상세 보기
- Yoo, Kyung Hun;
- Ko, Byuk Sung;
- Kim, Won Young;
- Lim, Tae Ho;
- Kang, Hyunggoo;
- ... Seung Cheol Lee;
- ... Sang Hun Lee;
- 외 105명
SCOPUS
0초록
A significant number of out-of-hospital cardiac arrest (OHCA) patients experience refractory ventricular arrhythmias despite prompt defibrillation. These refractory arrhythmias are associated with poor clinical outcomes, underscoring the need to investigate improved management strategies. Therefore, this study aimed to identify factors associated with shock-refractory OHCA during the prehospital stages of resuscitation. This multicenter observational study included adult OHCA patients (age ≥ 18 years) from October 2015 to June 2022 who required at least one prehospital defibrillation. This study’s primary endpoint was shock-refractory OHCA, defined as three defibrillation shocks during resuscitation. A logistic regression analysis was performed to identify factors associated with shock-refractory OHCA. Among the 4320 patients included, 1961 (45.4%) experienced shock-refractory OHCA. Male sex (adjusted odds ratio [aOR], 1.423; 95% confidence interval [CI], 1.209–1.676), bystander automated external defibrillator (AED) shock (OR 2.350; 95% CI 1.426–3.968), and initial shockable rhythm (OR 1.739; 95% CI 1.490–2.030) were associated with a high risk of shock-refractory, while old age (OR 0.993; 95% CI 0.989–0.998) and receive bystander cardiopulmonary resuscitation (CPR) (OR 0.829; 95% CI 0.718–0.958) were associated with a low risk of shock-refractory OHCA. This study showed that the prehospital factors of age, sex, initial rhythm, AED shock source, and absence of bystander CPR were associated with shock-refractory OHCA. © 2025 Elsevier B.V., All rights reserved.
키워드
- 제목
- Factors associated with shock-refractory prehospital cardiac arrest
- 저자
- Yoo, Kyung Hun; Ko, Byuk Sung; Kim, Won Young; Lim, Tae Ho; Kang, Hyunggoo; Jaehoon Oh; Juncheol Lee; Sang Kuk Han; Phil Cho Choi; Young Hwan Lee; Sang O. Park; Jong Seok Lee; Ki Young Jeong; Sung Hyuk Choi; Young Hoon Yoon; Su Jin Kim; Kap Su Han; Min Seob Sim; Gun Tak Lee; Youn Jung Kim; Jong Whan Shin; Hui Jai Lee; Keun Hong Park; Hahn Bom Kim; Yoo Seok Park; Arom Choi; Tae Young Kong; Hyuna Hwang; Youngsuk Cho; Gu Hyun Kang; Yong Soo Jang; Sung Wook Park; Wook Tae Yang; Hyun Wook Ryu; Jae Yun Ahn; Hyuk Jun Yang; Jae-hyug Woo; Sung Hyun Yun; Chong Sun Kim; Sun Pyo Kim; Jin Woong Lee; Wonjoon Jeong; Sung Soo Park; Jae Kwang Lee; Ryeok Ahn; Wook Jin Choi; Bang Shill Rhee; You Hwan Jo; Sung Min Park; In Byung Kim; Ki Ok Ahn; Se Joong Ahn; Seung Cheol Lee; Sang Hun Lee; Kyeong Min Lee; Young Sik Kim; Jin Sik Park; Myung Hee Park; Dai Han Wi; Jin Kun Bae; Yong Hee Lee; Sang Ook Ha; Won Seok Yang; Ju Ok Park; Hang A. Park; Kyoung Chul Cha; Woo Jin Jung; Taek Geun Ohk; Myoung Cheol Shin; An Mu Eob; Kyung Sook Park; Sang Chul Kim; Gwan Jin Park; Han Joo Choi; Yong Oh Kim; Tae Oh Jung; Jae Chol Yoon; Young Tae Park; Ju Taek Lee; Jin Hee Jeong; Sang Bong Lee; Won Kim; Yi Sang Moon; Sung Wook Song; Seo Young Ko; Joonmyoung Kwon; Eui Hyuk Kang; Sang Chan Jin; Tae-kwon Kim; Chang Sun Kim; Hyun Goo Shin; Dong Sun Choi; Chul Min Ha; Jai Woog Ko; Yun Jeong Hwang; Sung Phil Chung; Kyung Jun Song; Sang Hoon Na; Gyu Chong Cho; Seung Sik Hwang; Sung Oh Hwang; Sang Shin; Hyuk Jun Yang; Jeong Ho Park; Jong Hak Park; Jin Hee Jung; Kyoung Chul Cha; Kim, Ji-hoon; Choi, Yeongho; Choi, Seulki; Lee, Se-jin; Joo, Hye Jee
- 발행일
- 2025-12
- 유형
- Article
- 권
- 15
- 호
- 1