원저 : 일반 병동에서 발생한 병원 내 심정지에서 응급의학과 의사로 구성된 심폐소생술 팀의 효용성
분야
의약학 > 일반외과학
저자
박항아 ( Hang A Park ) , 강문주 ( Mun Ju Kang ) , 차원철 ( Won Chul Cha ) , 신태건 ( Tae Gun Shin ) , 조익준 ( Ik Joon Jo ) , 송근정 ( Keun Jeong Song ) , 정연권 ( Yeon Kwon Jeong ) , 심민섭 ( Min Seob Sim )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2012년, 제23권 제5호, 603~610쪽(총8쪽)
파일형식
18402501.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: Emergency physicians are usually more experienced in emergency situations; therefore, a cardiopulmonary resuscitation team with an emergency physician as a leader would be operated effectively. The aim of this study is to evaluate the effectiveness of a cardiopulmonary resuscitation that includes an emergency physician. Methods: A retrospective analysis for in-hospital arrests that occurred in the general ward was conducted based on the in-hospital cardiopulmonary resuscitation registry of a tertiary care university hospital in Korea from January 1, 2005 through December 31, 2010. We compared outcomes of cardiopulmonary resuscitation performed by a team that included an emergency physician with those by a cardiopulmonary resuscitation team that included a nonemergency physician. Results: Survival rates at discharge were 29.6% for the emergency physician team and 17.7% for the non-emergency physician team. The good neurologic outcome rates at discharge were 20.6% and 10.6%, respectively. In multivariate analysis with adjustment for pre-arrest patient condition and arrest variables, survival rate did not differ significantly between the two groups. However, the good neuroneurologic outcomes showed an association with the emergency physician team. Conclusion: For in-hospital cardiac arrest, outcomes for patients who were rescued by the emergency physiciandirecting CPR team might be comparable or better, compared with those by the non-emergency physician team.
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