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논문검색

병원 밖에서 발생한 급성 심장정지 환자의 생존결과에 영향을 미치는 요인 : 다수준 분석

원문정보

Determinants on survival outcomes of sudden out-of-hospital cardiac arrest : a multilevel analysis

김효실, 전진호

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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

=Abstract =
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
References

저자정보

  • 김효실 Hyo-Sil Kim. 제주한라대학교 보건행정과
  • 전진호 Jin-Ho Chun. 인제대학교 의과대학 예방의학교실

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