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Article: Out-of-hospital cardiac arrest in Hong Kong

TitleOut-of-hospital cardiac arrest in Hong Kong
Authors
KeywordsSurvival
International EMS
Hong Kong
Cardiac arrest
Outcome
Issue Date2001
Citation
Prehospital Emergency Care, 2001, v. 5, n. 3, p. 308-311 How to Cite?
AbstractObjectives. To evaluate the effectiveness of the local emergency medical services system in resuscitation of out-of-hospital cardiac arrest and identify areas for improvement. Methods. This was a prospective descriptive study of adults with nontraumatic out-of-hospital cardiac arrest treated in the three accident & emergency departments that serve the whole of Hong Kong Island from March 15, 1999, to October 15, 1999. Patient characteristics, circumstances of cardiac arrest, final outcomes, and response times of the ambulance service were recorded according to the Utstein style. Results. Three hundred twenty patients were included. There was male predominance, and the mean age was 71.5 years. The majority of cardiac arrests occurred at patients' homes. In 57.5% of cases the arrest was not witnessed. The bystander cardiopulmonary resuscitation (CPR) rate was 15.6%. The most common electrocardiographic (ECG) rhythm at scene was asystole. Ventricular fibrillation or pulseless ventricular tachycardia constituted 14.1%. The average call to dispatch interval was 1.04 minutes. The average call to CPR interval was 9.82 minutes. The average total prehospital interval was 27.55 minutes. The overall immediate survival rate was 14.1% and the rate of survival to hospital discharge was 1.25%. Conclusion. The prognosis of out-of-hospital cardiac arrest in Hong Kong was dismal. Every link in the chain of survival has to be improved.
Persistent Identifierhttp://hdl.handle.net/10722/210068
ISSN
2015 Impact Factor: 2.104
2015 SCImago Journal Rankings: 1.386

 

DC FieldValueLanguage
dc.contributor.authorLeung, Ling Pong-
dc.contributor.authorWong, Tai Wai-
dc.contributor.authorTong, Hon Kuan-
dc.contributor.authorLo, Chi Biu-
dc.contributor.authorKan, Pui Gay-
dc.date.accessioned2015-05-22T06:06:30Z-
dc.date.available2015-05-22T06:06:30Z-
dc.date.issued2001-
dc.identifier.citationPrehospital Emergency Care, 2001, v. 5, n. 3, p. 308-311-
dc.identifier.issn1090-3127-
dc.identifier.urihttp://hdl.handle.net/10722/210068-
dc.description.abstractObjectives. To evaluate the effectiveness of the local emergency medical services system in resuscitation of out-of-hospital cardiac arrest and identify areas for improvement. Methods. This was a prospective descriptive study of adults with nontraumatic out-of-hospital cardiac arrest treated in the three accident & emergency departments that serve the whole of Hong Kong Island from March 15, 1999, to October 15, 1999. Patient characteristics, circumstances of cardiac arrest, final outcomes, and response times of the ambulance service were recorded according to the Utstein style. Results. Three hundred twenty patients were included. There was male predominance, and the mean age was 71.5 years. The majority of cardiac arrests occurred at patients' homes. In 57.5% of cases the arrest was not witnessed. The bystander cardiopulmonary resuscitation (CPR) rate was 15.6%. The most common electrocardiographic (ECG) rhythm at scene was asystole. Ventricular fibrillation or pulseless ventricular tachycardia constituted 14.1%. The average call to dispatch interval was 1.04 minutes. The average call to CPR interval was 9.82 minutes. The average total prehospital interval was 27.55 minutes. The overall immediate survival rate was 14.1% and the rate of survival to hospital discharge was 1.25%. Conclusion. The prognosis of out-of-hospital cardiac arrest in Hong Kong was dismal. Every link in the chain of survival has to be improved.-
dc.languageeng-
dc.relation.ispartofPrehospital Emergency Care-
dc.subjectSurvival-
dc.subjectInternational EMS-
dc.subjectHong Kong-
dc.subjectCardiac arrest-
dc.subjectOutcome-
dc.titleOut-of-hospital cardiac arrest in Hong Kong-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.pmid11446552-
dc.identifier.scopuseid_2-s2.0-0034951441-
dc.identifier.volume5-
dc.identifier.issue3-
dc.identifier.spage308-
dc.identifier.epage311-

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