KUMJ | VOL. 17 | NO. 3 | ISSUE 67 | JULY-SEPT. 2019
Effect of Time from Response to Leaving the Scene on Survival Rate of Multiple Injuries Road Traffic Accident Patients Receiving Cardiopulmonary Resuscitation by Advance Life Support Team in Thailand
Prompinij T, Laohasiriwong W, Sakunkoo P, Chaichaya N, Thikhamrop W
Abstract: Background
Mortality of out of hospital cardiac arrest (OHCA) due to multiple injuries during
road traffic accident (RTA) raising day by day. However, there is no study on how prehospital
time affect
the survival
rate
of patients
in Thailand.
Objective
To determine the effect of time from response to leaving the scene on survival rate
of out of hospital cardiac arrest due to multiple injuries among road traffic accident
patients receiving cardiopulmonary resuscitation (CPR) by the advance life support
(ALS) team in Thailand.
Method
A cross-sectional study was conducted by using the data from the National Institute
for Emergency Medicine of Thailand. A multivariable generalized estimation equation
was used to determine the effect of time from response to leaving the scene on the
survival rate of patients.
Result
Among 1,119 out of hospital cardiac arrest multiple injuries road traffic accident
patients receiving cardiopulmonary resuscitation by the advance life support team,
1,043 patients were survived during transportation to the hospitals. In addition, our
multivariable analysis observed that the time from response to leaving the scene
of ≤ 15 minutes is associated with increasing the patient survival (Adj. OR=2.31
95%CI: 1.44 to 3.72, p value 0.001). Furthermore, other covariates such as received
intravenous administration (Adj.OR=2.24; 95%CI: 1.09 to 4.61, p value 0.028) and
the accidents took place in other regions when compared with the Central (Adj.
OR=1.96, 95%CI: 1.13 to 3.03, p value 0.015) were also significantly associated with
the survival.
Conclusion
The shorter the time from response to leaving the scene “scoop and run”, the
higher survival rate of the out of hospital cardiac arrest with multiple injuries among
road traffic accident patients when incorporated with the effect of intravenous
administration and regional factors.
Keyword : Aadvance life support, Cardiopulmonary resuscitation, Out of hospital cardiac arrest, Road traffic accident, Scoop and run, Survival rate
