Key result
Pre-hospital defibrillation by paramedics was significantly associated with good neurological outcomes in patients with out-of-hospital cardiac arrest.
Why the study?
To analyze characteristics of out-of-hospital acute cardiac arrest patients to identify the current status and provide basic data to improve recovery rates.
Does pre-hospital defibrillation by paramedics improve neurological outcomes in out-of-hospital cardiac arrest patients?
Cross-Sectional (n=30,279)
Does pre-hospital defibrillation by paramedics improve neurological outcomes in out-of-hospital cardiac arrest patients?
Absolute Event Rate: 51.7% vs 11.8%
p-value: p=0.001
Pre-hospital defibrillation by paramedics and initial shockable rhythms are significantly associated with good neurological outcomes in out-of-hospital cardiac arrest patients.
Pre-hospital defibrillation by paramedics was associated with good OHCA outcomes; leaves open causality and practice change pending randomized data.
This study aimed to analyze the characteristics of out-of-hospital acute cardiac arrest patients collected from the Korea Centers for Disease Control and Prevention to identify the current status and provide basic data to increase the recovery rate of out-hospital acute cardiac arrest patients. As a result of the study, the number of acute cardiac arrest patients in Korea in 2019 was 30,279, of whom 1,505 (64.4%) were men and 10,774 (35.6%) were women. Of the total patients, 1,056 (51.7%) showed good neurological outcomes when paramedics performed defibrillation at the pre-hospital stage (p = 0.001). In the initial review of electrocardiographic rhythm performed by paramedics, 1,025 patients (52.8%) showed ventricular fibrillation and pulseless ventricular tachycardia, which indicated good neurological outcomes (p = 0.001).
No takes yet. Share an insight, caveat, or question.
Choi et al. (2022) conducted a cross-sectional in Out-of-hospital acute cardiac arrest (n=30,279). Pre-hospital defibrillation by paramedics vs. No pre-hospital defibrillation was evaluated on Good neurological outcomes (CPC score 1-2) (p=0.001). Pre-hospital defibrillation by paramedics was significantly associated with good neurological outcomes in patients with out-of-hospital cardiac arrest.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: