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J Korean Soc Emerg Med > Volume 33(2); 2022 > Article
Journal of The Korean Society of Emergency Medicine 2022;33(2): 141-148.
일개 도시에서 발생한 소아청소년 병원 밖 심정지 환자들에 대한 분석: 선행연구
박종윤1 , 김용환1 , 이준호1 , 이동우1 , 안성준1 , 금경탁1 , 황성연1 , 이경렬2
1성균관대학교 의과대학 삼성창원병원 응급의학과
2경남대학교 체육교육학과
Pediatric out-of-hospital cardiac arrest: incidence and outcomes in an urban city
Jong Yoon Park1 , Yong Hwan Kim1 , Jun Ho Lee1 , Dong Woo Lee1 , Seong Jun Ahn1 , Kyoung Tak Keum1 , Seong Youn Hwang1 , Kyoung Yul Lee2
1Department of Emergency Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea
2Department of Physical Education, Kyungnam University, Changwon, Korea
Correspondence  Yong Hwan Kim ,Tel: 055-230-6119, Fax: 055-230-8394, Email: suka1212@naver.com,
Received: July 5, 2021; Revised: September 15, 2021   Accepted: September 28, 2021.  Published online: April 30, 2022.
ABSTRACT
Objective:
The aim of this study was to examine the incidence and outcomes of pediatric out-of-hospital cardiac arrests (OHCA) in Changwon city, South Korea.
Method:
From the Out-of-Hospital Cardiac Arrest Surveillance registry and the Changwon Fire Department’s Emergency Medical Services data, we obtained a list of 119 assessed pediatric OHCAs occurred between January 2012 and December 2018. We analyzed basic demographic variables, the location of cardiac arrest, witnessed status, bystander cardiopulmonary resuscitation (CPR), time variables for CPR, dispatcher-assisted CPR, initial cardiac rhythm, automated defibrillator use, and clinical outcomes at hospital discharge.
Results:
A total of 2,954 OHCAs occurred during the study period, of which 72 were pediatric OHCAs. The rate of witnessed cardiac arrest was 30.6% (22/72), and bystander CPR was performed in 29 patients (40.3%). The rate of cardiac arrest occurring in public places was 16.7% (12/72). The rate of shockable rhythm in the initial electrocardiogram rhythm was 8.3% (6/72). Twelve patients (16.7%) survived to admission. The proportion of survivors discharged was 4.3% (3/70), and the rate of discharge with a good prognosis was 2.8% (2/70).
Conclusion:
The incidence rate of pediatric OHCA was low in Changwon city. The survival rate was also low. Thus, studies with larger sample sizes and continuous monitoring in the community are needed.
Key words: Pediatrics; Heart arrest; Resuscitation; Outcome
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