Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location
As the number of people living in high-rise buildings increases, so does the incidence of cardiac arrest in these locations. Changes in cardiac arrest location affect the recognition of patients and emergency medical service (EMS) activation and response. This study aimed to compare the EMS response...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2019/9761072 |
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| author | Han Joo Choi Hyung Jun Moon Won Jung Jeong Gi Woon Kim Jae Hyug Woo Kyoung Mi Lee Hyuk Joong Choi Yong Jin Park Choung Ah Lee |
| author_facet | Han Joo Choi Hyung Jun Moon Won Jung Jeong Gi Woon Kim Jae Hyug Woo Kyoung Mi Lee Hyuk Joong Choi Yong Jin Park Choung Ah Lee |
| author_sort | Han Joo Choi |
| collection | DOAJ |
| description | As the number of people living in high-rise buildings increases, so does the incidence of cardiac arrest in these locations. Changes in cardiac arrest location affect the recognition of patients and emergency medical service (EMS) activation and response. This study aimed to compare the EMS response times and probability of a neurologically favorable discharge among patients who suffered an out-of-hospital cardiac arrest (OHCA) event while on a high or low floor at home or in a public place. This retrospective analysis was based on Smart Advanced Life Support registry data from January 2016 to December 2017. We included patients older than 18 years who suffered an OHCA due to medical causes. A high floor was defined as ≥3rd floor above ground. We compared the probability of a neurologically favorable discharge according to floor level and location (home vs. public place) of the OHCA event. Of the 6,335 included OHCA cases, 4,154 (65.6%) events occurred in homes. Rapid call-to-scene times were reported for high-floor events in both homes and public places. A longer call-to-patient time was observed for home events. The probability of a neurologically favorable discharge after a high-floor OHCA was significantly lower than that after a low-floor OHCA if the event occurred in a public place (adjusted odds ratio (aOR), 0.58; 95% confidence intervals (CI), 0.37–0.89) but was higher if the event occurred at home (aOR, 1.40; 95% CI, 0.96–2.03). Both the EMS response times to OHCA events in high-rise buildings and the probability of a neurologically favorable discharge differed between homes and public places. The results suggest that the prognosis of an OHCA patient is more likely to be affected by the building structure and use rather than the floor height. |
| format | Article |
| id | doaj-art-49bb583ddc804a61b844ea51abfc1d67 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-49bb583ddc804a61b844ea51abfc1d672025-02-03T05:51:07ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/97610729761072Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event LocationHan Joo Choi0Hyung Jun Moon1Won Jung Jeong2Gi Woon Kim3Jae Hyug Woo4Kyoung Mi Lee5Hyuk Joong Choi6Yong Jin Park7Choung Ah Lee8Department of Emergency Medicine, Dankook University Hospital, Cheonan-si, Chungcheongnam-do, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University, Cheonan-si, Chungcheongnam-do, Republic of KoreaDepartment of Emergency Medicine, Catholic University of Korea, St. Vincent’s Hospital, Suwon, Gyeonggo-do, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University, Bucheon-si, Gyeonggi-do, Republic of KoreaDepartment of Emergency Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of KoreaDepartment of Emergency Medicine, Myongji Hospital, Goyangsi, Gyeonggo-do, Republic of KoreaDepartment of Emergency Medicine, Hanyang University Guri Hospital, Guri-si, Gyeonggo-do, Republic of KoreaDepartment of Emergency Medicine, Chosun University Hospital, Gwangju, Republic of KoreaDepartment of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do, Republic of KoreaAs the number of people living in high-rise buildings increases, so does the incidence of cardiac arrest in these locations. Changes in cardiac arrest location affect the recognition of patients and emergency medical service (EMS) activation and response. This study aimed to compare the EMS response times and probability of a neurologically favorable discharge among patients who suffered an out-of-hospital cardiac arrest (OHCA) event while on a high or low floor at home or in a public place. This retrospective analysis was based on Smart Advanced Life Support registry data from January 2016 to December 2017. We included patients older than 18 years who suffered an OHCA due to medical causes. A high floor was defined as ≥3rd floor above ground. We compared the probability of a neurologically favorable discharge according to floor level and location (home vs. public place) of the OHCA event. Of the 6,335 included OHCA cases, 4,154 (65.6%) events occurred in homes. Rapid call-to-scene times were reported for high-floor events in both homes and public places. A longer call-to-patient time was observed for home events. The probability of a neurologically favorable discharge after a high-floor OHCA was significantly lower than that after a low-floor OHCA if the event occurred in a public place (adjusted odds ratio (aOR), 0.58; 95% confidence intervals (CI), 0.37–0.89) but was higher if the event occurred at home (aOR, 1.40; 95% CI, 0.96–2.03). Both the EMS response times to OHCA events in high-rise buildings and the probability of a neurologically favorable discharge differed between homes and public places. The results suggest that the prognosis of an OHCA patient is more likely to be affected by the building structure and use rather than the floor height.http://dx.doi.org/10.1155/2019/9761072 |
| spellingShingle | Han Joo Choi Hyung Jun Moon Won Jung Jeong Gi Woon Kim Jae Hyug Woo Kyoung Mi Lee Hyuk Joong Choi Yong Jin Park Choung Ah Lee Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location Emergency Medicine International |
| title | Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location |
| title_full | Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location |
| title_fullStr | Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location |
| title_full_unstemmed | Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location |
| title_short | Effect of the Floor Level on the Probability of a Neurologically Favorable Discharge after Cardiac Arrest according to the Event Location |
| title_sort | effect of the floor level on the probability of a neurologically favorable discharge after cardiac arrest according to the event location |
| url | http://dx.doi.org/10.1155/2019/9761072 |
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