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병원 밖에서 발생한 심인성 심장정지환자의 신경학적 결과 관련 요인 - 7년간 국가 심장정지조사사업 자료 활용
The Factors Influencing Neurological Outcome of Out-of-hospital Cardiac Arrest with Cardiac Etiology

대한응급의학회지 2016년 27권 2호 p.165 ~ p.172

정수연(Jeong Su-Yeon) - 질병관리본부 에이즈-결핵관리과
김철웅(Kim Chul-Woung) - 충남대학교 의과대학 예방의학교실
윤태호(Yoon Tae-Ho) - 부산대학교 의과대학 예방의학교실
김유진(Kim Yoo-Jin) - 질병관리본부 만성질환관리과
홍성옥(Hong Seong-Ok) - 질병관리본부 만성질환관리과
최정아(Choi Jung-Ah) - 질병관리본부 만성질환관리과

Abstract

Purpose: The purpose of this study is to examine the factors associated with neurological outcome and to provide ideas for improving the operation of the emergency medical system in Korea.

Method: A total of 95,911 out-of-hospital cardiac arrests (OHCAs) with cardiac etiology who were transported by 119 EMS ambulances for seven years from 2006 to 2012 in Korea were analyzed. According to these data there is a multilevel structure, so that patient’s neurological outcome in the same region is not independent but interrelated, therefore two-level (patient-region) logistic regression analysis was applied to adjust this correlation.

Results: The adjusted odds ratio (OR) in the group in which Cardiopulmonary Resuscitation (CPR) was performed by a bystander was 1.27 for good neurological outcome. The adjusted OR in the group with implementation of an automated external defibrillator (AED) before arrival at the hospital was 4.11 for good neurological outcome. The adjusted OR in the numbers of emergency physicians compared with <3 was 2.76 (3-4), 4.24 (≥5) and the adjusted OR in OHCAs volume of each hospital compared with <50 was 2.31 (50-64), 2.51 (65-102), and 2.94 (≥103). The adjusted OR in deprivation level compared with <2 was 0.72 (≥2).

Conclusion: The neurological outcome was significantly better in the group in which CPR was performed by a bystander and AED was applied early. The neurological outcome tended to be significantly better in hospitals with higher numbers of emergency physicians and higher volume of OHCAs, in less deprived districts.

키워드

Multilevel analysis, Out-of-hospital Cardiac Arrest, Neurological outcome, Korea

KMID : 0385920160270020165

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

The neurological outcome was significantly better in the group in which CPR was performed by a bystander and AED was applied early.

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

병원 밖에서 발생한 심인성 심장정지환자의 신경학적 결과 관련 요인 - 7년간 국가 심장정지조사사업 자료 활용 The Factors Influencing Neurological Outcome of Out-of-hospital Cardiac Arrest with Cardiac Etiology

Abstract

키워드

병원 밖에서 발생한 심인성 심장정지환자의 신경학적 결과 관련 요인 - 7년간 국가 심장정지조사사업 자료 활용
The Factors Influencing Neurological Outcome of Out-of-hospital Cardiac Arrest with Cardiac Etiology