Jiwon Kang1, Joonghee Kim1, You Hwan Jo2, Kyuseok Kim1, Jae Hyuk Lee1, Taeyun Kim1, Jungyoup Lee1, Ji Eun Hwang1, Euigi Jung1. 1. Department of Emergency Medicine, Seoul National University Bundang Hospital 82, Gyeonggi-do 463-707, Republic of Korea. 2. Department of Emergency Medicine, Seoul National University Bundang Hospital 82, Gyeonggi-do 463-707, Republic of Korea. Electronic address: emdrjyh@gmail.com.
Abstract
OBJECTIVE: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). METHODS: Prospectively collected data including patients' demographics, Utstein factors, and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge, and neurologic outcome at 6months. The secondary outcome was resuscitation quality assessed by time to advanced airway, time to first drug administration, resuscitation duration in refractory cases, and rate of initiation of therapeutic hypothermia after ROSC in the ED. RESULTS: There was no significant difference in rates of ROSC, survival at discharge, and good neurologic outcome according to ED occupancy rate in the univariate and multivariate analyses (P>.05). In addition, ED overcrowding was not associated with resuscitation quality (P>.05). CONCLUSION: Emergency department overcrowding was not associated with the outcomes of OHCA or resuscitation quality.
OBJECTIVE: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). METHODS: Prospectively collected data including patients' demographics, Utstein factors, and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge, and neurologic outcome at 6months. The secondary outcome was resuscitation quality assessed by time to advanced airway, time to first drug administration, resuscitation duration in refractory cases, and rate of initiation of therapeutic hypothermia after ROSC in the ED. RESULTS: There was no significant difference in rates of ROSC, survival at discharge, and good neurologic outcome according to ED occupancy rate in the univariate and multivariate analyses (P>.05). In addition, ED overcrowding was not associated with resuscitation quality (P>.05). CONCLUSION: Emergency department overcrowding was not associated with the outcomes of OHCA or resuscitation quality.
Authors: Dong Keon Lee; Eugi Jung; You Hwan Jo; Joonghee Kim; Jae Hyuk Lee; Seung Min Park; Yu Jin Kim Journal: Emerg Med Int Date: 2020-06-29 Impact factor: 1.112
Authors: Daniel L Theodoro; Niraj Vyas; Enyo Ablordeppey; Brian Bausano; Stephanie Charshafian; Phillip Asaro; Richard T Griffey Journal: West J Emerg Med Date: 2021-01-20