| Home | E-Submission | Sitemap | Contact Us |  
top_img
J Korean Soc Emerg Med > Volume 30(5); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(5): 379-384.
연명의료결정법 시행 전후의 병원 내 심정지의 생존율 비교
정채원1 , 이미주2 , 임상현3 , 양형모4 , 임홍석4 , 김혁훈1 , 민영기1 , 김미나1 , 최민정1
1아주대학교 의과대학 응급의학교실
2아주대학교병원 적정진료관리실
3아주대학교 의과대학 흉부외과학교실
4아주대학교 의과대학 순환기내과학교실
Survival of in-hospital cardiac arrest patients before and after the implementation of the act on decisions on life-sustaining treatment: the well-dying law
Chae-Won Jeong1 , Mi-Ju Lee2 , Sang Hyun Lim3 , Hyoung-Mo Yang4 , Hong-Seok Lim4 , Hyuk-Hoon Kim1 , Young-Gi Min1 , Mina Kim1 , Minjung Kathy Chae1
1Department of Emergency Medicine, Ajou University Medical Center, Ajou University School of Medicine, Suwon, Korea
2Office of Quality Improvement, Ajou University Medical Center, Suwon, Korea
3Department of Thoracic and Cardiovascular Surgery, Ajou University Medical Center, Ajou University School of Medicine, Suwon, Korea
4Department of Cardiology, Ajou University Medical Center, Ajou University School of Medicine, Suwon, Korea
Correspondence  Minjung Kathy Chae ,Tel: 031-219-7750, Fax: 031-219-7760, Email: mutjeo@gmail.com,
Received: January 24, 2019; Revised: June 18, 2019   Accepted: July 10, 2019.  Published online: October 31, 2019.
ABSTRACT
Objective:
The act on decisions on life-sustaining treatment, the well-dying law (WDL), has been implemented in Korea since February of 2018 so that a patient may die with dignity in his or her death bed. On the other hand, there has been an increase in in-hospital cardiac arrest patients, resulting in poor outcomes due to strict regulations of withdrawal of life support. This study examined the survival of in-hospital cardiac arrest patients before and after implementation of the WDL.
Method:
The in-hospital cardiac arrest data registry from the authors’in-hospital cardiac arrest committee and electronic medical records were reviewed retrospectively. The baseline characteristics, cardiac arrest variables, and cardiac arrest outcomes were compared before and after implementation of the WDL. Multivariate logistic regression was conducted to analyze the association of the implementation of the WDL and return of spontaneous circulation (ROSC) of inhospital cardiac arrest patients.
Results:
This study analyzed 183 patients before and 346 patients after the implementation of the WDL. The ROSC (115 [62.8%] vs. 158 [45.7%]), 24-hour survival (53 [29.0%] vs. 60 [17.3%]), and survival discharge (25 [13.7%] vs. 29 [8.4%]) were higher in the before period than in the after period. Multivariate logistic regression analysis showed that the WDL was associated with a lower ROSC (odds ratio [OR], 0.56; 95% confidence interval [CI], 0.37-0.85; P<0.01) and lower survival at 24 hours (OR, 0.53; 95% CI, 0.31-0.93; P=0.03), but not a lower survival discharge (OR, 0.84; 95% CI, 0.39-1.83; P=0.67).
Conclusion:
The implementation of the WDL has been associated with a lower ROSC and lower survival at 24 hours in in-hospital cardiac arrest patients.
Key words: Heart arrest; Cardiopulmonary resuscitation; Resuscitation
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
CrossRef TDM  CrossRef TDM
  E-Mail
Share:      
METRICS
84
View
18
Download
Related article
Editorial Office
The Korean Society of Emergency Medicine
101-3104, Brownstone Seoul, 464 Cheongpa-ro, Jung-gu, Seoul 06351, Korea
TEL: +82-51-240-7503   FAX: +82-51-253-6472   E-mail: pnuhem@daum.net
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine. All rights reserved.