Prehospital Factors Influencing Survival Time of Cardiac Arrest Patients Outside Hospital: Case Study of Malang General Hospital And Dr. Iskak General Hospital Tulungagung, Indonesia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Mortality due to sudden out-hospital cardiac arrest is common and has become health care problem worldwide.Emergency medical system is expected to implement five chains of survival effectively. The continuous PAROS (Pan Asian Resuscitation Outcome Study) has showed variation in pre-hospital service. Thus, there are room for improvement in pre-hospital service system. Eventually, mortality due to out-hospital cardiac arrest can be reduced. The objective of this study is to identify pre-hospital factors affecting survival time in cardiac arrest patients and to analyze the impact of survival time in hospital equipped with EMS (emergency medical services) and non-EMS hospital. This study was an observational analytic study with cross sectional approach. The data were taken from Malang General Hospital and dr. Iskak General Hospital Tulungagung retrospectively, to analyze the impact of pre-hospital factors toward survival time in sudden cardiac arrest and to observe the influence of survival time in EMS-equipped hospital and non-EMS hospital. The samples were 64 patients that met inclusion and exclusion criteria. The findings indicate that pre-hospital factors affecting survival time in cardiac arrest was initial rhythm. There was no impact of survival time in EMS-equipped hospital and non-EMS hospital.
Authors and Affiliations
Ferry Limantara, Respati Suryanto Drajat, Ali Haedar, Nanik Setijowati
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