Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

Abstract Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is di...

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Autores principales:	Son Ngoc Do, Chinh Quoc Luong, Dung Thi Pham, My Ha Nguyen, Tra Thanh Ton, Quoc Trong Ai Hoang, Dat Tuan Nguyen, Thao Thi Ngoc Pham, Hanh Trong Hoang, Dai Quoc Khuong, Quan Huu Nguyen, Tuan Anh Nguyen, Tung Thanh Tran, Long Duc Vu, Chi Van Nguyen, Bryan Francis McNally, Marcus Eng Hock Ong, Anh Dat Nguyen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Emergency medical services First-aid Organized trauma system of care Out-of-hospital cardiac arrest PAROS study Pre-hospital care Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/28615e3a76814835a45e5e045a390f92
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spelling	oai:doaj.org-article:28615e3a76814835a45e5e045a390f922021-11-28T12:14:16ZSurvival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study10.1186/s12873-021-00542-z1471-227Xhttps://doaj.org/article/28615e3a76814835a45e5e045a390f922021-11-01T00:00:00Zhttps://doi.org/10.1186/s12873-021-00542-zhttps://doaj.org/toc/1471-227XAbstract Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is dismal, pre-hospital resuscitation efforts are not futile and seem worthwhile. Understanding the country-specific causes, risk, and prognosis of traumatic OHCA is important to reduce mortality in Vietnam. Therefore, this study aimed to investigate the survival rate from traumatic OHCA and to measure the critical components of the chain of survival following a traumatic OHCA in the country. Methods We performed a multicenter prospective observational study of patients (> 16 years) presenting with traumatic OHCA to three central hospitals throughout Vietnam from February 2014 to December 2018. We collected data on characteristics, management, and outcomes of patients, and compared these data between patients who died before hospital discharge and patients who survived to discharge from the hospital. Results Of 111 eligible patients with traumatic OHCA, 92 (82.9%) were male and the mean age was 39.27 years (standard deviation: 16.38). Only 5.4% (6/111) survived to discharge from the hospital. Most cardiac arrests (62.2%; 69/111) occurred on the street or highway, 31.2% (29/93) were witnessed by bystanders, and 33.7% (32/95) were given cardiopulmonary resuscitation (CPR) by a bystander. Only 29 of 111 patients (26.1%) were taken by the emergency medical services (EMS), 27 of 30 patients (90%) received pre-hospital advanced airway management, and 29 of 53 patients (54.7%) were given resuscitation attempts by EMS or private ambulance. No significant difference between patients who died before hospital discharge and patients who survived to discharge from the hospital was found for bystander CPR (33.7%, 30/89 and 33.3%, 2/6, P > 0.999; respectively) and resuscitation attempts (56.3%, 27/48, and 40.0%, 2/5, P = 0.649; respectively). Conclusion In this study, patients with traumatic OHCA presented to the ED with a low rate of EMS utilization and low survival rates. The poor outcomes emphasize the need for increasing bystander first-aid, developing an organized trauma system of care, and developing a standard emergency first-aid program for both healthcare personnel and the community.Son Ngoc DoChinh Quoc LuongDung Thi PhamMy Ha NguyenTra Thanh TonQuoc Trong Ai HoangDat Tuan NguyenThao Thi Ngoc PhamHanh Trong HoangDai Quoc KhuongQuan Huu NguyenTuan Anh NguyenTung Thanh TranLong Duc VuChi Van NguyenBryan Francis McNallyMarcus Eng Hock OngAnh Dat NguyenBMCarticleEmergency medical servicesFirst-aidOrganized trauma system of careOut-of-hospital cardiac arrestPAROS studyPre-hospital careSpecial situations and conditionsRC952-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENBMC Emergency Medicine, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Emergency medical services First-aid Organized trauma system of care Out-of-hospital cardiac arrest PAROS study Pre-hospital care Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Emergency medical services First-aid Organized trauma system of care Out-of-hospital cardiac arrest PAROS study Pre-hospital care Special situations and conditions RC952-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Son Ngoc Do Chinh Quoc Luong Dung Thi Pham My Ha Nguyen Tra Thanh Ton Quoc Trong Ai Hoang Dat Tuan Nguyen Thao Thi Ngoc Pham Hanh Trong Hoang Dai Quoc Khuong Quan Huu Nguyen Tuan Anh Nguyen Tung Thanh Tran Long Duc Vu Chi Van Nguyen Bryan Francis McNally Marcus Eng Hock Ong Anh Dat Nguyen Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
