Bui Hai Hoang1,2, Ngoc Son Do3, Dinh Hung Vu1, Giang Phuc Do1, Xuan Dung Dao4, Huu Huan Nguyen5, Quang Thuy Luu6, Van Cuong Le7, Huu Tu Nguyen2,8, Michael M Dinh9,10, Shinji Nakahara11,12. 1. Emergency and Critical Medicine Department, Hanoi Medical University Hospital, Hanoi, Vietnam. 2. Hanoi Medical University, Hanoi, Vietnam. 3. Emergency Department, Bach Mai Hospital, Hanoi, Vietnam. 4. Emergency and Critical Medicine Department, Hanoi Heart Hospital, Hanoi, Vietnam. 5. Emergency and Critical Medicine Department, Ministry of Agriculture Hospital, Hanoi, Vietnam. 6. Intensive Care Unit, Viet Duc Hospital, Hanoi, Vietnam. 7. Critical Care Unit and Cardiovascular Intervention Center, Thanh Hoa General Hospital, Hanoi, Vietnam. 8. Anaesthesia and Intensive Care Department, Hanoi Medical University Hospital, Hanoi, Vietnam. 9. Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia. 10. Discipline of Emergency Medicine, Hoc Mai Foundation, RPA Green Light Institute, Sydney, New South Wales, Australia. 11. Teikyo University School of Medicine, Tokyo, Japan. 12. Graduate School of Health Innovation, Kanagawa University of Human Services, Kawasaki, Japan.
Abstract
OBJECTIVE: To describe the outcomes of patients with out-of-hospital cardiac arrest (OHCA) transported to hospital in Hanoi, Vietnam. METHODS: This was a multi-centre observational study of patients presenting with OHCA to one of five tertiary care hospital EDs in Hanoi from 2017 to 2019. RESULTS: We analysed data from 239 OHCA cases of which 70.7% were witnessed, and 8.4% received bystander cardiopulmonary resuscitation (CPR). The emergency medical services (EMS) transported 20.5% of cases to hospital with the remaining being transported by private vehicle. No patients received external defibrillation before arriving to hospital. Return of spontaneous circulation in hospital was 33.1%, with 3.8% of patients survived to hospital discharge and only one patient (0.4%) discharged from hospital with a favourable neurological outcome. CONCLUSIONS: In cases of OHCA in Hanoi, both the proportion of cases receiving bystander CPR and EMS transportation were small. Urgent investments in pre-hospital capacity, training and capabilities are required to improve outcomes for OHCA in Hanoi.
OBJECTIVE: To describe the outcomes of patients with out-of-hospital cardiac arrest (OHCA) transported to hospital in Hanoi, Vietnam. METHODS: This was a multi-centre observational study of patients presenting with OHCA to one of five tertiary care hospital EDs in Hanoi from 2017 to 2019. RESULTS: We analysed data from 239 OHCA cases of which 70.7% were witnessed, and 8.4% received bystander cardiopulmonary resuscitation (CPR). The emergency medical services (EMS) transported 20.5% of cases to hospital with the remaining being transported by private vehicle. No patients received external defibrillation before arriving to hospital. Return of spontaneous circulation in hospital was 33.1%, with 3.8% of patients survived to hospital discharge and only one patient (0.4%) discharged from hospital with a favourable neurological outcome. CONCLUSIONS: In cases of OHCA in Hanoi, both the proportion of cases receiving bystander CPR and EMS transportation were small. Urgent investments in pre-hospital capacity, training and capabilities are required to improve outcomes for OHCA in Hanoi.
Authors: Son Ngoc Do; Chinh Quoc Luong; Dung Thi Pham; My Ha Nguyen; Tra Thanh Ton; Quoc Trong Ai Hoang; Dat Tuan Nguyen; Thao Thi Ngoc Pham; Hanh Trong Hoang; Dai Quoc Khuong; Quan Huu Nguyen; Tuan Anh Nguyen; Tung Thanh Tran; Long Duc Vu; Chi Van Nguyen; Bryan Francis McNally; Marcus Eng Hock Ong; Anh Dat Nguyen Journal: BMC Emerg Med Date: 2021-11-23