Survival rate of manual chest compression compared with automated CPR device for out-of-hospital cardiac arrest at Pakchongnana hospital
Keywords:
Out-of-hospital cardiac arrest, cardiopulmonary resuscitation, automated CPR deviceAbstract
Objective: The study aimed to compare the survival rate of automated cardiopulmonary resuscitation (CPR) device and manual chest compression for out-of-hospital cardiac arrest (OHCA) within 60 minutes and to define survival factor of OHCA patient at Pakchongnana hospital.
Method: Retrospective study was performed on OHCA patient in the emergency department at Pakchongnana hospital from January 1, 2018 - December 31, 2020. The statistical analysis in this study was t-test, Mann-Whitney U test, Chi-square test, Fisher’s exact test and logistic regression analysis with the statistical significance at 0.05.
Conclusion: High-quality CPR is the primary component in influencing survival from OHCA. An adequate education in basic life support should be considered an essential aspect of laypersons and first-responders. Advanced cardiac life support and automated CPR device training for improving the knowledge and skills among healthcare providers is necessary to improve survival rates of OHCA patients.
References
Bernhard M, Behrens NH, Wnent J, Seewald S, Brenner S, Jantzen T, et al. Out-of-hospital airway management during manual compression or automated chest compression devices:A registry-based analysis. Anaesthesist, 2018;67(2):109-17.
Engdahl J, Holmberg M, Kalson BW, et al. The epidemiology of out-of-hospital ‘sudden’ cardiac arrest. Resuscitation, 2002;52(3):235-45.
Amnuaypattanapon K, Udomsubpayakul U. Evaluation of related factors and outcome in cardiac arrest resuscitation at Thammasat Emergency Department. J Med Assoc Thai, 2010;93(Suppl 7):S26-34.
จำนวนผู้ป่วยที่มีภาวะหัวใจหยุดเต้นนอกรพ.และได้รับการรักษาผ่านระบบการแพทย์ฉุกเฉินของรพ. ปากช่องนานาปีงบประมาณ 2560-2562. วันที่ 1 ตุลาคม 2560–30 กันยายน 2562. ฐานข้อมูลโรงพยาบาลปากช่องนานา.
Perkins GD, Travers AH, Berg RA, Castren M, Considine J, Escalante R, et al. Part 3: Adult basic life support and automated external defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation, 2015;95:e43–69.
Soar J, Callaway CW, Aibiki M, Böttiger BW, Brooks SC, Deakin CD, et al. Part 4: Advanced life support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation, 2015;95:e71-120.
Cave DM, Gazmuri RJ, Otto CW, Nadkarni VM, Cheng A, Brooks SC. et al. Part 7: CPR Techniques and Devices: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, 2010;18(suppl 3):S720-8.
ปพิชญา พิเชษฐบุญเกียรติ. ปัจจัยที่มีผลต่อการรอดชีวิตของผู้ป่วยหัวใจหยุดเต้นนอกโรงพยาบาล ที่เข้ารับการรักษาในโรงพยาบาลเชียงรายประชานุเคราะห์. เชียงรายเวชสาร, 2564;13(1):43-57.
Soholm H, Hassager C, Lippert F, Jensen M, Thomsen J, Friberg H, et al. Factors associated with successful resuscitation after out-of-hospital cardiac arrest and temporal trends in survival and comorbidity. Ann Emerg Med, 2015;65(5):523-31.
Hansen M, Schmicker R, Newgard C, Grunau B, Scheuermeyer F, Cheskes S, et al. Time to epinephrine administration and survival from non shockable out of hospital cardiac arrest among children and adult. Circulation, 2018;137(11):1161-8.
Nongchang P, Laohasiriwong W, Pitaksanurat S. Boonsirikamchai P. (2017). Intravenous fluid administration and the survival of pre hospital resuscitated out of hospital cardiac arrest patients in Thailand. J Clin Diagn Res, 2017;11(9):OC29-32.
Hallstrom A, Rea TD, Sayre MR, Christenson J, Anton AR, Mosesso Jr VN, et al. Manual chest compression vs use of an automated chest compression device during resuscitation following out-of-hospital cardiac arrest: a randomized trial. JAMA, 2006;295(22):2620-8.
White L, Melhuish T, Holyoak R, Ryan T, Kempton H, Vlok R. Advanced airway management in out of hospital cardiac arrest: A systematic review and meta-analysis. Am J Emerg Med, 2018;36(12):2298-306.
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