description	Abstract Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is dismal, pre-hospital resuscitation efforts are not futile and seem worthwhile. Understanding the country-specific causes, risk, and prognosis of traumatic OHCA is important to reduce mortality in Vietnam. Therefore, this study aimed to investigate the survival rate from traumatic OHCA and to measure the critical components of the chain of survival following a traumatic OHCA in the country. Methods We performed a multicenter prospective observational study of patients (> 16 years) presenting with traumatic OHCA to three central hospitals throughout Vietnam from February 2014 to December 2018. We collected data on characteristics, management, and outcomes of patients, and compared these data between patients who died before hospital discharge and patients who survived to discharge from the hospital. Results Of 111 eligible patients with traumatic OHCA, 92 (82.9%) were male and the mean age was 39.27 years (standard deviation: 16.38). Only 5.4% (6/111) survived to discharge from the hospital. Most cardiac arrests (62.2%; 69/111) occurred on the street or highway, 31.2% (29/93) were witnessed by bystanders, and 33.7% (32/95) were given cardiopulmonary resuscitation (CPR) by a bystander. Only 29 of 111 patients (26.1%) were taken by the emergency medical services (EMS), 27 of 30 patients (90%) received pre-hospital advanced airway management, and 29 of 53 patients (54.7%) were given resuscitation attempts by EMS or private ambulance. No significant difference between patients who died before hospital discharge and patients who survived to discharge from the hospital was found for bystander CPR (33.7%, 30/89 and 33.3%, 2/6, P > 0.999; respectively) and resuscitation attempts (56.3%, 27/48, and 40.0%, 2/5, P = 0.649; respectively). Conclusion In this study, patients with traumatic OHCA presented to the ED with a low rate of EMS utilization and low survival rates. The poor outcomes emphasize the need for increasing bystander first-aid, developing an organized trauma system of care, and developing a standard emergency first-aid program for both healthcare personnel and the community.
format	article
author	Son Ngoc Do Chinh Quoc Luong Dung Thi Pham My Ha Nguyen Tra Thanh Ton Quoc Trong Ai Hoang Dat Tuan Nguyen Thao Thi Ngoc Pham Hanh Trong Hoang Dai Quoc Khuong Quan Huu Nguyen Tuan Anh Nguyen Tung Thanh Tran Long Duc Vu Chi Van Nguyen Bryan Francis McNally Marcus Eng Hock Ong Anh Dat Nguyen
author_facet	Son Ngoc Do Chinh Quoc Luong Dung Thi Pham My Ha Nguyen Tra Thanh Ton Quoc Trong Ai Hoang Dat Tuan Nguyen Thao Thi Ngoc Pham Hanh Trong Hoang Dai Quoc Khuong Quan Huu Nguyen Tuan Anh Nguyen Tung Thanh Tran Long Duc Vu Chi Van Nguyen Bryan Francis McNally Marcus Eng Hock Ong Anh Dat Nguyen
author_sort	Son Ngoc Do
title	Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
title_short	Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
title_full	Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
title_fullStr	Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
title_full_unstemmed	Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study
title_sort	survival after traumatic out-of-hospital cardiac arrest in vietnam: a multicenter prospective cohort study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/28615e3a76814835a45e5e045a390f92
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Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

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