Browse > Article
http://dx.doi.org/10.14408/KJEMS.2017.21.2.051

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

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)
Publication Information
The Korean Journal of Emergency Medical Services / v.21, no.2, 2017 , pp. 51-61 More about this Journal
Abstract
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.
Keywords
Cardiopulmonary resuscitation; Cardiac arrest; Return of spontaneous circulation;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Statistics Korea. Cardiac arrest survey. Available at: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11788N_011&conn_path=I2, 2016.
2 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   DOI
3 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   DOI
4 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.
5 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   DOI
6 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   DOI
7 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.
8 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   DOI
9 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.
10 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   DOI
11 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   DOI
12 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   DOI