ED crowding and the outcomes of out-of-hospital cardiac arrest

详细信息    查看全文

• 作者：Jiwon Kang ; MD ; Joonghee Kim ; MD ; You Hwan Jo ; MD ; PhD ; ^{emdrjyh@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Kyuseok Kim ; MD ; PhD ; Jae Hyuk Lee ; MD ; PhD ; Taeyun Kim ; MD ; PhD ; Jungyoup Lee ; MD ; Ji Eun Hwang ; MD ; Euigi Jung ; MD
• 刊名：The American Journal of Emergency Medicine
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：33
• 期：11
• 页码：1659-1664
• 全文大小：398 K

文摘

Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA).

Methods

Prospectively collected data including patients' demographics, Utstein factors, and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge, and neurologic outcome at 6 months. The secondary outcome was resuscitation quality assessed by time to advanced airway, time to first drug administration, resuscitation duration in refractory cases, and rate of initiation of therapeutic hypothermia after ROSC in the ED.

Results

There was no significant difference in rates of ROSC, survival at discharge, and good neurologic outcome according to ED occupancy rate in the univariate and multivariate analyses (P > .05). In addition, ED overcrowding was not associated with resuscitation quality (P > .05).

Conclusion

Emergency department overcrowding was not associated with the outcomes of OHCA or resuscitation quality.