한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제13권3호
  • /
  • Pages.265-274
  • /
  • 2022
  • /
  • 2233-4890(pISSN)
  • /
  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
권호 표지
DOI QR코드

DOI QR Code

목격자에 의해 시행된 심폐소생술 및 자동심장충격기 시행률 분석 -대구광역시 자료기반 법률 및 지침 고찰을 통한 융합연구-

Analysis of Bystander Cardiopulmonary Resuscitation and Public Access Defibrillation Utilization -Convergence Study based on the Data of Daegu -

  • 박시은 (동강대학교 응급구조과)
  • Park, Si-Eun (Department of Paramedicine, Donggang University)
  • 투고 : 2021.09.23
  • 심사 : 2022.03.20
  • 발행 : 2022.03.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 2020년 1년간 수집된 심폐정지환자 세부상황표(2020년, 원시자료) 3,418건을 대상으로 하였다. 또한, 관련 법률과 지침을 조사하여 고찰하는 후향적 서술조사연구이다. 연구 결과, 첫째. '목격자에 의한 심폐소생술' 시행률 30.66%(1,047건)는 주목할 만한 결과로, 관련 법률 및 지침이 짜임새 있게 마련되어 있음을 짐작해 볼 수 있다. 둘째, '목격자에 의한 자동심장충격기 사용은 불과 0.10%(5건)에 불과한 것으로 나타났다. 이는 관련 법률 및 지침이 '구비 및 의무'에 다소 치우쳐 있기 때문으로 사료되며, 지역별 관련 대응 방법 모색의 전략적 차별성을 두어야 함을 시사한다. 셋째, 대구지역의 심정지 발생 장소는 가정이 71.97%(2,640건)로 나타났다. 향후 심정지 대응의 지역별 '맞춤전략' 및 '특별구급대'의 효율적 운영을 위하여, 원시데이터를 활용한 고급통계분석중심의 후속 연구가 필요하다.

This study was conducted on 3,418 cases of cardiopulmonary arrest patients' detailed status table (2020, raw data) collected in 2020. Also, it is a retrospective narrative research that investigates and examines related laws and guidelines. The main findings are as follows. First, the implementation rate of 'bystander CPR' was 30.66% (1047 cases) and it was a remarkable result. It can be inferred the quality of the relevant laws and guidelines. Second, 'Public access defibrillation (shock)' accounted for only 0.10%(5 cases). it is considered that the relevant laws and guidelines are weighted towards 'stock and obligation.' Strategic differentiation of response by region is needed. Third, out-of-hospital cardiac arrest occurred at house was 71.97%(2,640 cases). To operate the 'special ambulance team' efficiently, it is necessary to analyze regional data more closely and develop an efficient strategy in the future.

