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.
- Author:
Jungho LEE
1
;
Sangmo JE
;
Woonhyuk JUNG
;
Soohyung LEE
;
Cheolsu KIM
;
Jinkun BAE
;
Taenyoung CHUNG
;
Euichung KIM
;
Sungwook CHOI
;
Okjun KIM
Author Information
1. Department of Emergency Medicine, College of Medicine, The CHA University, Bundang CHA Hospital, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Cardiopulmonary resuscitation;
Nursing care hospitals;
Respiratory tract infections
- MeSH:
Cardiopulmonary Resuscitation;
Cardiovascular Diseases;
Classification;
Diagnosis;
Heart Arrest*;
Humans;
Insurance, Health*;
Korea*;
Nursing Care*;
Nursing*;
Respiratory Tract Infections;
Survival Rate
- From:Journal of the Korean Society of Emergency Medicine
2015;26(6):551-556
- CountryRepublic of Korea
- Language:Korean
-
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. METHODS: 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.
