병원 밖 심정지 환자의 응급실 생존 퇴원 영향요인

Abstract

Objectives: This study was designed to identify factors affecting survival of patients of cardiac arrest after discharge from emergency rooms of hospitals. Methods: A retrospective analysis was conducted using raw data from the Acute Cardiac Arrest Survey by the Korea Disease Control and Prevention Agency. This study analyzed data from 2013 to 2022, using frequency, percentage, mean, standard deviation, chi-squared test, and logistic regression analysis on the IBM SPSS version 27.0 platform. Results: Survival post-discharge was more likely in male patients (95% CI=1.096–1.298) and younger patients (95% CI=0.972–0.976). Patients with medical aid (95% CI=1.362–2.423) or national health insurance (95% CI=1.597–2.539) showed higher survival rates compared to those with other insurance policies. Survival to discharge was higher when the cardiac arrest was witnessed (95% CI=3.147–3.740) and when CPR was performed by bystanders (95% CI=1.479–1.801) or healthcare providers/ Emergency Medical Services (EMS) personnel (95% CI=2.066–2.640). Survival rates were also found to be higher in hospitals in the capital region (95% CI=1.131–1.320). Conclusion: Pre-hospital factors had the most significant impact on survival. To maintain the chain of survival, high-quality first aid training for the public is necessary.