韩国儿科院外心脏骤停：一项全国范围内基于人群的研究。
Pediatric out-of-hospital cardiac arrest in Korea: A nationwide population-based study.
机构信息
Department of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea.
出版信息
Resuscitation. 2010 May;81(5):512-7. doi: 10.1016/j.resuscitation.2009.11.022. Epub 2010 Feb 20.
STUDY OBJECTIVES
Our objective was to describe the incidence and demographics of pediatric out-of-hospital cardiac arrest (OHCA) in Korea.
METHODS
We identified non-traumatic OHCA patients aged less than 20 years from a Korean nationwide OHCA registry (2006-2007). Data from emergency medical service (EMS) run-sheets and hospital records were reviewed. We excluded cases with unknown hospital outcomes. Patient characteristics, treatment by EMS, and outcomes were compared by age groups: infant (<1 year), children (1-11 years), and adolescents (12-19 years).
RESULTS
A total of 971 patients including infants (n=299, 30.8%), children (n=305, 31.4%), and adolescents (n=367, 37.8%) met inclusion criteria. The incidence of pediatric OHCA was 4.2 per 100,000 person-years (67.1 in infants, 2.5 in children, and 3.5 in adolescents). The rate of cardiopulmonary resuscitation administered was 82.1% (infants 80.6%, children 82.0%, and adolescent 83.4%). The rate of applying automated external defibrillators and advanced airway management (endotracheal intubation or laryngeal mask airway), was only 4.1% and 2.5%, respectively. 7.4% showed ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) in the initial ECG. Survival to hospital discharge for all pediatric OHCA was 4.9% (2.9% for infants, 4.7% for children, and 7.2% of adolescents). For EMS-treated pediatric OHCA or patients with VF or pulseless VT, the rate was 5.0% and 31.6%, respectively.
CONCLUSION
Incidence and hospital outcomes in pediatric OHCA in Korea were comparable to other population-based nationwide reports.
研究目的
本研究旨在描述韩国儿科院外心脏骤停（OHCA）的发生率和人口统计学特征。
方法
我们从韩国全国性 OHCA 登记处（2006-2007 年）中确定了年龄小于 20 岁的非创伤性 OHCA 患者。我们回顾了急救医疗服务（EMS）运行单和医院记录的数据。我们排除了无法确定医院结局的病例。我们比较了不同年龄组（婴儿[＜1 岁]、儿童[1-11 岁]和青少年[12-19 岁]）的患者特征、EMS 治疗和结局。
结果
共有 971 例患者（婴儿 299 例[30.8%]、儿童 305 例[31.4%]和青少年 367 例[37.8%]）符合纳入标准。儿科 OHCA 的发生率为每 100,000 人年 4.2 例（婴儿 67.1 例、儿童 2.5 例和青少年 3.5 例）。心肺复苏的实施率为 82.1%（婴儿 80.6%、儿童 82.0%和青少年 83.4%）。应用自动体外除颤器和高级气道管理（气管插管或喉罩气道）的比例仅为 4.1%和 2.5%。初始心电图显示 7.4%为室颤（VF）或无脉性室性心动过速（VT）。所有儿科 OHCA 患者的住院存活率为 4.9%（婴儿 2.9%、儿童 4.7%和青少年 7.2%）。对于 EMS 治疗的儿科 OHCA 或 VF 或无脉性 VT 患者，存活率分别为 5.0%和 31.6%。
结论
韩国儿科 OHCA 的发生率和医院结局与其他基于人群的全国性报告相似。
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