원문정보
Determinants on survival outcomes of sudden out-of-hospital cardiac arrest : a multilevel analysis
초록
영어
Purpose: This study aimed to identify the factors affecting the survival outcomes of out-of-hospital cardiac arrest based on the Sudden Cardiac Arrest Survey by the Korean Centers for Disease Control and Prevention from 2012 to 2016. Methods: Out of 84,776 cases, 57,104 cases of cardiac arrest were analyzed. To identify the factors that affect survival outcomes after a sudden cardiac arrest (SCA), we performed a logistic regression using SPSS. We also performed a multilevel analysis using SAS to determine whether the survival outcomes were affected by the socioeconomic level and health index of the communities. Results: When SCA was witnessed by someone, the possibility of discharge with survival outcomes increased by a factor of 4.54. If CPR was administered immediately in emergency situations, this possibility further increased. When defibrillation was performed before hospitalization, the possibility was increased by a factor of 10.31. The multilevel analysis reflected the personal and regional factors that had an impact on the survival outcomes. Conclusion: Because the initial response in SCA is crucial, a community response system is essential before hospitalization. It is necessary to actively publicize and educate the people because the their understanding, sympathy, and cooperation in emergency situations play a role in determining the survival outcomes of the patients.
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 자료수집방법
4. 연구 도구
5. 분석방법
Ⅲ. 연구결과
1. 성별, 연령별, 지역별 생존결과
2. 병원 전 단계에서 수행된 응급처치시행률 추이
3. 병원 전 단계에서 수행된 노력에 따른 유의성 검정
4. 생존결과에 영향을 미치는 요인
5. 지역 요인 결과 분석
6. OHCA 환자의 다수준 분석(Multilevel analysis)
Ⅳ. 고찰
Ⅴ. 결론
ORCID ID
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