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SURVIVAL RATE IN OUT-OF-HOSPITAL CARDIAC ARREST PATIENTS AND FACTORS AFFECTING OUTCOME AT BACHMAI HOSPITAL
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Abstract
Objective: Determining the survival rate at discharge in patients with out-of-hospital cardiac arrest and some factors affecting the survival of patients with out-of-hospital cardiac arrest at Bach Mai Hospital. Method: Descriptive study. Results: The elderly group >64 years old, men had the highest rate of OHCA compared to the remaining groups. OHCA patients often had a history of cardiovascular disease, hypertension. The survival rate at discharge due to cardiac arrest was 35.8%, 76.3% of patients had a poor neurologic function outcome. The electrocardiogram when arriving at the emergency centre, patients with VF (ventricular fibrillation) rhythm survival rate was 17.1 times higher than the asystole group (OR=17.1; 95% CI: 4.47-65.3) and had statistical significance p<0.001. OHCA patients who received electric shock had suvival rate 10.43 times higher than the group without electric shock (OR=10.43; 95% CI: 3.1-34.6) and had statistical significance p<0.001. Conclusion: Patients with ventricular fibrillation-induced cardiac arrest, received electric shock and target temperature management had a higher rate of survival to hospital discharge than the other group; in contrast, mechanical chest compression did not increase the rate of survival to hospital discharge.
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Keywords
OHCA, out-of-hospital cardiac arrest
References
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