Factors That Affect Recovery of Spontaneous Circulation by Patients With Cardiac Arrest Before Arrival at a Hospital in Daegu Metropolitan City, South Korea

Abstract

\n BackgroundThis study was conducted to investigate the factors that influence Return of Spontaneous Circulation (ROSC) in patients who suffered cardiac arrest before arriving at the emergency room in DMC, Korea. MethodsThis study considered data for cardiac arrest patients by 119 paramedics from January 1, 2019 to December 31, 2019 in Daegu. Chi-squared analysis was conducted to analyze whether the subjects showed ROSC before arriving at the emergency room. Binary logic regression analysis was conducted to identify the factors that affect ROSC. ResultsROSC when a mechanical compression device was used was reduced to 0.82 of that when it was not used (95% CI = 0.60 ~ 0.92). ROSC was 3.13 times higher when a first-aid defibrillator was used than when it was not used (95% CI = 1.40 ~ 6.99). ROSC was 657 times higher when epinephrine was injected than when it was not injected. Lastly, ROSC was 1.82 (95% CI = 1.04 ~ 3.19) times higher when intubation was used than when it was not used. ConclusionThis study suggests that continuous CPR education, securing financial support, and expansion of emergency rooms for local residents are necessary.