ED crowding and the outcomes of out-of-hospital cardiac arrest

The American Journal of Emergency Medicine
Jiwon KangEuigi Jung

Abstract

Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). Prospectively collected data including patients' demographics, Utstein factors, and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge, and neurologic outcome at 6months. The secondary outcome was resuscitation quality assessed by time to advanced airway, time to first drug administration, resuscitation duration in refractory cases, and rate of initiation of therapeutic hypothermia after ROSC in the ED. There was no significant difference in rates of ROSC, survival at discharge, and good neurologic outcome according to ED occupancy rate in the univariate and multivariate analyses (P>.05). In addition, ED overcrowding was not associated with resuscitation quality (P>.05). Eme...Continue Reading

References

Aug 28, 1991·JAMA : the Journal of the American Medical Association·D W BakerR H Brook
Aug 13, 1998·Annals of Emergency Medicine·T D Kirsch
Dec 8, 1998·JAMA : the Journal of the American Medical Association·C B BeggM F Brennan
Jan 3, 2001·JAMA : the Journal of the American Medical Association·D J MagidUNKNOWN National Registry of Myocardial Infarction 2 and 3 Investigators
Mar 20, 2001·JAMA : the Journal of the American Medical Association·A B NathensF P Rivara
Jan 17, 2002·The New England Journal of Medicine·E RiversUNKNOWN Early Goal-Directed Therapy Collaborative Group
Dec 13, 2005·The American Journal of Emergency Medicine·Deborah B DiercksJudd E Hollander
Mar 30, 2007·Annals of Emergency Medicine·Nathan R HootDominik Aronsky
Nov 6, 2007·Annals of Emergency Medicine·Melissa L McCarthyRobert Shesser
Feb 17, 2010·International Journal of Emergency Medicine·Erik B Kulstad, Ken M Kelley
Mar 13, 2010·The American Journal of Emergency Medicine·Erik B KulstadKathleen H Rzechula
Feb 12, 2011·Stroke; a Journal of Cerebral Circulation·Pia ChatterjeeJesse M Pines
Dec 16, 2011·The American Journal of Emergency Medicine·Ching-Chi LeeWen-Chien Ko
Jul 13, 2012·The New England Journal of Medicine·Jeremiah D Schuur, Arjun K Venkatesh
Jun 30, 2015·Clinical and Experimental Emergency Medicine·Dae-Hyun KangSeung Sik Hwang

❮ Previous
Next ❯

Citations

Nov 24, 2018·JMIR MHealth and UHealth·Junsang YooWon Chul Cha
Jun 9, 2020·Critical Care : the Official Journal of the Critical Care Forum·June-Sung KimDong-Woo Seo
Jun 25, 2018·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Ray DeAnda

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Nicholas M EschmannE Brooke Lerner
Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
E Brooke LernerRonald G Pirrallo
Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Kei MiyataEichi Narimatsu
© 2021 Meta ULC. All rights reserved