The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes
This nationwide, population-based observational study investigated the association between the floor level of out-of-hospital cardiac arrest (OHCA) incidence and survival outcomes in South Korea, notable for its significant high-rise apartment living. Data were collected retrospectively from OHCA pa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/8/1265 |
| _version_ | 1797584183372021760 |
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| author | Chiwon Ahn Young Taeck Oh Yeonkyung Park Jae Hwan Kim Sojune Hwang Moonho Won |
| author_facet | Chiwon Ahn Young Taeck Oh Yeonkyung Park Jae Hwan Kim Sojune Hwang Moonho Won |
| author_sort | Chiwon Ahn |
| collection | DOAJ |
| description | This nationwide, population-based observational study investigated the association between the floor level of out-of-hospital cardiac arrest (OHCA) incidence and survival outcomes in South Korea, notable for its significant high-rise apartment living. Data were collected retrospectively from OHCA patients through the South Korean Out-of-Hospital Cardiac Arrest Surveillance database. The study incorporated cases that included the OHCA’s building floor information. The primary outcome assessed was survival to discharge, analyzed using multivariate logistic regression, and the secondary outcome was favorable neurological outcome. Among 36,977 patients, a total of 29,729 patients were included, and 1680 patients were survivors. A weak yet significant correlation between floor level and hospital arrival time was observed. Interestingly, elevated survival rates were noted among patients from higher floors despite extended emergency medical service response times. Multivariate analysis identified age, witnessed OHCA, shockable rhythm, and prehospital return of spontaneous circulation (ROSC) as primary determinants of survival to discharge. The floor level’s impact on survival was less substantial than anticipated, suggesting residential emergency response enhancements should prioritize witness interventions, shockable rhythm management, and prehospital ROSC rates. The study underscores the importance of bespoke emergency response strategies in high-rise buildings, particularly in urban areas, and the potential of digital technologies to optimize response times and survival outcomes. |
| first_indexed | 2024-03-10T23:48:29Z |
| format | Article |
| id | doaj.art-5f7ff397aa7945fa9e070ae4087112fe |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T23:48:29Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
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| series | Journal of Personalized Medicine |
| spelling | doaj.art-5f7ff397aa7945fa9e070ae4087112fe2023-11-19T01:49:30ZengMDPI AGJournal of Personalized Medicine2075-44262023-08-01138126510.3390/jpm13081265The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival OutcomesChiwon Ahn0Young Taeck Oh1Yeonkyung Park2Jae Hwan Kim3Sojune Hwang4Moonho Won5Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Republic of KoreaDepartment of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of KoreaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Republic of KoreaDepartment of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06974, Republic of KoreaThis nationwide, population-based observational study investigated the association between the floor level of out-of-hospital cardiac arrest (OHCA) incidence and survival outcomes in South Korea, notable for its significant high-rise apartment living. Data were collected retrospectively from OHCA patients through the South Korean Out-of-Hospital Cardiac Arrest Surveillance database. The study incorporated cases that included the OHCA’s building floor information. The primary outcome assessed was survival to discharge, analyzed using multivariate logistic regression, and the secondary outcome was favorable neurological outcome. Among 36,977 patients, a total of 29,729 patients were included, and 1680 patients were survivors. A weak yet significant correlation between floor level and hospital arrival time was observed. Interestingly, elevated survival rates were noted among patients from higher floors despite extended emergency medical service response times. Multivariate analysis identified age, witnessed OHCA, shockable rhythm, and prehospital return of spontaneous circulation (ROSC) as primary determinants of survival to discharge. The floor level’s impact on survival was less substantial than anticipated, suggesting residential emergency response enhancements should prioritize witness interventions, shockable rhythm management, and prehospital ROSC rates. The study underscores the importance of bespoke emergency response strategies in high-rise buildings, particularly in urban areas, and the potential of digital technologies to optimize response times and survival outcomes.https://www.mdpi.com/2075-4426/13/8/1265building flooremergency medical servicesout-of-hospital cardiac arrestsurvivalvertical location |
| spellingShingle | Chiwon Ahn Young Taeck Oh Yeonkyung Park Jae Hwan Kim Sojune Hwang Moonho Won The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes Journal of Personalized Medicine building floor emergency medical services out-of-hospital cardiac arrest survival vertical location |
| title | The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes |
| title_full | The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes |
| title_fullStr | The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes |
| title_full_unstemmed | The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes |
| title_short | The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes |
| title_sort | influence of cardiac arrest floor level location within a building on survival outcomes |
| topic | building floor emergency medical services out-of-hospital cardiac arrest survival vertical location |
| url | https://www.mdpi.com/2075-4426/13/8/1265 |
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