Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 최혁중 | - |
dc.date.accessioned | 2022-10-17T00:55:37Z | - |
dc.date.available | 2022-10-17T00:55:37Z | - |
dc.date.issued | 2021-01 | - |
dc.identifier.citation | PREHOSPITAL EMERGENCY CARE, v. 25, NO 1, Page. 59-66 | en_US |
dc.identifier.issn | 1090-3127; 1545-0066 | en_US |
dc.identifier.uri | https://www.tandfonline.com/doi/full/10.1080/10903127.2020.1733716 | en_US |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/175431 | - |
dc.description.abstract | Objective: We aimed to determine the factors associated with rearrest after prehospital return of spontaneous circulation (ROSC) and examine the factors associated with survival despite rearrest. Methods: We conducted a prospective multi-regional observational study of out-of-hospital cardiac arrest (OHCA) patients between August 2015 and July 2016. Patients received prehospital advanced cardiovascular life support performed by emergency medical technicians (EMTs). EMTs were directly supervised by medical directors (physicians) via real-time smartphone video calls [Smart Advanced Life Support (SALS)]. The study participants were categorized into rearrest (+) and rearrest (-) groups depending on whether rearrest occurred after prehospital ROSC. After rearrest, patients were further classified as survivors or non-survivors at discharge. Results: SALS was performed in 1,711 OHCA patients. Prehospital ROSC occurred in 345 patients (20.2%); of these patients, 189 (54.8%) experienced rearrest [rearrest (+) group] and 156 did not experience rearrest [rearrest (-) group]. Multivariate analysis showed that a longer interval from collapse to first prehospital ROSC was independently associated with rearrest [odds ratio (OR) 1.081; 95% confidence interval (CI) 1.050-1.114]. The presence of an initial shockable rhythm was independently associated with survival after rearrest (OR 6.920; 95% CI 2.749-17.422). As a predictor of rearrest, the interval from collapse to first prehospital ROSC (cut-off: 24 min) had a sensitivity of 77% and a specificity of 54% (AUC = 0.715 [95% CI 0.661-0.769]). Conclusions: A longer interval from collapse to first prehospital ROSC was associated with rearrest, and an initial shockable rhythm was associated with survival despite the occurrence of rearrest. Emergency medical service providers and physicians should be prepared to deal with rearrest when pulses are obtained late in the resuscitation. | en_US |
dc.description.sponsorship | Data collection for this study was supported by the Ministry of Health and Welfare of the Republic of Korea. | en_US |
dc.language.iso | en | en_US |
dc.publisher | TAYLOR & FRANCIS INC | en_US |
dc.subject | Cardiopulmonary resuscitation; risk factors; telemedicine; emergency medical services; survival | en_US |
dc.title | Survival and Rearrest in out-of-Hospital Cardiac Arrest Patients with Prehospital Return of Spontaneous Circulation: A Prospective Multi-Regional Observational Study | en_US |
dc.type | Article | en_US |
dc.relation.no | 1 | - |
dc.relation.volume | 25 | - |
dc.identifier.doi | 10.1080/10903127.2020.1733716 | en_US |
dc.relation.page | 59-66 | - |
dc.relation.journal | PREHOSPITAL EMERGENCY CARE | - |
dc.contributor.googleauthor | Woo, Jae-Hyug | - |
dc.contributor.googleauthor | Cho, Jin-Seong | - |
dc.contributor.googleauthor | Lee, Choung Ah | - |
dc.contributor.googleauthor | Kim, Gi Woon | - |
dc.contributor.googleauthor | Kim, Yu Jin | - |
dc.contributor.googleauthor | Moon, Hyung Jun | - |
dc.contributor.googleauthor | Park, Yong Jin | - |
dc.contributor.googleauthor | Lee, Kyoung Mi | - |
dc.contributor.googleauthor | Jeong, Won Jung | - |
dc.contributor.googleauthor | Choi, Hyuk Joong | - |
dc.relation.code | 2021008730 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | ardoc | - |
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