Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre

Out-of-hospital cardiac arrest (OHCA) patients require immediate cardiopulmonary resuscitation (CPR). Early initiation of CPR and defibrillation before arrival at Emergency Department (ED) increases the chance of survival from sudden cardiac arrest. The main objective of this study was to identify t...

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Main Authors:	Ahmad Khaldun Ismail, Md Jawi MI, Mohd Salleh NI, Hamdan NA, Shamsuriani Md Jamal, Shamsul Azhar Shah, Abdul Razak SN
Format:	Article
Language:	English
Published:	Fakulti Perubatan, UKM 2016
Online Access:	http://journalarticle.ukm.my/9786/ http://journalarticle.ukm.my/9786/ http://journalarticle.ukm.my/9786/1/6._Ismail_et_al.pdf

id	ukm-9786
recordtype	eprints
spelling	ukm-97862016-12-14T06:50:50Z http://journalarticle.ukm.my/9786/ Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre Ahmad Khaldun Ismail, Md Jawi MI, Mohd Salleh NI, Hamdan NA, Shamsuriani Md Jamal, Shamsul Azhar Shah, Abdul Razak SN, Out-of-hospital cardiac arrest (OHCA) patients require immediate cardiopulmonary resuscitation (CPR). Early initiation of CPR and defibrillation before arrival at Emergency Department (ED) increases the chance of survival from sudden cardiac arrest. The main objective of this study was to identify the factors that influenced the outcome of early cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) patients managed at the ED of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). The second objective was to determine the incidence of CPR initiated by the public prior to ambulance arrival. The present study was a one-year cross-sectional study. The OHCA patients were identified from the ED resuscitation logbook. Patients’ medical records were used to obtain details of the resuscitation. Factors recorded included: aetiology of arrest, initiation of on-scene CPR, use of automated external defibrillators (AEDs), mode of transportation and the incidence of return of spontaneous circulation (ROSC) in the ED. Categorical data was analysed using chi-square and Fisher exact tests. Nine patients out of 98 had early CPR. Three patients achieved ROSC. Gender was significantly associated with ROSC (p-value=0.015). More patients who received early CPR achieved ROSC compared to those who received late CPR. The provision of early CPR and usage of AEDs by the public is still low. Female gender had a positive influence on ROSC. Efforts are required to increase the awareness and involvement of the public in initiating early CPR prior to the arrival of ambulance service. Fakulti Perubatan, UKM 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9786/1/6._Ismail_et_al.pdf Ahmad Khaldun Ismail, and Md Jawi MI, and Mohd Salleh NI, and Hamdan NA, and Shamsuriani Md Jamal, and Shamsul Azhar Shah, and Abdul Razak SN, (2016) Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre. Medicine & Health, 11 (1). pp. 38-46. ISSN 1823-2140 http://www.medicineandhealthukm.com/toc/11/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Out-of-hospital cardiac arrest (OHCA) patients require immediate cardiopulmonary resuscitation (CPR). Early initiation of CPR and defibrillation before arrival at Emergency Department (ED) increases the chance of survival from sudden cardiac arrest. The main objective of this study was to identify the factors that influenced the outcome of early cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA) patients managed at the ED of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). The second objective was to determine the incidence of CPR initiated by the public prior to ambulance arrival. The present study was a one-year cross-sectional study. The OHCA patients were identified from the ED resuscitation logbook. Patients’ medical records were used to obtain details of the resuscitation. Factors recorded included: aetiology of arrest, initiation of on-scene CPR, use of automated external defibrillators (AEDs), mode of transportation and the incidence of return of spontaneous circulation (ROSC) in the ED. Categorical data was analysed using chi-square and Fisher exact tests. Nine patients out of 98 had early CPR. Three patients achieved ROSC. Gender was significantly associated with ROSC (p-value=0.015). More patients who received early CPR achieved ROSC compared to those who received late CPR. The provision of early CPR and usage of AEDs by the public is still low. Female gender had a positive influence on ROSC. Efforts are required to increase the awareness and involvement of the public in initiating early CPR prior to the arrival of ambulance service.
format	Article
author	Ahmad Khaldun Ismail, Md Jawi MI, Mohd Salleh NI, Hamdan NA, Shamsuriani Md Jamal, Shamsul Azhar Shah, Abdul Razak SN,
spellingShingle	Ahmad Khaldun Ismail, Md Jawi MI, Mohd Salleh NI, Hamdan NA, Shamsuriani Md Jamal, Shamsul Azhar Shah, Abdul Razak SN, Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
author_facet	Ahmad Khaldun Ismail, Md Jawi MI, Mohd Salleh NI, Hamdan NA, Shamsuriani Md Jamal, Shamsul Azhar Shah, Abdul Razak SN,
author_sort	Ahmad Khaldun Ismail,
title	Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
title_short	Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
title_full	Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
title_fullStr	Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
title_full_unstemmed	Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre
title_sort	outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in universiti kebangsaan malaysia medical centre
publisher	Fakulti Perubatan, UKM
publishDate	2016
url	http://journalarticle.ukm.my/9786/ http://journalarticle.ukm.my/9786/ http://journalarticle.ukm.my/9786/1/6._Ismail_et_al.pdf
first_indexed	2023-09-18T19:55:43Z
last_indexed	2023-09-18T19:55:43Z
_version_	1777406515549831168

Outcome of early cardiopulmonary resuscitation in out-of-hospital cardiac arrest managed in Universiti Kebangsaan Malaysia Medical Centre

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