Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients’ and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.
목차
Abstract Ⅰ. 서론 1. 연구 필요성 2. 연구의 목적 Ⅱ. 연구방법 1. 연구설계 및 연구대상 2. 자료수집 방법 3. 연구도구 4. 분석방법 Ⅲ. 연구결과 1. 연구대상자의 특성별 분포 2. 연구 대상자의 개인특성별 회복률 및 생존율 분포 3. 회복률 및 생존율 관련 요인 Ⅳ. 고찰 Ⅴ. 결론 및 제언 ORCID ID References
키워드
Out-of-hospital cardiac arrest(OHCA)Survival ratesSpontaneous circulation recovery ratesSurvival related factorsCommunity emergency medical resources
저자
조윤주 [ Yoon-Joo Jo | 동의과학대학교 응급구조과 ]
김광기 [ Kwang-Kee Kim | 인제대학교 보건대학원 ]
Corresponding Author
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]