Outcomes for out‐of‐hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi‐centre observational study. (11th March 2021)

• Record Type: Journal Article
• Authors: Hoang, Bui Hai; Do, Ngoc Son; Vu, Dinh Hung; Do, Giang Phuc; Dao, Xuan Dung; Nguyen, Huu Huan; Luu, Quang Thuy; Le, Van Cuong; Nguyen, Huu Tu; Dinh, Michael M; Nakahara, Shinji
• Is Part Of: Emergency medicine Australasia. Volume 33:Number 3(2021)
• Page Start: 541
• Page End: 546
• Publication Date: 2021-03-11
• Subjects: cardiopulmonary resuscitation -- emergency medical service -- out‐of‐hospital cardiac arrest -- Vietnam; Emergency medicine -- Periodicals; Emergency medicine -- Australasia -- Periodicals; 616.025
• DOI: 10.1111/1742-6723.13750
• Languages: English
• ISSNs: 1742-6731

Abstract

Abstract: Objective: To describe the outcomes of patients with out‐of‐hospital cardiac arrest (OHCA) transported to hospital in Hanoi, Vietnam. Methods: This was a multi‐centre observational study of patients presenting with OHCA to one of five tertiary care hospital EDs in Hanoi from 2017 to 2019. Results: We analysed data from 239 OHCA cases of which 70.7% were witnessed, and 8.4% received bystander cardiopulmonary resuscitation (CPR). The emergency medical services (EMS) transported 20.5% of cases to hospital with the remaining being transported by private vehicle. No patients received external defibrillation before arriving to hospital. Return of spontaneous circulation in hospital was 33.1%, with 3.8% of patients survived to hospital discharge and only one patient (0.4%) discharged from hospital with a favourable neurological outcome. Conclusions: In cases of OHCA in Hanoi, both the proportion of cases receiving bystander CPR and EMS transportation were small. Urgent investments in pre‐hospital capacity, training and capabilities are required to improve outcomes for OHCA in Hanoi. Abstract : Out‐of‐hospital cardiac arrest outcomes remain poor in low to middle income developing countries. This study investigated outcomes for outcomes of out‐of‐hospital cardiac arrests in several hospitals in Hanoi, Vietnam. Access to emergency medical services and bystander provision of basic life support need to improve for better patient outcomes.