دورية أكاديمية

Major interventions are associated with survival of out of hospital cardiac arrest patients - a population based survey

التفاصيل البيبلوغرافية
العنوان: Major interventions are associated with survival of out of hospital cardiac arrest patients - a population based survey
المؤلفون: YANG, YAO-HSU, CHEN, YI-CHUAN, HUNG, MING-SZU, CHANG, CHIA-HAO, LIU, CHIA-YEN, CHEN, PAU-CHUNG, HSIAO, CHENG-TING
المصدر: Signa vitae : journal for intesive care and emergency medicine ; ISSN 1334-5605 (Print) ; ISSN 1845-206X (Online) ; Volume 13 ; Issue 2
بيانات النشر: Pharmamed Mado Ltd.
سنة النشر: 2017
المجموعة: Hrčak - Portal of scientific journals of Croatia / Portal znanstvenih časopisa Republike Hrvatske
مصطلحات موضوعية: OHCA, ROSC, out-of-hospital cardiac arrest, target temperature management, ECMO
الوصف: Background. The overall survival rate of out-of-hospital cardiac arrest (OHCA) in Taiwan or even in the whole of Asia is relatively low. Major interventions, such as target temperature management (TTM), coronary artery angiography, and extracorporeal membrane oxygenation (ECMO), have been associated with better patient outcome. However, studies in Taiwan revealing evidence of the benefits of these interventions are limited. Methods. A population-based study used an 8-year database to analyze overall survival and risk factors ˝among OHCA patients. All adult non-trauma OHCA patients were identified through diagnostic and procedure codes. Hospital survival and return of spontaneous circulation (ROSC) were primary and secondary outcomes. Logistic regression and Cox regression analyses were conducted. Results. There was a relationship between major interventions (including TTM, coronary artery angiography, and ECMO) and better hospital survival. Age, income, major interventions, and acute myocardial infarction history were associated with hospital survival. The adjusted hazard ratios (HRs) were 0.406 (95% CI, 0.295 to 0.558), 1.109 (95% CI, 1.027 to 1.197), 1.075 (95% CI, 1.002 to 1.154), 1.097 (95% CI, 1.02 to 1.181) and 0.799(95% CI, 0.677 to 0.942) for patients with major interventions, age≥50, medium low and low income, middle income, and acute myocardial infarction history, respectively. Conclusion. This population-based study in Taiwan revealed that older age (≥50), medium low and low income were associated with a lower rate of survival. Major interventions, including TTM, coronary angiography, and ECMO, were related to better survival.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: http://hrcak.srce.hr/190625Test
الإتاحة: https://doi.org/10.22514/SV132.112017.17Test
http://hrcak.srce.hr/190625Test
http://hrcak.srce.hr/file/280979Test
حقوق: info:eu-repo/semantics/openAccess ; The publisher reserves all rights. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any other technically available means, without prior written permission from the publisher. The data, opinions and statements appearing in the articles herein are those of the contributors concerned, such opinions are not necessarily shared by the editor or the editorial board. Accordingly, the publisher, editor and editorial board accept no liability for the consequences of any such inaccurate or misleading data, opinions or statements.
رقم الانضمام: edsbas.B3E81AD
قاعدة البيانات: BASE