Characteristics | All cases | Non-EMS | EMS | P-valuea | |
---|---|---|---|---|---|
Private or public transport | Private ambulance | ||||
Hospital participated | n = 111 | n = 48 | n = 34 | n = 29 | < 0.001 |
Bach Mai hospital, no. (%) | 33 (29.7) | 13 (27.1) | 19 (55.9) | 1 (3.4) | |
Hue hospital, no. (%) | 26 (23.4) | 21 (43.8) | 3 (8.8) | 2 (6.9) | |
Cho Ray hospital, no. (%) | 52 (46.8) | 14 (29.2) | 12 (35.3) | 26 (89.7) | |
Patient related | n = 111 | n = 48 | n = 34 | n = 29 | |
Age (year), mean (SD) | 39.27 (16.38) | 38.31 (14.74) | 40.71 (17.59) | 39.17 (17.91) | 0.931 |
Gender, no. (%) | n = 111 | n = 48 | n = 34 | n = 29 | 0.993 |
Male | 92 (82.9) | 40 (83.3) | 28 (82.4) | 24 (82.8) | |
Female | 19 (17.1) | 8 (16.7) | 6 (17.6) | 5 (17.2) | |
Past medical history, no. (%) | n = 67 | n = 23 | n = 27 | n = 17 | |
Heart disease | 2 (3.0) | 1 (4.3) | 1 (3.7) | 0 | > 0.999 |
Diabetes | 2 (3.0) | 0 | 2 (7.4) | 0 | 0.335 |
Hypertension | 6 (9.0) | 2 (8.7) | 4 (14.8) | 0 | 0.268 |
Renal disease | 2 (3.0) | 1 (4.3) | 0 | 1 (5.9) | 0.512 |
Respiratory disease | 1 (1.5) | 1 (4.3) | 0 | 0 | 0.597 |
Other | 9 (13.4) | 2 (8.7) | 7 (25.9) | 0 | 0.039 |
Event related | |||||
Location type, no. (%) | n = 111 | n = 48 | n = 34 | n = 29 | 0.001 |
Home residence | 20 (18.0) | 11 (22.9) | 8 (23.5) | 1 (3.4) | |
Healthcare facility | 4 (3.6) | 0 | 4 (11.8) | 0 | |
In EMS/Private ambulance | 6 (5.4) | 0 | 5 (14.7) | 1 (3.4) | |
Industrial place | 8 (7.2) | 2 (4.2) | 2 (5.9) | 4 (13.8) | |
Street/Highway | 69 (62.2) | 32 (66.7) | 14 (41.2) | 23 (79.3) | |
Transport center | 4 (0.9) | 0 | 1 (2.9) | 0 | |
Other | 3 (2.7) | 3 (6.3) | 0 | 0 | |
Time of the day, no. (%), n = 60 | 34 (56.7) | 6 (54.5) | 15 (65.2) | 13 (50.0) | 0.556 |
Arrest witnessed by, no. (%) | n = 93 | n = 30 | n = 34 | n = 29 | < 0.001 |
Not witnessed | 22 (23.7) | 14 (46.7) | 7 (20.6) | 1 (3.4) | |
Bystander (Lay person) | 10 (10.8) | 8 (26.7) | 1 (2.9) | 1 (3.4) | |
Bystander (Family) | 5 (5.4) | 0 | 4 (11.8) | 1 (3.4) | |
Bystander (Healthcare provider) | 14 (15.0) | 8 (26.7) | 5 (14.7) | 1 (3.4) | |
EMS/Private ambulance | 42 (45.2) | 0 | 17 (50.0) | 25 (86.2) | |
First arrest rhythm, no. (%) | n = 30 | – | n = 21 | n = 9 | 0.687 |
Shockable rhythmb | 19 (63.3) | not available | 14 (66.7) | 5 (55.6) | |
Unshockable rhythm | 11 (36.7) | not available | 7 (33.3) | 4 (44.4) | |
Prehospital intervention, no. (%) | |||||
Bystander CPR, n = 95 | 32 (33.7) | 0 | 19 (55.9) | 13 (44.8) | < 0.001 |
Prehospital defibrillation, n = 30 | 6 (20) | not available | 3 (14.3) | 3 (33.3) | 0.329 |
Bystander AED applied, n = 111 | 2 (1.8) | 0 | 1 (2.9) | 1 (3.4) | 0.320 |
ED defibrillation performed, no. (%), n = 111 | 6 (5.4) | 1 (2.1) | 4 (11.8) | 1 (3.4) | 0.200 |
System related | |||||
Resuscitation attempted by EMS/private ambulance, no. (%), n = 53 | 29 (54.7) | not available | 20 (58.8) | 9 (47.4) | 0.422 |
Time to CPR at scene (min), mean (SD), n = 20 | 2.68 (5.66) | not available | 2.53 (4.74) | 2.95 (7.52) | 0.553 |
Therapeutic related | |||||
Pharmacotherapy, no. (%) | n = 111 | n = 48 | n = 34 | n = 29 | |
Epinephrine (at scene) | 27 (24.3) | 0 | 19 (55.9) | 8 (27.6) | < 0.001 |
Epinephrine (at ED) | 101 (91.0) | 44 (91.7) | 30 (88.2) | 27 (93.1) | 0.837 |
Prehospital advanced airway, no. (%), n = 30 | 27 (90.0) | not available | 18 (85.7) | 9 (100) | 0.534 |
Advanced airway used at ED, no. (%), n = 111 | 65 (58.6) | 35 (72.9) | 12 (35.3) | 18 (62.1) | 0.003 |
Post-resuscitation care, no. (%) | |||||
Hypothermia therapy initiated, n = 111 | 2 (1.8) | 0 | 2 (5.9) | 0 | 0.158 |
Outcomes | |||||
ROSC, no. (%) | n = 111 | n = 48 | n = 34 | n = 29 | |
ROSC at scene/en-route, | 20 (18.0) | 0 | 14 (41.2) | 6 (20.7) | < 0.001 |
ROSC at ED, | 16 (14.4) | 6 (12.5) | 5 (14.7) | 5 (17.2) | 0.889 |
Outcome of patient at ED, no. (%) | n = 111 | n = 48 | n = 34 | n = 29 | 0.197 |
Died in ED | 104 (93.7) | 47 (97.9) | 30 (88.2) | 27 (93.1) | |
Admitted | 7 (6.3) | 1 (2.1) | 4 (11.8) | 2 (6.9) | |
Patient status, no. (%) | n = 7 | n = 1 | n = 4 | n = 2 | 0.429 |
Died in the hospital | 1 (14.3) | 0 | 0 | 1 (50.0) | |
Remains in hospital at 30th day post arrest | 0 | 0 | 0 | 0 | |
Discharged alive | 6 (85.7) | 1 (100) | 4 (100) | 1 (50.0) | |
Post arrest CPC 1 and 2, no. (%), n = 111 | 1 (0.9) | 0 | 1 (2.9) | 0 | 0.568 |