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J Korean Soc Emerg Med > Volume 22(6); 2011 > Article
Journal of The Korean Society of Emergency Medicine 2011;22(6): 599-604.
Validation of Termination Guidelines for Out of Hospital Cardiac Arrest in Korea
Jong Geun Eun, Min Seob Sim, Keun Jeong Song, Mi Kyong Kwon, Sang hyun Park, Jun Seob Shin, Min Joung Kim, Sung Pil Chung, Hahn Shick Lee
1Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. emsong@skku.edu
2Department of Emergency Medicine, Seoul Medical Center, Seoul, Korea.
3Department of Emergency Medicine, Yonsei University College of Medicine Gangnam Severance Hospital, Seoul, Korea.
ABSTRACT
PURPOSE:
There have been no studies on the termination of resuscitation (TOR) in Korea. We retrospectively applied TOR rules to OHCA patient data in order to validate the BLS and ALS TOR rules for Korea.
METHODS:
We collected OHCA (out-of-hospital cardiac arrest) data from 3 hospitals for the period January 1 to December 31, 2009. We then retrospectively applied BLS and ALS TOR rules to this data. We measured both the specificity and positive predictive value for each BLS and ALS TOR rule.
RESULTS:
The overall rate of survival until hospital discharge was 14.5%. Out of 102 patients who met BLS criteria TOR rules, 8 patients survived until hospital discharge. Out of 52 patients who met ALS criteria TOR rules, 4 patients survived until hospital discharge. The BLS rule had a specificity of 0.57 and a positive predictive value of 0.92. The ALS rule had a specificity of 0.78 and a positive predictive value of 0.92.
CONCLUSION:
In this study, the BLS and ALS TOR rules had relatively low positive predictive value and were not applicable to patients with low survival probability in Korea.
Key words: Cardiopulmonary resuscitation, Termination of resuscitation, Out-of-hospital cardiac arrest
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