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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 945 - 956 (12page)
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초록· 키워드
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Background and Objectives: This study aimed to confirm the effects of traditional holidays on the incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in South Korea. Methods: We studied 95,066 OHCAs of cardiac cause from a nationwide, prospective study from the Korea OHCA Registry from January 2012 to December 2016. We compared the incidence of OHCA, in-hospital mortality, and neurologic outcomes between traditional holidays, Seollal (Lunar New Year's Day) and Chuseok (Korean Thanksgiving Day), and other day types (weekday, weekend, and public holiday). Results: OHCA occurred more frequently on traditional holidays than on the other days. The median OHCA incidence were 51.0 (interquartile range [IQR], 44.0–58.0), 53.0 (IQR, 46.0–60.5), 52.5 (IQR, 45.3–59.8), and 60.0 (IQR, 52.0–69.0) cases/day on weekday, weekend, public holiday, and traditional holiday, respectively (p<0.001). The OHCA occurred more often at home rather than in public place, lesser bystander cardiopulmonary resuscitation (CPR) was performed, and the rate of cessation of CPR within 20 minutes without recovery of spontaneous circulation was higher on traditional holiday. After multivariable adjustment, traditional holiday was associated with higher in-hospital mortality (adjusted hazard ratio [HR], 1.339; 95% confidence interval [CI], 1.058–1.704; p=0.016) but better neurologic outcomes (adjusted HR, 0.503; 95% CI, 0.281–0.894; p=0.020) than weekdays. Conclusions: The incidence of OHCAs was associated with day types in a year. It occurred more frequently on traditional holidays than on other day types. It was associated with higher in-hospital mortality and favorable neurologic outcomes than weekday.
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참고문헌 (17)
참고문헌 신청
Gräsner JT / 2016 / EuReCa ONE-27 Nations, ONE Europe, ONE Registry : a prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe / Resuscitation 105:188~195
Benjamin EJ / 2018 / Heart disease and stroke statistics-2018 update : a report from the American Heart Association / Circulation 137:e67~e492
김주영 / 2018 / Korean Cardiac Arrest Research Consortium (KoCARC): rationale, development, and implementation / Clinical and Experimental Emergency Medicine 5(3):165~176
Adrie C / 2006 / Predicting survival with good neurological recovery at hospital admission after successful resuscitation of out-of-hospital cardiac arrest : the OHCA score / Eur Heart J 27:2840~2845
Bagai A / 2013 / Temporal differences in out-of-hospital cardiac arrest incidence and survival / Circulation 128:2595~2602
Benjamin EJ / 2018 / Heart disease and stroke statistics-2018 update : a report from the American Heart Association / Circulation 137:e67~e492
김주영 / 2018 / Korean Cardiac Arrest Research Consortium (KoCARC): rationale, development, and implementation / Clinical and Experimental Emergency Medicine 5(3):165~176
Adrie C / 2006 / Predicting survival with good neurological recovery at hospital admission after successful resuscitation of out-of-hospital cardiac arrest : the OHCA score / Eur Heart J 27:2840~2845
Bagai A / 2013 / Temporal differences in out-of-hospital cardiac arrest incidence and survival / Circulation 128:2595~2602
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