Outcomes of out-of-hospital cardiac arrest in Beijing: a 5-year cross-sectional study

ObjectiveThe purpose of this study was to assess the trends in outcomes of out-of-hospital cardiac arrest (OHCA) in Beijing over 5 years.DesignCross-sectional study.MethodsAdult patients with OHCA of all aetiologies who were treated by the Beijing emergency medical service (EMS) between January 2013 and December 2017 were analysed. Data were collected using the Utstein Style. Cases were followed up for 1 year. Descriptive statistics were used to characterise the sample and logistic regression was performed.ResultsOverall, 5016 patients with OHCA underwent attempted resuscitation by the EMS in urban areas of Beijing during the study period. Survival to hospital discharge was 1.2% in 2013 and 1.6% in 2017 (adjusted rate ratio=1.0, p for trend=0.60). Survival to admission and neurological outcome at discharge did not significantly improve from 2013 to 2017. Patient characteristics and the aetiology and location of cardiac arrest were consistent, but there was a decrease in the initial shockable rhythm (from 6.5% to 5.6%) over the 5 years. The rate of bystander cardiopulmonary resuscitation (CPR) increased steadily over the years (from 10.4% to 19.4%).ConclusionSurvival after OHCA in urban areas of Beijing did not improve significantly over 5 years, with long-term survival being unchanged, although the rate of bystander CPR increased steadily, which enhanced the outcomes of patients who underwent bystander CPR.

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Effects of cholesterol levels on outcomes of out-of-hospital cardiac arrest: a cross-sectional study

Clinical and Experimental Emergency Medicine ◽

10.15441/ceem.18.057 ◽

2019 ◽

Vol 6 (3) ◽

pp. 242-249

Author(s):

Jong Hwan Kim ◽

Dae Han Wi ◽

Jun Hee Lee ◽

Hyung Jun Song ◽

Sang Do Shin ◽

...

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Cholesterol Levels ◽

Hospital Cardiac Arrest

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Abstract 14171: Prehospital Outcomes and Patient Characteristics Associated With PulsePoint Dispatches for Out-of-Hospital Cardiac Arrest in Pittsburgh, Pennsylvania

Circulation ◽

10.1161/circ.144.suppl_2.14171 ◽

2021 ◽

Vol 144 (Suppl_2) ◽

Author(s):

David Salcido ◽

Christian Martin-Gill ◽

LEONARD WEISS ◽

David D Salcido

Keyword(s):

Cardiac Arrest ◽

Response Time ◽

Statistical Significance ◽

Patient Characteristics ◽

The United States ◽

Spontaneous Circulation ◽

Shockable Rhythm ◽

Bystander Cpr ◽

Case Characteristics ◽

Hospital Cardiac Arrest

Background: Mobile phone-based dispatch of volunteers to out-of-hospital cardiac arrest (OHCA) has been shown to increase the likelihood of early chest compressions and AED application. In the United States, limited characterization of patients encountered as a result of such systems exists, including PulsePoint Respond, a smartphone-based volunteer dispatch system. Objective: Examine prehospital case characteristics and outcomes from a multi-year deployment of PulsePoint in Pittsburgh, Pennsylvania. Methods: Case data, including PulsePoint determinant triggers and timing, prehospital electronic health records (EHRs), and computer aided dispatch records were obtained for suspected EMS-treated OHCA cases that did and did not generate PulsePoint alerts within the service area of Pittsburgh EMS for the period July 2016 to October 2020. EHRs were reviewed to determine true OHCA status, and OHCA case characteristics were extracted according to the Utstein template. Key characteristics and the outcome of prehospital return of spontaneous circulation (ROSC) were summarized and compared between cases with and without PulsePoint dispatches. Chi-squared tests were used to determine statistical significance of relationships. Results: There were 1229 OHCA cases overall in the capture period, with an estimated 29.6% occurring in public. Of 840 total PulsePoint dispatches, 68 (8.1%) were for true OHCA. Forty-five (66.2%) of these were witnessed, 43 (63.2%) received bystander CPR, and 17 (25%) had an AED applied prior to first responder arrival. Twenty-seven (39.7%) had an initial shockable rhythm, and 34 (50%) achieved ROSC in the field. Compared to non-PulsePoint dispatch generating OHCA, PulsePoint alert-associated patients were significantly more likely to be male (p=0.024), have bystander CPR/AED application performed (p<0.001), have an initial shockable rhythm (p<0.001), and achieve ROSC (p<0.001). EMS response time, age, ALS response time, and witnessed status were not significantly different. Conclusions: A minority of PulsePoint dispatches in Pittsburgh were triggered by true OHCA. Among cases that did generate a PulsePoint dispatch, case characteristics were prognostically favorable.

