Inhospital Factors Affecting Survival Rate of Out of Hospital Cardiac Arrest Patients in Emergency Department At Malang: A Case Study At Emergency Department At Malang
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Mortality rate due to by out of hospital cardiac arrest is still common and it becomes public concern. There are five chains emergency set by AHA that should be applied in every emergency situation. PAROS (Pan Asian Resuscitation Outcome Study) of outside hospital service system is expected to be able to give comprehensive description on service system and its gap in order to improve the quality of system of pre hospital service. therefore, mortality rate caused by cardiac arrest might be reduced. This research aims to find out inhospital factors affecting survival time of out hospital cardiac arrest. It is analytical observational research with cross sectional approach and uses retrospective data to find out the effect of inhospital factors on survival time. The number of sample is 32 patients with inclusion and exclusion criteria. This study is conducted at Emergency Department of Hospitals in Malang during January 2016 to January 2017. Most patients with sudden cardiac arrest are male with ratio 68,7:31,3 with the age ranging from 61-70 years old. There is a meaningful correlation between initial cardiac rhythm, administration of resuscitation drugs, defibrillation and using advance airway device to categorical survival time (p<0.05), and for ROSC, there is no such thing as meaningfull correlation to categorical survival time (p>0,05). However, there is a tendency that for patients with ROSC, their categorical survival time is up to ≥ 8 hours, and there is no such thing for patients without ROSC. The research concludes that factor influencing survival time of out of hospital cardiac arrest patients is initial cardiac rhythm.
Authors and Affiliations
Angela Puspita, Respati Suryanto Drajat, Ali Haedar, Nanik Setijowati
Keywords
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- EP ID EP243723
- DOI 10.9790/0853-1610068287
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