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Article: Evaluation of the use of automatic external defibrillation in out-of-hospital cardiac arrest in Hong Kong

TitleEvaluation of the use of automatic external defibrillation in out-of-hospital cardiac arrest in Hong Kong
Authors
KeywordsCardiac arrest
Out-of-hospital CPR
Automatic external defibrillator (AED)
Issue Date1999
Citation
Resuscitation, 1999, v. 41, n. 2, p. 113-119 How to Cite?
AbstractA retrospective 6-month audit of out-of-hospital cardiac arrests in Hong Kong following the introduction of automatic external defibrillators is presented. During the 6-month period from 1 July 1995 to 31 December 1995, resuscitation was attempted on 754 patients. Of the 744 patients with cardiac arrest whose records were available, 53.6% had a witnessed arrest. Few cardiac arrest patients (8.9%) received bystander cardiopulmonary resuscitation (CPR) and the majority (80%) of arrests occurred at home. Six hundred and forty-three (86.4%) patients were declared dead on arrival at hospital or in the Accident and Emergency department; 89 (12%) died in hospital and only 12 (1.6%) were discharged alive. The average ambulance response interval (call receipt to arrival of ambulance at scene) was 6.42 min. The average arrest-to-first-shock interval was 23.77 min. Factors predicting survival included initial rhythm and arrest-to-first-shock interval. The survival rate of 1.6% is low by world standards. To improve the survival rates of people with out-of-hospital cardiac arrest, the arrest-to-call interval must be reduced and the frequency of bystander CPR assistance increased. Once these changes are in place, a beneficial effect from the use of pre-hospital defibrillation might be seen. Copyright (C) 1999 Elsevier Science Ireland Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/209443
ISSN
2015 Impact Factor: 5.414
2015 SCImago Journal Rankings: 3.231

 

DC FieldValueLanguage
dc.contributor.authorLui, J.C.Z.-
dc.date.accessioned2015-04-21T07:49:19Z-
dc.date.available2015-04-21T07:49:19Z-
dc.date.issued1999-
dc.identifier.citationResuscitation, 1999, v. 41, n. 2, p. 113-119-
dc.identifier.issn0300-9572-
dc.identifier.urihttp://hdl.handle.net/10722/209443-
dc.description.abstractA retrospective 6-month audit of out-of-hospital cardiac arrests in Hong Kong following the introduction of automatic external defibrillators is presented. During the 6-month period from 1 July 1995 to 31 December 1995, resuscitation was attempted on 754 patients. Of the 744 patients with cardiac arrest whose records were available, 53.6% had a witnessed arrest. Few cardiac arrest patients (8.9%) received bystander cardiopulmonary resuscitation (CPR) and the majority (80%) of arrests occurred at home. Six hundred and forty-three (86.4%) patients were declared dead on arrival at hospital or in the Accident and Emergency department; 89 (12%) died in hospital and only 12 (1.6%) were discharged alive. The average ambulance response interval (call receipt to arrival of ambulance at scene) was 6.42 min. The average arrest-to-first-shock interval was 23.77 min. Factors predicting survival included initial rhythm and arrest-to-first-shock interval. The survival rate of 1.6% is low by world standards. To improve the survival rates of people with out-of-hospital cardiac arrest, the arrest-to-call interval must be reduced and the frequency of bystander CPR assistance increased. Once these changes are in place, a beneficial effect from the use of pre-hospital defibrillation might be seen. Copyright (C) 1999 Elsevier Science Ireland Ltd.-
dc.languageeng-
dc.relation.ispartofResuscitation-
dc.subjectCardiac arrest-
dc.subjectOut-of-hospital CPR-
dc.subjectAutomatic external defibrillator (AED)-
dc.titleEvaluation of the use of automatic external defibrillation in out-of-hospital cardiac arrest in Hong Kong-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0300-9572(99)00058-1-
dc.identifier.pmid10488933-
dc.identifier.scopuseid_2-s2.0-0033158077-
dc.identifier.volume41-
dc.identifier.issue2-
dc.identifier.spage113-
dc.identifier.epage119-

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