Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안기옥 | - |
dc.date.accessioned | 2021-02-16T00:59:08Z | - |
dc.date.available | 2021-02-16T00:59:08Z | - |
dc.date.issued | 2019-12 | - |
dc.identifier.citation | RESUSCITATION, v. 145, page. 50-55 | en_US |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.issn | 1873-1570 | - |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0300957219306446?via%3Dihub | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/158275 | - |
dc.description.abstract | Aim: Patients with OHCA who are not transported directly to a percutaneous coronary intervention (PCI)-capable hospital may eventually undergo an inter-hospital transfer (IHT). The aim of the present study was to investigate the effects of route of admission to a PCI centre among patients with OHCA. Methods: We included patients with OHCA of presumed cardiac aetiology that were admitted to a PCI centre between January 2015 and December 2016. The exposure variable was route of admission: direct versus indirect. The 'direct' group was defined as patients who were transferred directly from the field to a PCI centre by emergency medical service (EMS) providers. The 'indirect' group was defined as patients who underwent IHT from a non-PCI centre to a PCI centre. The primary outcome was neurological recovery. We evaluated the effects of route of admission using multivariable logistic regression analysis after adjusting for potential confounders. Results: There were total of 4363 eligible patients: 3488 (78.2%) in the direct group and 975 (21.8%) in the indirect group. Neurologic recovery was better in the direct group (38.0%) than in the indirect group (29.0%). After adjusting for potential confounders, indirect admission was negatively associated with outcomes (adjusted odds ratio [aOR] 0.70; 95% confidence interval [CI] 0.58-0.85). Conclusions: The route of admission to a PCI centre is associated with neurological recovery among resuscitated patients with OHCA of presumed cardiac aetiology. This has implications for regionalized EMS transport and IHT protocols for patients with OHCA. | en_US |
dc.description.sponsorship | This study was financially supported by the Korea Centers for Disease Control and Prevention (CDC). Grant number [2009-E0054300,2010-E33022-00, 2011-E33004-00, 2012-E33010-00, 2013-E33015-00, 2014-E33011-00]. | en_US |
dc.language.iso | en | en_US |
dc.publisher | ELSEVIER IRELAND LTD | en_US |
dc.subject | Out-of-hospital cardiac arrest | en_US |
dc.subject | Patient transfer | en_US |
dc.subject | Coronary intervention | en_US |
dc.subject | Percutaneous | en_US |
dc.title | The effects of route of admission to a percutaneous coronary intervention centre among patients with out-of-hospital cardiac arrest | en_US |
dc.type | Article | en_US |
dc.relation.volume | 145 | - |
dc.identifier.doi | 10.1016/j.resuscitation.2019.09.032 | - |
dc.relation.page | 50-55 | - |
dc.relation.journal | RESUSCITATION | - |
dc.contributor.googleauthor | Suh, Joohyun | - |
dc.contributor.googleauthor | Ahn, Ki Ok | - |
dc.contributor.googleauthor | Shin, Sang Do | - |
dc.relation.code | 2019002169 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | arendt75 | - |
dc.identifier.orcid | https://orcid.org/0000-0002-8446-3269 | - |
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