hrcak mascot   Srce   HID

Izvorni znanstveni članak
https://doi.org/10.22514/SV151.042019.7

Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest

JOO YEONG KIM
SUNGWOO MOON ; Department of Emergency Medicine Korea University Ansan Hospital Ansan, Gyeonggi-do, South Korea
JONG HAK PARK
HAN JIN CHO
JU HYUN SONG
WOOCHAN JEON
HANSOEK CHANG
YOUNG SUN RO
SANG DO SHIN

Puni tekst: engleski, pdf (238 KB) str. 51-58 preuzimanja: 69* citiraj
APA 6th Edition
KIM, J.Y., MOON, S., PARK, J.H., CHO, H.J., SONG, J.H., JEON, W., ... SHIN, S.D. (2019). Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest. Signa vitae, 15 (1), 51-58. https://doi.org/10.22514/SV151.042019.7
MLA 8th Edition
KIM, JOO YEONG, et al. "Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest." Signa vitae, vol. 15, br. 1, 2019, str. 51-58. https://doi.org/10.22514/SV151.042019.7. Citirano 07.12.2019.
Chicago 17th Edition
KIM, JOO YEONG, SUNGWOO MOON, JONG HAK PARK, HAN JIN CHO, JU HYUN SONG, WOOCHAN JEON, HANSOEK CHANG, YOUNG SUN RO i SANG DO SHIN. "Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest." Signa vitae 15, br. 1 (2019): 51-58. https://doi.org/10.22514/SV151.042019.7
Harvard
KIM, J.Y., et al. (2019). 'Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest', Signa vitae, 15(1), str. 51-58. https://doi.org/10.22514/SV151.042019.7
Vancouver
KIM JY, MOON S, PARK JH, CHO HJ, SONG JH, JEON W i sur. Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest. Signa vitae [Internet]. 2019 [pristupljeno 07.12.2019.];15(1):51-58. https://doi.org/10.22514/SV151.042019.7
IEEE
J.Y. KIM, et al., "Effect of transported hospital resources on neurologic outcome after out-of-hospital cardiac arrest", Signa vitae, vol.15, br. 1, str. 51-58, 2019. [Online]. https://doi.org/10.22514/SV151.042019.7

Sažetak
Objective. Appropriate regional transport protocol for out-of-hospital cardiac arrest (OHCA) patients is important for achieving favorable outcomes in a certain community. This study aimed to investigate the effect of transported hospital resources on the neurologic outcome after OHCA.

Methods. We categorized cardiac receiving centers (CRC) in our community into two levels (primary [P-CRC] and definite CRC [D-CRC]) according to the hospital resources that were identified by the Hospital Assessment Survey in 2015. OHCA patients with presumed cardiac etiology resuscitated by emergency medical service providers between 2012 and 2014, were enrolled in the study. The main exposure was the level of CRC. The primary endpoint was discharge with good neurologic outcomes. We compared outcomes between CRCs after adjusting for potential confounders.

Results. Among the 9,912 patients, 5,876 were transported to P-CRC and 4,036 to D-CRC from 2012 to 2014. Patients admitted to D-CRC showed better neurologic outcome than those admitted to P-CRC (6.2% vs 1.5%, p<0.001). With regard to patients who survived to admission, the neurologic outcome of patients in D-CRC was better than those in P-CRC (11.3% vs 3.3%, p<0.001). In the multivariable logistic model, the adjusted odds ratio for all OHCA patients was 2.10 (95% confidence interval, 1.51–2.95).

Conclusion. Transportation of OHCA patients to the D-CRC resulted in significantly good neurologic outcome than those transported to P-CRC. Further research is needed to establish a regional OHCA transport protocol.

Ključne riječi
cardiac arrest; outcome; regionalization

Hrčak ID: 219765

URI
https://hrcak.srce.hr/219765

Posjeta: 127 *