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ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI REMAJA DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI SMK NEGERI 2 SINGOSARI

Jurnal Ilmiah Kesehatan Media Husada ◽

10.33475/jikmh.v8i2.185 ◽

2019 ◽

Vol 8 (2) ◽

pp. 8-24

Author(s):

Ahsan Ahsan

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Hospital Cardiac Arrest

Latar Belakang Angka kematian yang terjadi di luar rumah sakit akibat henti jantung atau Out-of-Hospital Cardiac Arrest (OHCA) menjadi salah satu fokus permasalahan kesehatan dunia karena angka kejadiannya yang tinggi dan meningkat setiap tahunnya. Penyebabnya adalah terlambatnya pelaporan dan pemberian tindakan RJP. Kepercayaan diri remaja dalam melakukan RJP dipengaruhi oleh banyak hal. Oleh karena itu beberapa faktor yang sangat penting untuk meningkatkan efikasi diri pada remaja semakin ditekankan untuk meningkatkan angka keselamatan pasien yang mengalami henti jantung di luar rumah sakit. Tujuan Menganalisis faktor-faktor yang berhubungan dengan efikasi diri remaja dalam melakukan Resusitasi Jantung Paru Metode Desain penelitian yang digunakan adalah cross-sectional study . Lokasi penelitian di SMK Negeri 2 Singosari Malang. Jumlah responden sebanyak 110 responden yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji chi-square dan uji regresi logisitk. Hasil Hasil uji Chi-Square menunjukkan p value sebagai berikut variabel pengalaman yaitu nilai p = 0,007 (p<0,05) yang artinya ada hubungan yang signifikan antara pengalaman responden dengan efikasi diri remaja, untuk variabel persepsi didapatkan nilai p = 0,588 (p>0,05). Artinya tidak terdapat hubungan yang signifikan antara persepsi dengan efikasi diri remaja, untuk kesadaran nilai p = 0,000 (p <0,05) yang berarti hubungan yang signifikan antara kesadaran dengan efikasi diri, pada pengetahuan didapatkan nilai p = 0,663 (p>0,05), sehingga dapat disimpulkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan tentang resusitasi jantung paru dengan efikasi diri remaja. Uji regresi logistik dilakukan untuk mengetahui faktor yang paling berhubungan dengan efikasi diri remaja dalam melakukan resusitasi jantung paru adalah variabel kesadaran Kesimpulan Kesadaran situasional tentang henti jantung merupakan faktor prediktor yang dapat digunakan untuk memprediksi efikasi diri, dimana kesadaran merupakan faktor prediktor paling dominan dalam mempengaruhi efikasi diri remaja dalam melakukan resusitasi jantung paru di SMK Negeri 2 Singosari. Kata Kunci: Resusitasi Jantung Paru (RJP), Remaja, Efikasi Diri, Faktor Efikasi Diri

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ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN EFIKASI DIRI REMAJA DALAM MELAKUKAN RESUSITASI JANTUNG PARU DI SMK NEGERI 2 SINGOSARI

Care Jurnal Ilmiah Ilmu Kesehatan ◽

10.33366/cr.v5i3.721 ◽

2017 ◽

Vol 5 (3) ◽

pp. 477

Author(s):

Dudella Desnani Firman Yasin ◽

Ahsan Ahsan ◽

Septi Dewi Racmawati

Keyword(s):

Cardiac Arrest ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Hospital Cardiac Arrest

Angka kematian yang terjadi di luar rumah sakit akibat henti jantung atau Out-of-Hospital Cardiac Arrest (OHCA) menjadi salah satu fokus permasalahan kesehatan dunia karena angka kejadiannya yang tinggi dan meningkat setiap tahunnya. Penyebabnya adalah terlambatnya pelaporan dan pemberian tindakan RJP. Kepercayaan diri remaja dalam melakukan RJP dipengaruhi oleh banyak hal. Oleh karena itu beberapa faktor yang sangat penting untuk meningkatkan efikasi diri pada remaja semakin ditekankan untuk meningkatkan angka keselamatan pasien yang mengalami henti jantung di luar rumah sakit.Tujuan penelitian untuk mnganalisis faktor-faktor yang berhubungan dengan efikasi diri remaja dalam melakukan Resusitasi Jantung Paru. Desain penelitian yang digunakan adalah cross-sectional study . Lokasi penelitian di SMK Negeri 2 Singosari Malang. Jumlah sampel sebanyak 110 responden yang diambil dengan teknik purposive sampling. Analisa data menggunakan uji chi-square dan uji regresi logisitk.Hasil uji Chi-Square menunjukkan p value sebagai berikut variabel pengalaman yaitu nilai p = 0,007 (p0,05), untuk kesadaran nilai p = 0,000 (p 0,05). Uji regresi logistik dilakukan untuk mengetahui faktor yang paling berhubungan dengan efikasi diri remaja dalam melakukan resusitasi jantung paru adalah variabel kesadaran Kesadaran situasional tentang henti jantung merupakan faktor prediktor yang dapat digunakan untuk memprediksi efikasi diri, dimana kesadaran merupakan faktor prediktor paling dominan dalam mempengaruhi efikasi diri remaja dalam melakukan resusitasi jantung paru di SMK Negeri 2 Singosari.

