• Aust J Rural Health · Dec 2017

    Non-traumatic out-of-hospital cardiac arrest in rural Taiwan: A retrospective study.

    • Shih-Chang Hung, Ching-Yi Mou, Hung-Chang Hung, Shih-Wei Lai, Chun-Chih Chen, Jui-Wen Lin, Ssu-Hung Wang, Chung-Kuang Chen, and Kai-Chun Cheng.
    • Department of Emergency Medicine, Nantou Hospital, Nantou, Taiwan.
    • Aust J Rural Health. 2017 Dec 1; 25 (6): 354-361.

    ObjectiveOut-of-hospital cardiac arrest (OHCA) studies are usually conducted at metropolitan medical centres. Because rural studies are rare, our study aimed to assess non-traumatic OHCA prevalence and resuscitation outcomes in rural Taiwan.DesignA retrospective observational study.SettingAll seven designated community hospital emergency departments (ED) in Nantou County, Taiwan.ParticipantsAll OHCA patients from May 2011 to March 2013.Main Outcome MeasuresAny return of spontaneous circulation (ROSC) and survival for ED discharge.ResultsIn the 23-month period, 850 OHCA cases were reported; 741 (87.2%) were non-traumatic. The overall ROSC achievement rate was 19.7%, with 16.4% case survival for ED discharge. Logistic regression identified that arrest in public (OR: 2.62, 95% CI: 1.19-5.78), witness when collapsed (OR: 2.14, 95% CI: 1.28-3.60), and cardiopulmonary resuscitation (CPR) by bystander (OR: 2.09, 95% CI: 1.02-4.26) might increase the likelihood of any ROSC; arrest in public (OR: 2.68, 95% CI: 1.10-6.50), witnessed collapse (OR: 2.26, 95% CI: 1.24-4.09) and CPR by bystander (OR: 2.79, 95% CI: 1.28-6.05) might also increase the likelihood of survival. For non-traumatic OHCA patients conveyed to EDs via emergency medical service system (EMS), a shorter response time (OR: 1.09, 95% CI: 1.01-1.18) and travelling time (OR: 1.04, 95% CI: 1.00-1.09) might also increase the chance of survival.ConclusionCompared to previous data from metropolitan areas, ROSC achievement rate was lower in rural Taiwan. Witness presence, response and travelling times affect ROSC achievement in non-traumatic OHCA patients in rural Taiwan.© 2016 National Rural Health Alliance Inc.

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