Factors Associated with the Return of Spontaneous Circulation after Out-of-Hospital Cardiac Arrest of Non-Traumatic Patients in Samutsakhon Hospital
Keywords:
OHCA, ROSCAbstract
To examine the success rate, investigate the factors influencing survival and the relationship between the characteristics of out-of-hospital cardiac arrest in nontraumatic patients at Samutsakhon Hospital.
Retrospective descriptive study on prognosis. The Inclusion criteria include patients aged 18 years and older, out-of-hospital cardiac arrest patients, and transported to Samutsakhon Hospital by reviewing medical records from January 1, 2023, to December 31, 2023
There are 128 out-of-hospital cardiac arrest patients, with a resuscitation success rate of 57.8%. It was found that COPD/asthma was significantly associated with resuscitation success (p=0.020) AED was also associated with ROSC (p=0.040) Still, after multivariable adjustment, there is no statistical significance. Unknown causes of out-of-hospital cardiac arrest were associated with a 0.084 times lower chance of successful resuscitation, or a 91.6% reduction (Adj.OR=0.084, 95% CI 0.014-0.512, p=0.007) Additionally, the presence of emergency medicine physicians significantly increased the chances of ROSC (OR 9.965, p<0.001; Adj OR= 10.248, p=0.002)
The success rate of resuscitation for out-of-hospital cardiac arrest in nontraumatic patients at Samutsakhon Hospital in the year 2023 was 57.8% The presence of emergency medicine physicians significantly increased the chances of successful resuscitation.
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