한국응급구조학회지 (The Korean Journal of Emergency Medical Services)

  • 제21권2호
  • /
  • Pages.51-61
  • /
  • 2017
  • /
  • 1738-1606(pISSN)
  • /
  • 2384-2091(eISSN)
한국응급구조학회 (The Korea Society of Emergency Medical Services)
권호 표지
DOI QR코드

DOI QR Code

출동 거리에 따른 병원 전 심장정지 환자의 자발순환회복률 분석

Return of spontaneous circulation rate according to dispatch distance in out-of-hospital cardiac arrest

  • 김종호 (파주소방서 119구급대) ;
  • 전윤철 (무진장소방서 마령119안전센터) ;
  • 문준동 (공주대학교 응급구조학과)
  • Kim, Jong-Ho (119 EMS Team, Paju Fire Station) ;
  • Jeon, Youn-Chel (Maryung 119 Safety Center, Mujinjang Fire Station) ;
  • Moon, Jun-Dong (Department of Emergency Medical Service, Kongju National University)
  • 투고 : 2017.07.05
  • 심사 : 2017.08.15
  • 발행 : 2017.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study measured return of spontaneous circulation (ROSC) in relation to dispatch distance in patients with out-of-hospital cardiac arrest. Methods: Of 2,347 out-of-hospital cardiac arrest patients transported by emergency medical technicians in J Province between January 1 and December 31, 2015, those under age 18, those with reserved resuscitation, and those with traumatic cardiac arrest, leaving 855 patients in the study sample. ROSC was compared between those with dispatch distance ${\leq}4km$ (short dispatch distance, 465 patients) and those with dispatch distance >4 km (long dispatch distance, 390 patients). Results: The mean was 2.17 km in the short dispatch group and 9.87 km in the long dispatch group (p=.000). Mean distance from was 6.49 km and 13.39 km in the two groups, respectively (p=.000). ROSC differed significantly between the short and long dispatch distance groups (7.1% for short dispatch distance, 3.6% for long dispatch distance, p=.025). The length of time from to cardiopulmonary resuscitation also differed significantly between the short and long dispatch distance groups (8.77 minutes and 14.63 minutes, respectively, p=.000). Conclusion: ROSC was lower in areas of long dispatch distance compared to those of short dispatch distance. We expect this was most likely due to differences in response time by age and dispatch distance to the scene of cardiac arrest. However, no significant differences were found between the groups in the factors affecting ROSC.

키워드

참고문헌

  1. Saner H, Morger C, Eser P, von Planta M. Dual dispatch early defibrillation in out-of-hospital cardiac arrest in a mixed urban-rural population. Resuscitation 2013;84(9):1197-202. https://doi.org/10.1016/j.resuscitation.2013.02.023
  2. Ministry of Public Safety and Security. 119 EMS service statistical year book. 1st ed. Sejong special self-governing city: Ministry of Public Safety and Security, 2016;96-7.
  3. Koh BY, Park YS. Clinical characteristics and prehospital care in prehospital cardiac arrest by paramedic's reports. J of Korea Academia-Industrial cooperation Society 2010;11(4):1540-6. https://doi.org/10.5762/KAIS.2010.11.4.1540
  4. Park IS, Kim EJ, Sohn HS, Kang SH. Factors influencing the return of spontaneous circulation of patients with out-of-hospital cardiac arrest. J of Digital Policy & Management 2013;11(9):229-38.
  5. Hasegawa K, Tsugawa Y, Camargo CA Jr, Hiraide A, Brown DF. Regional variability in survival outcomes of out-of-hospital cardiac arrest: The all-Japan Utstein Registry. Resuscitation 2013;84(8):1099-107. https://doi.org/10.1016/j.resuscitation.2013.03.007
  6. Masterson S, Wright P, O'Donnell C, Vellinga A, Murphy AW, Hennelly D et al. Urban and rural differences in out-of-hospital cardiac arrest in Ireland. Resuscitation 2015;91:42-7. https://doi.org/10.1016/j.resuscitation.2015.03.012
  7. Statistics Korea. Cardiac arrest survey. Available at: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11788N_011&conn_path=I2, 2016.
  8. Lyon RM, Cobbe SM, Bradley JM, Grubb NR. Surviving out of hospital cardiac arrest at home: a postcode lottery?. Emerg Med J 2004;21(5):619-24. https://doi.org/10.1136/emj.2003.010363
  9. Earnest A, Ong MEH, Shahidah N, Ng WM, Foo C, Nott DJ. Spatial analysis of ambulance response times related to prehospital cardiac arrests in the city-state of Singapore. Prehosp Emerg Care 2012;16(2):256-65. https://doi.org/10.3109/10903127.2011.615974
  10. Jung EK, Shin JH. Effects on recovery of spontaneous circulation that can be defibrillated cardiac arrest patients before being hospitalized. Korean Rev of Crisis & Emergency Management 2014;10(1):125-37.
  11. Cho BJ, Kim SR. The effect factors of survival rate in the patients with cardiac arrest. Journal of Korea Academia-Industrial cooperation Society 2014;15(2):760-6. https://doi.org/10.5762/KAIS.2014.15.2.760
  12. Franek O, Pokorna M, Sukupova P. Pre-hospital cardiac arrest in Prague, Czech Republic-the Utstein style report. Resuscitation 2010;81(7):831-5. https://doi.org/10.1016/j.resuscitation.2010.03.005