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J Korean Soc Emerg Med > Volume 26(6); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(6): 551-556.
요양병원과 비요양병원에 입원한 노인환자에게 시행된 심폐소생술의 역학적 특징과 결과의 비교: 건강보험심사평가원 자료기반
이중호1, 제상모2, 정운혁1, 이수형1, 김철수1, 배진건1, 정태녕1, 김의중1, 최성욱1, 김옥준1
1차의과학대학교 분당차병원 응급의학교실
2차의과학대학교 분당차병원 소아청소년학교실
Comparison of Epidemiological Characteristics and Outcomes for the in-hospital Cardiac Arrest between Nursing Care Hospitals Versus Non-nursing Care Hospitals of Korea: A Population Study Based on Korean Health Insurance Review and Assessment Service
Jungho Lee1, Sangmo Je2, Woonhyuk Jung1, Soohyung Lee1, Cheolsu Kim1, Jinkun Bae1, Taenyoung Chung1, Euichung Kim1, Sungwook Choi1, Okjun Kim1
1Department of Emergency Medicine, College of Medicine, The CHA University, Bundang CHA Hospital, Seongnam, Korea
2Department of Pediatrics, College of Medicine, The CHA University, Bundang CHA Hospital, Seongnam, Korea
Correspondence  Sangmo Je ,Tel: 031) 780-3491, Fax: 031) 780-3942, Email: ontheera@gmail.com,
Received: June 24, 2015; Revised: June 25, 2015   Accepted: October 3, 2015.  Published online: December 30, 2015.
ABSTRACT
Purpose:
The aim of this study was to investigate the epidemiological characteristics and outcomes for in-hospital cardiac arrest (IHCA) patients who were 65 years and older between nursing care hospitals versus non-nursing care hospitals in Korea.
Method:
This is a population study enumerating 24,203 IHCA patients registered in Korean Health Insurance Review and Assessment Service in 2013. The Cardiopulmonary resuscitation (CPR) outcomes including survival discharge and 30 day survival rate were analyzed. The main diagnoses of IHCA patients were categorized according to the Korean Standard classification of Disease version 6 (KCD-6). All data of patients who were CPR recipients in nursing care hospitals were compared with those of CPR recipients in non-nursing care hospitals.
Results:
The overall survival discharge and 30 day survival rate were 29.5% and 28.1%, respectively. However, the survival discharge rate of IHCA patients was significantly low in nursing care hospitals compared to non-nursing care hospitals (20.0% vs. 30.0%, p<0.001). The 30 day survival rate was similarly low in nursing care hospitals (20.1% vs. 28.4%, p<0.001). The most common diagnosis of IHCA patients was respiratory disease in nursing care hospitals and cardiovascular disease in non-nursing care hospitals. The most common respiratory disease leading to IHCA in nursing care hospitals was acute respiratory infections.
Conclusion:
The survival rate after IHCA was lower in nursing care hospitals, and the major diagnosis leading to CPR was acute respiratory infections rather than chronic underlying diseases. Therefore, it is crucial to set higher standards in performing CPR and controlling infections in nursing care hospitals nationwide.
Key words: Cardiopulmonary resuscitation, Nursing care hospitals, Respiratory tract infections
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