Survival of Out-Of-Hospital Cardiac Arrest Patients and Feasibility for Therapeutic Hypothermia in Songklanagarind Hospital

• Main Authors: Veerapong Vattanavanit, Rungsun Bhurayanontachai, Bodin Khwannimit
• Format: Article
• Language: English
• Published: Prince of Songkla University 2013-12-01
• Series: Journal of Health Science and Medical Research (JHSMR)
• Subjects: out-of-hospital cardiac arrest; survival; therapeutic hypothermia
• Online Access: https://www.jhsmr.org/index.php/jhsmr/article/view/269

Objective: To estimate the survival rate of out-of-hospital cardiac arrest patients and determine factors associated with their survival and feasibility of therapeutic hypothermia in Songklanagarind Hospital. Material and Methods: Data were collected from the emergency department from record forms and retrospectively reviewed using patient charts dated from January-December 2012. Inferential statistics, univariate (chi-square test) and multivariate analyses (logistic regression) were applied for data analysis. Results: A total of 122 out-of-hospital cardiac arrest patients were ascertained; 67.2% were male. The most common cause of arrest is presumed cardiac in origin. The most common initial electrocardiogram rhythms was asystole (31.1%). Following resuscitation, 40 (32.8%) patients had ROSC. In our setting, survival rate in patients receiving cardiopulmonary resuscitation (CPR) was 8.2%. Shorter CPR time and higher doses of adrenaline were associated with higher initial survival rate. Only 2 (1.6%) patients suitable for therapeutic hypothermia. Conclusion: The survival rate of out-of-hospital cardiac arrest patients was 8.2%. Only 2 (1.6%) patients were suitable for therapeutic hypothermia.