The Korean Society of Law and Medicine (의료법학)

The Korean Society of Law and Medicine (대한의료법학회)
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Factors Affecting Recovery of Spontaneous Circulation in Patients Before Cardiac Arrest in Emergency Department: 2012~2016 Focused on Medical Records Data

응급실 도착 전 심정지 환자의 자발순환 회복 여부에 미치는 요인 -2012~2016 의무기록 자료를 중심으로-

  • Kim, Seok-hwan (Department of Health Care Administration, Seoyeong University)
  • 김석환 (서영대학교 보건의료행정과)
  • Received : 2018.09.12
  • Accepted : 2018.09.28
  • Published : 2018.09.30
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Abstract

The purpose of this study was to ascertain whether or not to recover the spontaneous circulation of patients with cardiac arrest before arrival in the emergency room for 5 years (2012 to 2016), and try to investigate the factors affecting this. In this research, we used the "raw material for acute cardiac arrest survey" conducted in "Disease management headquarters" from 2012 to 2016 for the whole country of our country as the main material. In this study, 136,212 cardiac arrest patients were analyzed in the study data of the cardiac arrest in the country during the 5 years from 2012 to 2016. We performed a Chi-square analysis to analyze the recovery of spontaneous circulation before arrival in the emergency room according to general characteristics, social·demographic characteristics, and developmental characteristics. and We performed a Binary logistic regression analysis to determine the factors affecting the recovery of spontaneous circulation. The analysis results of this study show that whether CPR sustained transport before endoplasmic reticulum arrival, whether to witness an acute cardiac arrest before arrival in the emergency room, the type of general cardiopulmonary resuscitation, the location of acute cardiac arrest, the acute heart Causes of stoppage cause factor of whether spontaneous circulation recovery recovers before arrival of the endoplasmic reticulum(P<0.001, P<0.01). Therefore, it is necessary to strengthen systematic government health policy implementation and dissemination and health education focusing on factors that affect recovery of spontaneous circulation of cardiac arrest patients.

이 연구의 목적은 5년간(2012년~2016년) 응급실 도착 전 심정지 환자의 자발순환회복 여부를 파악하고, 이에 미치는 요인을 규명하기 위하여 시도하였다. 이 연구는 우리나라 전국을 대상으로 2012~2016년 '질병관리본부'에서 실시한 '급성심장정지조사 원시자료'를 주 자료로 사용하였다. 2012년부터 2016년 5년간의 국가 심장정지 조사 자료 중 심장정지 환자 136,212명을 분석 대상으로 하였다. 일반적 특성, 사회·인구학적 특성, 발생관련 특성에 따른 응급실 도착 전 자발순환 회복 여부를 파악하기 위해 교차분석을 하였고, 자발순환 회복 여부에 미치는 요인을 분석하고자 이분형 로지스틱 회귀분석을 실시하였다. 분석결과 응급실 도착 전 자발순환 회복 여부에 미치는 요인은 응급실 도착전 심폐소생술 지속 이송 여부, 응급실 도착 전 급성심장정지 목격 여부, 일반인 심폐소생술 시행 종류, 급성심장정지 발생 장소, 급성심장정지 발생 원인이었다(P<0.001, P<0.01). 그러므로, 심정지 환자의 자발순환 회복에 영향을 미치는 요인을 중심으로 체계적인 정부의 보건정책 시행과 대중적인 보건교육을 강화해야 할 것이다.

Keywords

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