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Knowledge, training and willingness to perform bystander cardiopulmonary resuscitation among university students in Chongqing, China: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-046694 ◽

2021 ◽

Vol 11 (6) ◽

pp. e046694

Author(s):

Jiani Mao ◽

Feng Chen ◽

Dianguo Xing ◽

Huixian Zhou ◽

Ling Jia ◽

...

Keyword(s):

College Students ◽

Cardiopulmonary Resuscitation ◽

Cross Sectional Study ◽

Average Score ◽

Willingness To Participate ◽

Sectional Study ◽

Cross Sectional ◽

Bystander Cpr ◽

Secondary Outcomes ◽

Cpr Training

ObjectiveTo evaluate knowledge of cardiopulmonary resuscitation (CPR) among Chinese college students and their attitude towards participating in CPR training and willingness to perform bystander CPR.DesignA cross-sectional study.ParticipantsA total of 1128 college students were selected through a multistage stratified random sampling method from 12 universities in Chongqing, China.Primary and secondary outcomesPrimary outcomes included CPR knowledge and willingness to participate in training and perform bystander CPR; secondary outcomes included CPR training experience and obstacles to training and performing CPR.ResultsThe average score on CPR knowledge was 2.078 (±1.342). Only 45.5% of the respondents were willing to participate in CPR training. Women, respondents who were postgraduate or above, with liberal arts as major and with high CPR knowledge level were more willing to participate in CPR training. A total of 47.2% of the respondents were willing to provide simple assistance, such as checking the consciousness and breathing of the patient and dialling 120 (medical emergency call). Only 34.1% indicated their willingness to perform bystander CPR on strangers. Perceived behavioural control, behavioural attitudes and subjective norms are positive predictors of willingness to provide bystander CPR.ConclusionsCPR knowledge and training rate were low among Chongqing college students. Willingness to participate in training and perform bystander CPR was also low. Improving legislation, strengthening training programmes, incorporating CPR training into the school curriculum and reshaping the social and public culture of offering timely help to those in need are recommended strategies to improve bystander CPR performance.

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HEALTH-RELATED BEHAVIORS OF SENIORS IN RURAL VERSUS URBAN AREAS: A CROSS-SECTIONAL STUDY

Health Problems of Civilization ◽

10.5114/hpc.2020.93293 ◽

2020 ◽

Vol 14 (1) ◽

pp. 1-8

Author(s):

Aneta Omelan ◽

Iwona Zielińska ◽

Bogdan Wziątek ◽

Ernest Bielinis ◽

Robert Podstawski

Keyword(s):

Urban Areas ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Health Related Behaviors ◽

Health Related

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Cross-sectional study of drivers of animal-source food consumption in low-income urban areas of Nairobi, Kenya

BMC Nutrition ◽

10.1186/s40795-016-0109-z ◽

2016 ◽

Vol 2 (1) ◽

Cited By ~ 12

Author(s):

Laura Cornelsen ◽

Pablo Alarcon ◽

Barbara Häsler ◽

Djesika D. Amendah ◽

Elaine Ferguson ◽

...

Keyword(s):

Food Consumption ◽

Low Income ◽

Urban Areas ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Animal Source ◽

Animal Source Food

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The effect of stone and patient characteristics in predicting extra-corporal shock wave lithotripsy success rate: A cross sectional study

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102829 ◽

2021 ◽

Vol 70 ◽

pp. 102829

Author(s):

Mohammad Al- zubi ◽

Ammar Al Sleibi ◽

Basel Mazen Elayan ◽

Subhi Zahi Al-issawi ◽

Morad Bani-hani ◽

...

