Clin Exp Emerg Med.
2020 Sep;7(3):225-233. 10.15441/ceem.19.071.
Characteristics and outcomes of public bath-related out-of-hospital cardiac arrests in South Korea
- Affiliations
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- 1Department of Emergency Medicine, Soonchunhyang University College of Medicine, Asan, Korea
- 2Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Dongtan, Korea
- 3Department of Emergency Medicine, Chosun University Hospital, Gwangju, Korea
- 4Department of Emergency Medicine, Myongji Hospital, Goyang, Korea
- 5Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
- 6Department of Emergency Medicine, St. Vincent’s Hospital, The Catholic University of Korea, Suwon, Korea
- 7Department of Emergency Medicine, Hanyang University Guri Hospital, Guri, Korea
- 8Department of Emergency Medicine, Dankook University Hospital, Cheonan, Korea
- 9Clinical Trial Center, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
- KMID: 2507576
- DOI: http://doi.org/10.15441/ceem.19.071
Abstract
Objective
To analyze the differences in characteristics and outcomes between public bath (PB)- related and non-PB-related out-of-hospital cardiac arrest (OHCA) patients in South Korea.
Methods
We performed a retrospective observational analysis of collected data from the Smart Advanced Cardiac Life Support (SALS) registry between September 2015 and December 2018. We included adult OHCA patients (aged >18 years) with presumed OHCA of non-traumatic etiology who were attended by dispatched emergency medical services. SALS is a field advanced life support with smartphone-based direct medical direction. The primary outcome was the survival to discharge rate measured at the time of discharge.
Results
Of 38,995 cardiac arrest patients enrolled in the SALS registry, 11,889 were included in the final analysis. In total, 263 OHCAs occurred in PBs. Male sex and bystander cardiopulmonary resuscitation proportions appeared to be higher among PB patients than among non-PB patients. Percentages for shockable rhythm, witnessed rate, and number of underlying disease were lower in the PB group than in the non-PB group. Prehospital return of spontaneous circulation (11.4% vs. 19.5%, P=0.001), survival to discharge (2.3% vs. 9.9%, P<0.001), and favorable neurologic outcome (1.9% vs. 5.8%, P=0.007) in PB patients were significantly poorer than those in non-PB patients.
Conclusion
Patient characteristics and emergency medical services factors differed between PB and non-PB patients. All outcomes of PB-related OHCA were poorer than those of non-PB-related OHCA. Further treatment strategies should be developed to improve the outcomes of PBrelated cardiac arrest.
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