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Volume 2020, Issue 2
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

The role of prehospital care (PHC) services in out-of-hospital cardiac arrest (OHCA) is well established in developed countries. The American Heart Association has defined PHC as the ‘chain of survival’ between public and advanced medical care. For developing countries such as Malaysia, the importance of PHC services in OHCA is evolving; however, data are lacking. This study aimed to investigate OHCA outcomes in relation to PHC services in Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia. This was a prospective study conducted on OHCA cases attended by the PHC staff of Hospital Canselor Tuanku Muhriz. Independent variables were patient background, OHCA nature, and PHC interventions, while dependent variables were patient outcomes. A total of 82 OHCA cases were identified. The survival rate to admission was 12.2% (n = 10), while the survival rate to discharge was 1.2% (n = 1) with cerebral performance categories of 1 or 2. The mean ambulance response time was 14.91 min. Among the variables, only OHCA location and adrenaline administration show significant association with OHCA outcome. OHCA location was significant in both outcomes (admission χ2(4) = 16.354,  < 0.03, Cramer's V = 0.447, discharge χ2(4) = 19.741, p < 0.001, Cramer's V = 0.491). However, adrenaline administration was significant only for survival to admission (χ2(1) = 3.776,  < 0.052, Cramer's V = 0.215) but not for survival to discharge (χ2(1) = 0.964,  < 0.326). Improvement in ambulance response time, public availability of automated external defibrillator, and public awareness of early cardiac arrest and cardiopulmonary resuscitation are required to increase the survivability of OHCA in developing countries.

© 2020 Abdul Aziz, Muhamad, licensee HBKU Press.,
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2020-12-09
2024-04-25
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References

  1. Alnemer K, Al-qumaizi KI, Alnemer A, Alsayegh A, Alqahtani A. 2016. Ambulance response time to cardiac emergencies in Riyadh 33–38 .
  2. Extracted from website- https://hus.moh.gov.my/bm/wp-content/uploads/2016/02/Tech-Specs-KPI Perkhidmatan-Klinikal-ver-4.0-2016-219314.pdf Ministry of Health MOH, Q. 2016. TECHNICAL SPECIFICATIONS KEY PERFORMANCE INDICATORS (KPIs) CLINICAL SERVICES MEDICAL PROGRAMME VERSION 4.0 .
  3. Pre-Hospital Care Unit data and archives, PHC unit, Hospital Canselor Tuanku Muhriz (HCTM), Cheras, Kuala Lumpur, Malaysia .
  4. Ong MEH, Do Shin S, De Souza NNA, Tanaka H, Nishiuchi T, Song KJ, et al., 2015. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation, 96, 100–108. doi: 10.1016/j.resuscitation.2015.07.026 .
  5. Ong MEH, Cho J, Ma MH, Tanaka H, Nishiuchi T, Al Sakaf O, et al., 2013. Comparison of emergency medical services systems in the pan-Asian resuscitation outcomes study countries: report from a literature review and survey Objective: Methods: Results: 55–63. doi: 10.1111/1742-6723.12032 .
  6. Extracted from website: http/www.malaysia.gov.my/portal/30602 at 1/6/2020 .
  7. Perkins GD, Jacobs IG, Nadkarni VM, et al., Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for out-of-hospital cardiac arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on cardiopulmonary, critical care, perioperative and resuscitation [published correction appears in Circulation. 2015 Sep 29;132(13):e168-9]. Circulation. 2015;132(13):1286–1300. doi: 10.1161/CIR.0000000000000144 .
  8. Nurumal MS, Karim SSA. 2015. Out of hospital cardiac arrest in Kuala Lumpur: incidence; adherence to protocol; and issues: a mixed method study. Malaysian J Public Health Med , 15(3), 94–103 .
  9. Ong ME, Cho J, Ma MHM, Tanaka H, Nishiuchi T, Al Sakaf O, et al., 2013. Comparison of emergency medical services systems in the pan-Asian resuscitation outcomes study countries: report from a literature review and survey Objective: Methods: Results, Emerg Med Australas, 55–63. doi: 10.1111/1742-6723.12032 .
  10. Böttiger BW, Grabner C, Bauer H, Bode C, Weber T, Motsch J. et al., 1999. Long term outcome after out-of-hospital cardiac arrest with physician sta V ed emergency medical services: the Utstein style applied to a midsized urban / suburban area. Heart, 674–679 .
  11. Chin SN, Cheah PK, Arifin MY, Wong BL, Omar Z, Yassin FM, et al., 2017. Determinants of ambulance response time: a study in Sabah, Malaysia 080003, 080003. doi: 10.1063/1.4980987 .
  12. Shaharudin Shah CHM, Ismail IM, Syed Mohsin, SSJ. 2008. Ambulance response time and emergency medical dispatcher program: a study in Kelantan, Malaysia. Southeast Asian J Trop Med Public Health , 39(6), 1150–1154 .
  13. Visser M. De, Bosch J, Bootsma M, Cannegieter S, Dijk A. Van, Heringhaus, C, et al., 2019. An observational study on survival rates of patients with out-of-hospital cardiac arrest in the Netherlands after improving the ‘chain of survival’, BMJ Open, 1–8. doi: 10.1136/bmjopen-2019-029254 .
  14. Barbic D, Buick JE, Christenson J, May S, Muhr M, Nichol G. et al., 2019. Cardiac arrests. Circulation , 137(20), 2104–2113. doi: 10.1161/CIRCULATIONAHA.117.030700.Impact .
  15. Liaw SY, Chew KS, Chan HC, Zulkarnain A, et al., 2020. Improving perception and confidence towards bystander cardiopulmonary resuscitaiton and public access automated external defibrillator program: how does training program helps. Int J Emerg Med , 13(1), 13 .
  16. Lin S, Callaway CW, Shah PS, Wagner JD, Beyene J, Ziegler CP, et al., 2014. Adrenaline for out-of-hospital cardiac arrest resuscitation: a systematic review and meta-analysis of randomized controlled trials. Resuscitation , 85(6), 732–740. doi: 10.1016/j.resuscitation.2014.03.008 .
  17. Perkins GD, Ji C, Deakin CD, Quinn T, Nolan JP, Scomparin C, et al., A randomized trial of epinephrine in out of hospital cardiac arrest. 2019. N Engl J Med 2018, 711–721. doi: 10.1056/NEJMoa1806842 .
  18. Jeong S, Ahn KO, Shin S. Do. 2016. The role of prehospital advanced airway management on outcomes for out-of-hospital cardiac arrest patients: a meta-analysis. Am J Emerg Med, 1–6. doi: 10.1016/j.ajem.2016.07.025 .
  19. Lyon RM, Ferris JD, Young DM, Mckeown DW, Oglesby AJ, Robertson C. 2010. Field intubation of cardiac arrest patients: a dying art? Emerg Med J, 321–324. doi: 10.1136/emj.2009.076737.
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Outcomes of out-of-hospital cardiac arrest in relation to prehospital care services in Hospital Canselor Tuanku Muhriz: A prospective study
Journal of Emergency Medicine, Trauma and Acute Care 2020, 11 (2021); https://doi.org/10.5339/jemtac.2020.11
/content/journals/10.5339/jemtac.2020.11
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  • Article Type: Research Article
Keyword(s): ambulance response time, out-of-hospital cardiac arrest and survival rate

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