Izvorni znanstveni članak
https://doi.org/10.22514/SV132.112017.17
Major interventions are associated with survival of out of hospital cardiac arrest patients - a population based survey
YAO-HSU YANG
; Department of Traditional Chinese Medicine,Chiayi Chang Gung Memorial Hospital, Puzih City, Chiayi County 613, Taiwan
YI-CHUAN CHEN
MING-SZU HUNG
CHIA-HAO CHANG
CHIA-YEN LIU
PAU-CHUNG CHEN
CHENG-TING HSIAO
Sažetak
Background. The overall survival rate of
out-of-hospital cardiac arrest (OHCA)
in Taiwan or even in the whole of Asia
is relatively low. Major interventions,
such as target temperature management
(TTM), coronary artery angiography, and
extracorporeal membrane oxygenation
(ECMO), have been associated with better
patient outcome. However, studies in Taiwan
revealing evidence of the benefits of
these interventions are limited.
Methods. A population-based study used
an 8-year database to analyze overall survival
and risk factors ˝among OHCA patients.
All adult non-trauma OHCA patients
were identified through diagnostic
and procedure codes. Hospital survival
and return of spontaneous circulation
(ROSC) were primary and secondary outcomes.
Logistic regression and Cox regression
analyses were conducted.
Results. There was a relationship between
major interventions (including TTM,
coronary artery angiography, and ECMO)
and better hospital survival. Age, income,
major interventions, and acute myocardial
infarction history were associated with
hospital survival. The adjusted hazard
ratios (HRs) were 0.406 (95% CI, 0.295
to 0.558), 1.109 (95% CI, 1.027 to 1.197),
1.075 (95% CI, 1.002 to 1.154), 1.097 (95%
CI, 1.02 to 1.181) and 0.799(95% CI, 0.677
to 0.942) for patients with major interventions,
age≥50, medium low and low income,
middle income, and acute myocardial
infarction history, respectively.
Conclusion. This population-based study
in Taiwan revealed that older age (≥50),
medium low and low income were associated
with a lower rate of survival. Major
interventions, including TTM, coronary
angiography, and ECMO, were related to
better survival.
Ključne riječi
OHCA; ROSC; out-of-hospital cardiac arrest; target temperature management; ECMO
Hrčak ID:
190625
URI
Datum izdavanja:
12.12.2017.
Posjeta: 972 *