CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS WITH OUT OF CARDIAC ARRESSES IN THE EMERGENCY DEPARTMENT OF NGHE AN FRIENDSHIP GENERAL HOSPITAL

Ngọc Anh Đặng, Anh Tuấn Nguyễn , Đức Phúc Nguyễn , Hữu Việt Anh Nguyễn

Main Article Content

Abstract

Objective: Describe the clinical and paraclinical characteristics of patients with out-of-hospital cardiac arrest in the  Emergency Department of Nghe An General Friendship Hospital. Subjects and methods:  Patients with out-of-hospital cardiac arrest are diagnosed: there are no signs of circulation and occur outside the hospital. The research method is cross-sectional descriptive. Results:  The average age of patients was 57.6 ± 19.9 years. Cardiac arrest due to cardiovascular and internal medicinecauses accounts for the majority of 35.6% and 44.2 %; trauma 20.2%. Patients receiving cardiopulmonary resuscitation by witnesses were low at 21.7%. Most patients came to the hospital with heart rhythms of asystole, accounting for 58%. Circulation was restored, accounting for 44.8%. The rate of patients returning to the Emergency Department is 85.3%. Conclusions: Current situation of the out-of-hospital cardiac emergency chain in Nghe An is still limited and the outcome of out-of-hospital cardiac arrest is still low.

Article Details

References

1. Lam V. and Hsu C.H. (2020). Updates in Cardiac Arrest Resuscitation. Emerg Med Clin North Am, 38(4), 755–769.
2. McCarthy J.J., Carr B., Sasson C., et al. (2018). Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association. Circulation, 137(21), e645–e660.
3. Đỗ Ngọc Sơn (2016). Đỗ Ngọc Sơn. Đặc điểm lâm sàng của bệnh nhân ngừng tuần hoàn ngoại viện nhập khoa Cấp Cứu- bệnh viện Bạch Mai. Tạp Chí Nghiên Cứu Học, 440.
4. Hoàng Bùi Hải (2020). Kết quả khảo sát ngừng tuần hoàn ngoại viện không do chấn thương tại bốn bệnh viện ở Hà Nội theo mẫu UTSTEIN. Tạp Chí Nghiên Cứu Học, 9–14.
5. Do S.N., Luong C.Q., Pham D.T., et al. (2021). Survival after out-of-hospital cardiac arrest, Viet Nam: multicentre prospective cohort study. Bull World Health Organ, 99(1), 50–61.
6. Ong M.E.H., Shin S.D., De Souza N.N.A., et al. (2015). Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation, 96, 100–108.
7. Đặng Đức Hoàn T.M.H. (2012). Nhận xét về cấp cứu bệnh nhân ngừng tuần hoàn tại khoa cấp cứu bệnh viện Thanh Nhàn. Tạp Chí Tim Mạch Học Việt Nam.
8. Nakahara S., Tomio J., Ichikawa M., et al. (2015). Association of Bystander Interventions With Neurologically Intact Survival Among Patients With Bystander-Witnessed Out-of-Hospital Cardiac Arrest in Japan. JAMA, 314(3), 247–254.