Out-of-hospital cardiac arrest: two and a half years experience of an accident and emergency department in Hong Kong.

Abstract

SUMMARYThe results are presented of 21/2 years of experience of patients with out-of-hospital cardiac arrests who were resuscitated in an accident and emergency department (A&E) attached to an acute district hospital in Hong Kong. Out of 263 cases of out-ofhospital cardiac arrest as a result of a variety of causes only seven patients survived (3%) and among the 135 patients with cardiac aetiology only four survived (3%). Ways to improve the outcome for out-of-hospital cardiac arrest are discussed.

Public knowledge of how to use an automatic external defibrillator in out-of-hospital cardiac arrest in Hong Kong

“…The survival rate for non-traumatic OHCA to hospital discharge was between 1.25% and 3.00%. [9][10][11] This survival rate is among the lowest compared with other Asian cities. 12 ORIGINAL ARTICLE had ever been trained in both first aid and use of an automatic external defibrillator were more likely to respond to and help a victim of cardiac arrest, and to use an automatic external defibrillator.…”

Out-of-hospital cardiac arrest in Hong Kong: a territory-wide study

“…The survival-to-discharge rate was between 0.5% and 3%. [2][3][4][5] There was no estimate of the incidence New knowledge added by this study • The prognosis of out-of-hospital cardiac arrest in Hong Kong remains poor. Location of arrest, a shockable electrocardiogram rhythm on presentation, and short time to first defibrillation predict survival at 30 days.…”

“…In Hong Kong (HK), there have been at least four studies since 1995 reporting the outcome of OHCA. [2][3][4][5] All were either a single-centre study or recruited cases from a particular district of HK. The survival-to-discharge rate was between 0.5% and 3%.…”

Public access defibrillation in Hong Kong in 2017

“…Almost all early local studies of OHCA highlighted the need to strengthen particularly the first three links in the chain. [27][28][29][30] Of note, OHCA patients with VF in Hong Kong have a better prognosis than those with a non-shockable rhythm. [31][32][33] The rate of survival to hospital discharge of patients with VF initially is 6 times that of patients with a non-VF rhythm.…”