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병원 밖 심정지 환자에서 소생술 종결 지침의 타당성 검토

Other Titles
 Validation of Termination Guidelines for Out of Hospital Cardiac Arrest in Korea 
Authors
 은종근 ; 심민섭 ; 이한식 ; 정성필 ; 김민정 ; 신준섭 ; 박상현 ; 권미경 ; 송근정 
Citation
 Journal of the Korean Society of Emergency Medicine(대한응급의학회지), Vol.22(6) : 599~604, 2011 
Journal Title
 Journal of the Korean Society of Emergency Medicine  (대한응급의학회지) 
ISSN
 1226-4334 
Issue Date
2011
Abstract
PURPOSE: There have been no studies on the termination of resuscitation (TOR) in Korea. We retrospectively applied TOR rules to OHCA patient data in order to validate the BLS and ALS TOR rules for Korea. METHODS: We collected OHCA (out-of-hospital cardiac arrest) data from 3 hospitals for the period January 1 to December 31, 2009. We then retrospectively applied BLS and ALS TOR rules to this data. We measured both the specificity and positive predictive value for each BLS and ALS TOR rule. RESULTS: The overall rate of survival until hospital discharge was 14.5%. Out of 102 patients who met BLS criteria TOR rules, 8 patients survived until hospital discharge. Out of 52 patients who met ALS criteria TOR rules, 4 patients survived until hospital discharge. The BLS rule had a specificity of 0.57 and a positive predictive value of 0.92. The ALS rule had a specificity of 0.78 and a positive predictive value of 0.92. CONCLUSION: In this study, the BLS and ALS TOR rules had relatively low positive predictive value and were not applicable to patients with low survival probability in Korea.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/95327
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Emergency Medicine
Yonsei Authors
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