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자료유형
학술저널
저자정보
류종화 (영남대학교병원 응급의학과) 김정호 (영남대학교 의과대학 응급의학교실) 류현욱 (경북대학교 의과대학 응급의학과) 김종연 (경북대학교병원 공공보건의료사업실) 안재윤 (경북대학교 의학전문대학원 응급의학교실) 문성배 (경북대학교 의과대학 응급의학교실) 이동언 (경북대학교) 장태창 (대구가톨릭대학교) 진상찬 (계명대학교 의과대학 응급의학교실) 문유호 (영남대학교 의과대학 응급의학교실)
저널정보
대한응급의학회 대한응급의학회지 대한응급의학회지 제33권 제1호
발행연도
2022.2
수록면
28 - 36 (9page)

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Objective: The characteristics and prognosis of out-of-hospital cardiac arrest (OHCA) patients can vary due to a variety of factors, including the time of the day. We tried to identify the characteristics and prognosis of OHCA in a Korean metro city based on the time of the day. Methods: This citywide retrospective observational study was conducted from January 1, 2015, to November 31, 2020, in Daegu, Korea on patients over 18 years of age who were suspected of having a medical etiology of OHCA. We evaluated the characteristics and outcomes of OHCA, according to the time of day, divided into dawn (00:00-05:59), morning (06:00-11:59), afternoon (12:00-17:59), and night (18:00-23:59). The outcome variables were survival to hospital discharge and favorable neurological outcomes. Results: The median age of the total of 4,783 OHCA patients in the study was 72.0 years of which 3,096 (64.7%) were males. The number of patients who survived was 317 (7.8%) and 301 (6.3%) were discharged with favorable neurological outcomes. There were 672 (14.0%) patients admitted at dawn, 1,607 (33.6%) in the morning, 1,379 (28.8%) in the afternoon, and 1,125 (23.5%) at night. After adjusting for the possible confounding variables, compared with the morning group, the survival to hospital discharge was low in the afternoon and the night (adjusted odds ratio [aOR], 0.69; 95% confidence interval [CI], 0.48-0.98 and aOR, 0.48; 95% CI, 0.32-0.74). In addition, favorable neurological outcomes were also low in the afternoon and the night compared with the morning (aOR, 0.59; 95% CI, 0.40-0.85 and aOR, 0.62; 95% CI, 0.41-0.93). Conclusion: Diurnal differences in OHCA outcomes were observed. Identification of the diurnal OHCA characteristics will be necessary to devise an appropriate regional emergency medical services strategy.

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