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J Korean Soc Emerg Med > Volume 30(1); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(1): 16-21.
병원전 심정지 환자에게 심폐소생술 시 AutoPulse와 LUCAS를 이용한 심폐소생술의 예후 비교
변준섭 , 조인수 , 하철민
한일병원 응급의학과
Comparison of outcome of cardiopulmonary resuscitation with AutoPulse and LUCAS in out-of-hospital cardiac arrest patient
June Seob Byun , In Soo Cho , Chul Min Ha
Department of Emergency Medicine, Hanil Hospital, Seoul, Korea
Correspondence  In Soo Cho ,Tel: 02-901-3000, Fax: 02-901-3004, Email: quswnstjq10@naver.com,
Received: July 12, 2018; Revised: October 11, 2018   Accepted: October 13, 2018.  Published online: February 28, 2019.
ABSTRACT
Objective:
This study was conducted to compare the outcome of cardiopulmonary resuscitation (CPR) with AutoPulse and LUCAS in out-of-hospital cardiac arrest patients.
Method:
Between July 2017 and March 2018, a total of 152 out-of-hospital cardiac arrest patients were included for analysis. Included patients were divided into an AutoPulse group and LUCAS group. Patient’s age, sex, bystander CPR, witness arrest, initial shockable rhythm, time from arrest to CPR, pre-hospital CPR duration, in-hospital CPR duration, automatic external defibrillator operation by paramedic, intubation by paramedic, intravenous line access by paramedic and target temperature management were reviewed retrospectively. In addition, blood pH, lactate level, white blood cell (WBC) count, and delta neutrophil index (DNI) were analyzed. Additionally, return of spontaneous circulation (ROSC), hospital and intensive care unit (ICU) length of stay, complications from chest compressions, and cerebral performance category (CPC) scale at discharge were analyzed.
Results:
No differences in initial shockable rhythm, patient characteristics, management for patients and CPR duration were observed between the two groups. ROSC were significantly higher in the LUCAS group than the AutoPulse group (17.9 vs. 34.7%, P=0.025). However, hospital and ICU length of stay, CPC scale at discharge as clinical outcome and pH, lactate level, WBC count, and DNI as laboratory outcomes were not significantly different between the AutoPulse group and LUCAS group. Although the case numbers were scarce, complications from chest compressions were not significantly different between the two groups.
Conclusion:
CPR using LUCAS showed better ROSC than CPR using AutoPulse. However, hospital and ICU length of stay and CPC scale at discharge did not differ between the two groups.
Key words: Cardiopulmonary resuscitation; Out-of-hospital cardiac arrest; Hospital emergency service
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