키워드

참고문헌

  1. S. Y. Lee, Y. S. Ro, Do Shin, S. Song, K. J. Hong, J. H. Park & S. Y. Kong. (2018). Recognition of out-of-hospital cardiac arrest during emergency calls and public awareness of cardiopulmonary resuscitation in communities: A multilevel analysis. Resuscitation, 128, 106-111. DOI : 10.1016/j.resuscitation.2018.05.008
  2. M. Fredriksson, J. Herlitz & G. Nichol. (2003). Variation in outcome in studies of out-of-hospital cardiac arrest: A review of studies conforming to the Utstein guidelines. The American journal of emergency medicine, 21(4), 276-281. DOI : 10.1016/S0735-6757(03)00082-2],
  3. A. Sladjana. (2011). A prediction survival model for out-of-hospital cardiopulmonary resuscitations. Journal of critical care, 26(2), 223-e11. DOI : 10.1016/j.jcrc.2010.06.001
  4. R. M. Lyon, G. Egan, P. Gowens, P. Andrews & G. Clegg. (2010). Issues around conducting prehospital research on out-of-hospital cardiac arrest: Lessons from the TOPCAT study. Emergency Medicine Journal, 27(8), 637-638. DOI : 10.1136/emj.2009.087395
  5. M. L. Weisfeldt, R. E. Kerber, R. P. McGoldrick, A. J. Moss, G. Nichol, J. P. Ornato & S. C. Smith Jr. (1995). Public access defibrillation: A statement for healthcare professionals from the American Heart Association Task Force on Automatic External Defibrillation. Circulation, 92(9), 2763-2763. DOI : 10.1161/01.CIR.92.9.2763
  6. I. G. Stiell, G. A. Wells, B. Field, D. W. Spaite, L. P. Nesbitt, V. J. De Maio & M. Lyver. (2004). Advanced cardiac life support in out-of-hospital cardiac arrest. New England Journal of Medicine, 351(7), 647-656. DOI : 10.1056/NEJMoa040325
  7. Z. Wu, M. Panczyk, D. W. Spaite, C. Hu, H. Fukushima, B. Langlais & B. J. Bobrow. (2018). Telephone cardiopulmonary resuscitation is independently associated with improved survival and improved functional outcome after out-of-hospital cardiac arrest. Resuscitation, 122, 135-140. DOI : 10.1016/j.resuscitation.2017.07.016
  8. T. Kitamura, K. Kiyohara, T. Sakai, T. Matsuyama, , T. Hatakeyama, T. Shimamoto & T. Iwami. (2016). Public-access defibrillation and out-of-hospital cardiac arrest in Japan. New England Journal of Medicine, 375(17), 1649-1659. DOI : 10.1056/NEJMsa1600011
  9. C. Sasson, M. A.Rogers, J. Dahl & A. L. Kellermann. (2010). Predictors of survival from out-of-hospital cardiac arrest: A systematic review and meta-analysis. Circulation: Cardiovascular Quality and Outcomes, 3(1), 63-81. DOI : 10.1161/CIRCOUTCOMES.109.889576
  10. H. S. Kim & J. H Chun. (2020). Determinants on survival outcomes of sudden out-of-hospital cardiac arrest: A multilevel analysis. The Korean Journal of Emergency Medical Services, 24(2), 7-26. DOI : 10.14408/KJEMS.2020.24.2.007
  11. J. S. Baekgaard, S. Viereck, T. P. Moller, A. K. Ersboll, F. Lippert & F. Folke. (2017). The effects of public access defibrillation on survival after out-of-hospital cardiac arrest: A systematic review of observational studies. Circulation, 136(10), 954-965. DOI : 10.1161/CIRCULATIONAHA.117.029067
  12. C. M. Smith, S. N. Lim Choi Keung, M. O. Khan, T. N. Arvanitis, R. Fothergill, C. Hartley-Sharpe & G. D. Perkins. (2017). Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: A systematic review. European Heart Journal - Quality of Care and Clinical Outcomes, 3(4), 264-273. DOI : 10.1093/ehjqcco/qcx023
  13. http://www.dailymedi.com/detail.php?number=857618
  14. S. O. Hwang, K. C. Cha, W. J. Jung, Y. I. Roh, T. Y. Kim, S. P. Chung & A. R. E. Kim. (2021). 2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 1. Update process and highlights. Clinical and Experimental Emergency Medicine, 8(Suppl), S1. DOI : 10.15441/ceem.21.021
  15. OECD (2020). OECD Economic Outlook, Interim Report September 2020. OECD Publishing.
  16. I. S. Yo. (2010). "What to Do to Improve Emergency Care". Health and Welfare Policy Forum, 169, 45-57. DOI : I410-ECN-0102-2018-300-000224828
  17. https://www.khealth.or.kr/healthplan2020
  18. Y. K. Park, K. M. Lee, W. K. Lee, M. J. Cho, H. S. Lee, Y. G. Cho & K. J. Hwang. (2016). Dermabacter jinjuensis sp. nov., a novel species of the genus Dermabacter isolated from a clinical specimen. International Journal of Systematic and Evolutionary Microbiology, 66(7), 2573-2577. DOI : 10.1099/ijsem.0.001092
  19. C. Hawkes, S. Booth, C. Ji, S. J. Brace-McDonnell, A. Whittington, J. Mapstone & Perkins, G. D. (2017). Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation, 110, 133-140. DOI : 10.1016/j.resuscitation.2016.10.030
  20. M. Wissenberg, F. K. Lippert, F. Folke, P. Weeke, C. M. Hansen, E. F. Christensen & C. Torp-Pedersen. (2013). Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. Jama, 310(13), 1377-1384. DOI : 10.1001/jama.2013.278483
  21. S. Y. Lee, Y. K. Do, S. Do Shin, Y. J. Park, Y. S. Ro, E. J. Lee & Y. J. Lee. (2017). Community socioeconomic status and public access defibrillators: A multilevel analysis. Resuscitation, 120, 1-7. DOI : 10.1016/j.resuscitation.2017.08.012
  22. G. J. Park, K. J. Song, S. Do Shin, K. W. Lee, K. O. Ahn, E. J. Lee & Y. S. Ro. (2017). Timely bystander CPR improves outcomes despite longer EMS times. The American Journal of Emergency Medicine, 35(8), 1049-1055. DOI : 10.1016/j.ajem.2017.02.033
  23. P. Kwon, Y. Lee, K. Yu & W. H. Lee. (2016). A Study of optimal location and allocation to improve accessibility of automated external defibrillator. Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography, 34(3), 263-271. DOI : 10.7848/ksgpc.2016.34.3.263
  24. C. H. O. E. Michael-Sung-Pil. (2019). National survey of awareness and training experience of automated external defibrillator. Journal of the Korean Society of Emergency Medicine, 301-308. DOI : 10.0000/jksem.2019.30.4.301
  25. M. N. Kim & H. J. Lee. (2017). A Study on Awareness of Automated External Defibrillator, Usage Intention and Related Educational Experience in Workers at Public Institutions. Journal of the Korea Academia-Industrial cooperation Society, 18(11), 416-424. DOI : 10.5762/KAIS.2017.18.11.416
  26. www.kdca.go.kr/contents.es?mid=a20601030505]