Yoo Yung Jae, Kim Gi Woon, Lee Choung Ah, Park Yong Jin, Lee Kyoung Mi, Cho Jin Seong, Jeong Won Jung, Choi Hyuk Joong, Choi Han Joo, Heo Nam Hun, Moon Hyung Jun
Department of Emergency Medicine, Soonchunhyang University College of Medicine, Asan, Korea.
Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Dongtan, Korea.
Clin Exp Emerg Med. 2020 Sep;7(3):225-233. doi: 10.15441/ceem.19.071. Epub 2020 Sep 30.
To analyze the differences in characteristics and outcomes between public bath (PB)-related and non-PB-related out-of-hospital cardiac arrest (OHCA) patients in South Korea.
We performed a retrospective observational analysis of collected data from the Smart Advanced Cardiac Life Support (SALS) registry between September 2015 and December 2018. We included adult OHCA patients (aged >18 years) with presumed OHCA of non-traumatic etiology who were attended by dispatched emergency medical services. SALS is a field advanced life support with smartphone-based direct medical direction. The primary outcome was the survival to discharge rate measured at the time of discharge.
Of 38,995 cardiac arrest patients enrolled in the SALS registry, 11,889 were included in the final analysis. In total, 263 OHCAs occurred in PBs. Male sex and bystander cardiopulmonary resuscitation proportions appeared to be higher among PB patients than among non-PB patients. Percentages for shockable rhythm, witnessed rate, and number of underlying disease were lower in the PB group than in the non-PB group. Prehospital return of spontaneous circulation (11.4% vs. 19.5%, P=0.001), survival to discharge (2.3% vs. 9.9%, P<0.001), and favorable neurologic outcome (1.9% vs. 5.8%, P=0.007) in PB patients were significantly poorer than those in non-PB patients.
Patient characteristics and emergency medical services factors differed between PB and non-PB patients. All outcomes of PB-related OHCA were poorer than those of non-PB-related OHCA. Further treatment strategies should be developed to improve the outcomes of PB-related cardiac arrest.
分析韩国公共浴池（PB）相关和非PB相关院外心脏骤停（OHCA）患者的特征及结局差异。
我们对2015年9月至2018年12月期间从智能高级心脏生命支持（SALS）登记处收集的数据进行了回顾性观察分析。我们纳入了年龄大于18岁、病因非创伤性且由调度的紧急医疗服务人员救治的成年OHCA患者。SALS是一种基于智能手机直接医疗指导的现场高级生命支持。主要结局是出院时测得的出院生存率。
在SALS登记处登记的38995例心脏骤停患者中，11889例纳入最终分析。总共有263例OHCA发生在公共浴池中。PB患者中男性和旁观者心肺复苏比例似乎高于非PB患者。PB组中可电击心律百分比、目击率和基础疾病数量低于非PB组。PB患者的院前自主循环恢复情况（11.4%对19.5%，P = 0.001）、出院生存率（2.3%对9.9%，P < 0.001）和良好神经功能结局（1.9%对5.8%，P = 0.007）明显差于非PB患者。
PB患者和非PB患者的患者特征及紧急医疗服务因素存在差异。PB相关OHCA的所有结局均比非PB相关OHCA差。应制定进一步的治疗策略以改善PB相关心脏骤停的结局。