Keyword(s):

Shock Wave ◽

Success Rate ◽

Shock Wave Lithotripsy ◽

Patient Characteristics ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Use of complementary and alternative therapies by patients with eye diseases: a hospital-based cross-sectional study from Palestine

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-020-03188-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dania Jaber ◽

Rafat Abu Ghannam ◽

Waleed Rashed ◽

Mohammad Shehadeh ◽

Sa’ed H. Zyoud

Keyword(s):

Patient Characteristics ◽

Developed Countries ◽

Cross Sectional Study ◽

Alternative Therapies ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Complementary And Alternative Therapies ◽

Source Of Information ◽

Complementary And Alternative

Abstract Background Generally, complementary and alternative therapies (CAT) are accepted methods of treatment by patients with various types of conditions. Their use is becoming especially prevalent among patients with eye problems even in developed countries. Thus, we aimed to determine the pattern of use of CAT in this patient population, to identify the patient characteristics associated with the use of CAT, and to assess the types of CAT used. Methods A descriptive, cross-sectional study was conducted in Palestine at An-Najah National University Hospital between the time periods of October 2019 to May 2020, using questionnaire-based face to face interviews. Data were collected through convenience sampling. Patients responded to the questionnaire, which was focused on information adapted from previous research in this area, covering socio-demographic and clinical characteristics, types of CAT, source of information, and side effects on CAT use. Results A total of 86 patients were interviewed for our study. Over two thirds, 67% reported using CAT for the specific purpose of improving their eye condition, and about one third (29.1%) received more than one therapy. The most common therapies reported were duea’ (i.e. supplication) (47.1%) and herbal therapies (24.1%). It was shown that patients with bilateral involvement of their eyes were almost twice more likely to describe using CAT than patients with unilateral eye pathology (p = 0.006). Also, patients who underwent surgery as their route of treatment were significantly less likely to use CAT (p = 0.043). Most of our study participants mentioned a non-physician source as their source of information regarding CAT with family members being the most frequently mentioned (30.2%) followed by the internet (25.6%) and friends (19.8%). Conclusions The prevalence of CAT use among patients with eye disease is somewhat high in our study population. Because CAT may trigger adverse reactions, influence the progression of the disease, and interfere with conventional treatment, the ophthalmologist should frequently be asked patients with such diagnostics regarding the use of these therapies. Further work is required to analyze the mechanisms of action and to establish realistic guidelines for the use of these modalities.

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Abstract 184: AED Application in Non-Shockable Out-of-Hospital Cardiac Arrest Does Not Reduce Survival

Circulation ◽

10.1161/circ.138.suppl_2.184 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Ross A Pollack ◽

Siobhan P Brown ◽

Thomas Rea ◽

Peter J Kudenchuk ◽

Myron L Weisfeldt

Keyword(s):

Cardiac Arrest ◽

Primary Outcome ◽

Patient Characteristics ◽

Neurological Status ◽

Relative Safety ◽

Initial Rhythm ◽

Bystander Cpr ◽

Rhythm Analysis ◽

In Transit ◽

Hospital Cardiac Arrest

Introduction: It is well established that AEDs improve outcome in shockable out-of-hospital cardiac arrest (OHCA). An increasing proportion (now the majority) of OHCAs present with non-shockable rhythms. Survival from non-shockable OHCA depends on high-quality CPR in transit to definitive care. Studies of AED use in non-shockable in-hospital arrest (as opposed to OHCA) have shown reduced survival with AED application possibly due to CPR interruptions to apply pads and perform rhythm analysis. We sought to determine whether AED application in non-shockable public, witnessed OHCA has a significant association with survival to discharge. Methods: This is a retrospective analysis of OHCA from 2010-2015 at 10 Resuscitation Outcomes Consortium centers. All adult, public, witnessed non-shockable OHCAs were included. Non-shockable arrest was defined as no shock delivered by the AED or by review of defibrillator tracings (10%). The initial rhythm on EMS arrival was used to confirm the rhythm. The primary outcome was survival to hospital discharge with favorable neurological status (modified rankin score <3). The OR was adjusted for the Utstein variables. Results: During the study period there were 1,597 non-shockable public, witnessed OHCA, 9.8% of which had an AED applied. The initial rhythm on EMS arrival was PEA or asystole in 86% of cases. Significantly more OHCA in the AED applied group had CPR performed. 6.5% of those without an AED applied survived with favorable neurologic status compared to 9% with an AED. After adjustment for the Utstein variables including bystander CPR, the aOR for survival with favorable neurologic outcome was 1.38 (95% CI:0.72-2.65). Conclusion: After adjusting for patient characteristics and bystander CPR, the application of an AED in non-shockable public witnessed OHCA had no significant association with survival or neurological outcome supporting the relative safety and potential benefit of AED application in non-shockable OHCA.

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