Epidemiology and Outcomes in Out-of-hospital XXXX : A Report from the NEDIS-Based @entity1167 Registry in Korea.

@entity1164 @entity1 @entity341 @entity1167 @entity2332
" NlmCategory=: @entity1164 ( @entity1164 ) is a significant issue affecting national health policies. The National Emergency Department Information System for @entity1167 (NEDIS-CA) consortium managed a prospective registry of out-of-hospital @entity1167 (OHCA) at the @entity341 ( @entity341 ) level. We analyzed the NEDIS-CA data from 29 participating hospitals from January 2008 to July 2009. The primary outcomes were incidence of OHCA and final survival outcomes at discharge. Factors influencing survival outcomes were assessed as secondary outcomes. The implementation of advanced emergency management (drugs, endotracheal intubation) and post- @entity1167 care ( @entity2332 , coronary intervention) was also investigated. A total of 4,156 resuscitation-attempted OHCAs were included, of which 401 (9.6%) @entity1 survived to discharge and 79 (1.9%) were discharged with good neurologic outcomes. During the study period, there were 1,662,470 @entity341 visits in @entity1 hospitals; therefore, the estimated number of resuscitation-attempted CAs was 1 per 400 @entity341 visits (0.25%). Factors improving survival outcomes included younger age, witnessed collapse, onset in a public place, a shockable rhythm in the pre-hospital setting, and applied advanced resuscitation care. We found that active advanced multidisciplinary resuscitation efforts influenced improvement in the survival rate. Resuscitation by public witnesses improved the short-term outcomes (return of spontaneous circulation, survival admission) but did not increase the survival to discharge rate. Strategies are required to reinforce the chain of survival and high-quality cardiopulmonary resuscitation in Korea. GRAPHICAL ABSTRACT:
