Effects of physician-present prehospital care in patients with out-of-hospital cardiac arrest on return of spontaneous circulation: A retrospective, observational study in Saga, Japan.
advanced airway management
emergency medical service
epinephrine
on‐site operation time
Journal
Health science reports
ISSN: 2398-8835
Titre abrégé: Health Sci Rep
Pays: United States
ID NLM: 101728855
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
31
08
2023
revised:
19
01
2024
accepted:
28
02
2024
medline:
24
4
2024
pubmed:
24
4
2024
entrez:
24
4
2024
Statut:
epublish
Résumé
Emergency medical services for out-of-hospital cardiac arrest (OHCA) vary according to region and country, and patient prognosis differs accordingly. In Japan, physicians may provide prehospital care. However, the effect of physician-present prehospital care on achieving return of spontaneous circulation (ROSC) in patients with cardiac arrest is not clear. Here, we aimed to examine the effect of physician-present prehospital care on the prognosis of patients with OHCA at our hospital compared with physician-absent care. In this retrospective, observational study, patients aged ≥18 years with non-traumatic OHCA from a single center in Saga City, Japan, between April 2011 and December 2019, were included. Patients were divided into two groups, based on prehospital physician presence or absence. Logistic regression analysis was used to determine the association between physician-present prehospital care and ROSC. Of 820 patients with OHCA, 151 had a physician present and 669 did not. Logistic regression analysis with no adjustment showed that the odds ratio (OR) of physician-present prehospital care for an increased ROSC rate was 1.74 (95% confidence interval [CI]: 1.22-2.48, Physician-present prehospital care may not necessarily lead to increased ROSC rates. However, insufficient data limited our study findings. Further studies involving larger sample sizes are warranted.
Sections du résumé
Background and Aims
UNASSIGNED
Emergency medical services for out-of-hospital cardiac arrest (OHCA) vary according to region and country, and patient prognosis differs accordingly. In Japan, physicians may provide prehospital care. However, the effect of physician-present prehospital care on achieving return of spontaneous circulation (ROSC) in patients with cardiac arrest is not clear. Here, we aimed to examine the effect of physician-present prehospital care on the prognosis of patients with OHCA at our hospital compared with physician-absent care.
Methods
UNASSIGNED
In this retrospective, observational study, patients aged ≥18 years with non-traumatic OHCA from a single center in Saga City, Japan, between April 2011 and December 2019, were included. Patients were divided into two groups, based on prehospital physician presence or absence. Logistic regression analysis was used to determine the association between physician-present prehospital care and ROSC.
Results
UNASSIGNED
Of 820 patients with OHCA, 151 had a physician present and 669 did not. Logistic regression analysis with no adjustment showed that the odds ratio (OR) of physician-present prehospital care for an increased ROSC rate was 1.74 (95% confidence interval [CI]: 1.22-2.48,
Conclusion
UNASSIGNED
Physician-present prehospital care may not necessarily lead to increased ROSC rates. However, insufficient data limited our study findings. Further studies involving larger sample sizes are warranted.
Identifiants
pubmed: 38655425
doi: 10.1002/hsr2.1981
pii: HSR21981
pmc: PMC11035745
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e1981Informations de copyright
© 2024 The Authors. Health Science Reports published by Wiley Periodicals LLC.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Resuscitation. 2014 Jun;85(6):732-40
pubmed: 24642404
JAMA. 2000 Feb 9;283(6):783-90
pubmed: 10683058
Resuscitation. 2019 Mar;136:38-46
pubmed: 30448503
Am J Emerg Med. 2016 Dec;34(12):2284-2290
pubmed: 27613359
Resuscitation. 2015 Nov;96:180-5
pubmed: 26307453
Crit Care. 2014 Jul 31;18(4):463
pubmed: 25079607
Resuscitation. 2021 Nov;168:142-150
pubmed: 34619295
PLoS One. 2014 Jan 08;9(1):e84424
pubmed: 24416232
Circ J. 2012;76(7):1639-45
pubmed: 22481099
Resuscitation. 2012 Mar;83(3):327-32
pubmed: 22115931
Eur J Clin Pharmacol. 2016 Oct;72(10):1255-1264
pubmed: 27411936
JAMA. 2009 Nov 25;302(20):2222-9
pubmed: 19934423
Resuscitation. 2016 Nov;108:95-101
pubmed: 27565859
Resuscitation. 2016 Nov;108:A6-A7
pubmed: 27616583
Crit Care. 2016 Jan 09;20:4
pubmed: 26747085
JAMA. 2013 Jan 16;309(3):257-66
pubmed: 23321764
Acad Emerg Med. 2010 Sep;17(9):926-31
pubmed: 20836772
Crit Care. 2010;14(6):R199
pubmed: 21050434
Ann Emerg Med. 2006 Jun;47(6):532-41
pubmed: 16713780
Resuscitation. 2016 Aug;105:188-95
pubmed: 27321577
JAMA. 2012 Mar 21;307(11):1161-8
pubmed: 22436956
Stud Health Technol Inform. 2020 Jun 16;270:1357-1358
pubmed: 32570657
Resuscitation. 2011 Sep;82(9):1138-43
pubmed: 21745533
Air Med J. 2020 Nov - Dec;39(6):494-497
pubmed: 33228901
JAMA Surg. 2018 Jun 20;153(6):e180674
pubmed: 29710068