| Abstract |
In Taipei City, there are approximately 2,000 cases of out-of-hospital cardiac arrest (OHCA) each year. The survival rate of OHCA patients before arrival at the hospital depends on various factors, including the activation of the emergency medical services (EMS) system at the scene, bystander cardiopulmonary resuscitation (CPR), basic life support (BLS) and advanced life support (ALS) provided by paramedics, and subsequent care and rehabilitation after arrival at the hospital. This study investigates the correlation between the implementation of ALS by paramedics at the scene of OHCA and response time and the prognosis of OHCA patients. Based on the data of OHCA cases in Taipei City from 2020 to 2021, this study analyzes the correlation between the implementation of ALS by paramedics and response time, and the prognosis of OHCA patients. The survival rate of patients who received ALS is compared, and the impact of response time of ALS on patient survival rate is evaluated. This study uses chi-square test and logistic regression analysis, and the results show that the implementation of ALS significantly affects the survival rate of OHCA patients for up to 2 hours and 24 hours after arrival at the hospital, but not on the recovery of spontaneous circulation before arrival at the hospital or good consciousness at the time of discharge. In addition, the response time of ALS does not significantly affect the prognosis of OHCA patients. |
