S665~S675
Verbeek PR / 2002 / Derivation of a termination-of-resuscitation guideline for emergency medical technicians using automated external defibrillators / Acad Emerg Med 9:671~678
Finlay I / 1991 / Your child is dead / BMJ 302:1524~1525
Kahn CA / 2001 / Characteristics of fatal ambulance crashes in the United States : an 11-year retrospective analysis / Prehosp Emerg Care 5:261~269
Morrison LJ / 2010 / Part 3: ethics: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care / Circulation 122:S665~S675
Verbeek PR / 2002 / Derivation of a termination-of-resuscitation guideline for emergency medical technicians using automated external defibrillators / Acad Emerg Med 9:671~678
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