Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

Yang, Hyuk Jun; Kim, Gi Woon; Kim, Hyun; Cho, Jin Seong; Rho, Tai Ho; Yoon, Han Deok; Lee, Mi Jin

doi:10.3346/jkms.2015.30.1.95

Cited by 50 publications

(32 citation statements)

References 23 publications

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“…Our results are also in accordance with international observations reported in studies from Sweden [5], Denmark [6], Korea [7], Australia [8], Japan [9], Spain [10], Canada [11], France [12], Singapore [13], and Austria [14]. The reports cited above primarily underscored the role of early bystander CPR before the arrival of emergency teams, including bystander defibrillation [5–7, 9–11, 13, 14].…”

Section: Discussionsupporting

confidence: 94%

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Determinants of unfavorable prognosis for out-of-hospital sudden cardiac arrest in Bielsko-Biala district

Gach

Nowak

Krzych

2016

kitp

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IntroductionThe prognosis in out-of-hospital sudden cardiac arrest (OHCA) remains unfavorable and depends on a number of demographic and clinical variables, the reversibility of its causes and its mechanisms.AimTo investigate the risk factors of prehospital death in patients with OHCA in Bielsko County.Material and methodsThe study analyzed all dispatch cards of the National Emergency Medical Services (EMS) teams in Bielsko-Biala for the year 2013 (n = 23 400). Only the cards related to sudden cardiac arrest in adults were ultimately included in the study (n = 272; 190 men, 82 women; median age: 71 years).ResultsSixty-seven victims (45 men, 22 women) were pronounced dead upon the arrival of the EMS team, and cardiopulmonary resuscitation (CPR) was not undertaken. In the remaining group of 205 subjects, CPR was commenced but was ineffective in 141 patients (97 male, 44 female). Although univariate analysis indicated 6 predictors of prehospital death, including OHCA without the presence of witnesses (odds ratio (OR) = 4.2), OHCA occurring in a public place (OR = 3.1), no bystander CPR (OR = 9.7), no bystander cardiac massage (OR = 13.1), initial diagnosis of non-shockable cardiac rhythm (OR = 7.0), and the amount of drugs used for CPR (OR = 0.4), logistic regression confirmed that only the lack of bystander cardiac massage (OR = 6.5) and non-shockable rhythm (OR = 4.6) were independent determinants of prehospital death (area under ROC curve = 0.801).ConclusionsNon-shockable rhythm of cardiac arrest and lack of bystander cardiac massage are independent determinants of prehospital death in Bielsko-Biala inhabitants suffering from OHCA.

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Section: Discussionsupporting

confidence: 94%

“…The reports cited above primarily underscored the role of early bystander CPR before the arrival of emergency teams, including bystander defibrillation [5–7, 9–11, 13, 14]. …”

Section: Discussionmentioning

confidence: 99%

Determinants of unfavorable prognosis for out-of-hospital sudden cardiac arrest in Bielsko-Biala district

Gach

Nowak

Krzych

2016

kitp

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“…Our finding that collapse in a public location accounted for a threefold increase in survival is not surprising and has been reported in other large-scale registry-based studies 19 20…”

Section: Discussionsupporting

confidence: 86%

Out-of-hospital cardiac arrest attended by ambulance services in Ireland: first 2 years’ results from a nationwide registry

et al. 2016

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Competing InterestsNone to declare. Dr. McNally reports grants from American Red Cross, the American Heart Association, Medtronic Philanthropy and Zoll Corporation, outside the submitted work.2 Abstract Background: National data collection provides information on out-of-hospital cardiac arrest (OHCA) incidence, management and outcomes that may not be generalisable from smaller studies. This retrospective cohort study describes the first two years' results from the Irish National Out-of-Hospital Cardiac Arrest Register (OHCAR). Methods: Data on OHCAs attended by Emergency Medical Services where resuscitation was attempted (EMS-treated) was collected from ambulance services and entered onto OHCAR. Descriptive analysis of the study population was performed, and regression analysis was performed on the subgroup of adult patients with a bystander-witnessed event of presumed cardiac aetiology and an initial shockable rhythm (Utstein Group). Results: 3,701 EMS-treated OHCAs were recorded for the study period (01/01/2012 -31/12/2013). Incidence was 39/100,000 population per year. In the Utstein Group (n=577), compared to the overall group, there was a higher proportion of male patients, public event location, bystander cardiopulmonary resuscitation and early defibrillation. Median EMS call-response interval was similar in both groups. A higher proportion of patients in the Utstein Group achieved return of spontaneous circulation (ROSC) (35% vs. 17%) and survival to hospital discharge (22% vs. 6%). After multivariate adjustment for the Utstein Group, the following variables were found to be independent predictors of the outcome survival to hospital discharge: public event location (OR 3.1 (95%CI 1.9-5.0)); Bystander CPR (2.4 (95% CI 1.2-4.9)); EMS response of eight minutes or less (2.2 (95%CI 1.3-3.6)). Conclusion:This study highlights the role of nationwide registries in quantifying, monitoring and benchmarking OHCA incidence and outcome, providing baseline data upon which service improvement effects can be measured.

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“…Literature data suggest that pathologies of cardiac origin are the major cause of cardiopulmonary arrest [10][11][12][13][14][15][16] . The rate of response of trauma-induced cardiopulmonary arrests to CPR is below 5% [17] .…”

Section: Discussionmentioning

confidence: 99%

Successful application of acute cardiopulmonary resuscitation

Öztürk

Altınbilek

Koyuncu

et al. 2015

Journal of Acute Disease

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Chi-square and Mann-Whitney U test were used to compare the patients' data. The study data were analyzed in SPSS 18.0 software package. A P value less than 0.05 was considered statistically significant. Results: A total of 155 patients who were applied CPR were included in the analysis. Among the study patients, seventy Q2 eight (50.3%) were brought to Emergency Department after developing cardiopulmonary arrest while 77 (49.7%) developed cardiopulmonary arrest at Emergency Department. The mean age of the study population was (66 ± 16) years and 64% of the patients were male. The initial rhythms of the CPR-applied patients were different (P < 0.05). There were no significant differences between the groups with respect to the treatment protocols or CPR responses (P > 0.05). The CPR response time was longer in ED (P < 0.05). The survival rate was lower in the trauma patients who developed cardiopulmonary arrest at ED (P < 0.05). Conclusions: The scientific data obtained in this study suggest that an early response and therapy improves outcomes in CPR procedure.

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Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

Cited by 50 publications

References 23 publications

Determinants of unfavorable prognosis for out-of-hospital sudden cardiac arrest in Bielsko-Biala district

Determinants of unfavorable prognosis for out-of-hospital sudden cardiac arrest in Bielsko-Biala district

Out-of-hospital cardiac arrest attended by ambulance services in Ireland: first 2 years’ results from a nationwide registry

Successful application of acute cardiopulmonary resuscitation

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