Association between health insurance status and transfer of patients with return of spontaneous circulation after out-of-hospital cardiac arrest
DC Field | Value | Language |
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dc.contributor.author | Park, Chi Ho | - |
dc.contributor.author | Ahn, Ki Ok | - |
dc.contributor.author | Shin, Sang Do | - |
dc.contributor.author | Park, Jeong Ho | - |
dc.contributor.author | Lee, Sun Young | - |
dc.date.accessioned | 2022-07-08T06:10:49Z | - |
dc.date.available | 2022-07-08T06:10:49Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145891 | - |
dc.description.abstract | Aim: To explore the factors related to the probability of inter-hospital transfer to a heart attack centre in patients with return of spontaneous circulation after out-of-hospital cardiac arrest (OHCA) in the Republic of Korea. Methods: This cross-sectional observational study used data from a Korean national emergency medical service OHCA database for cases between 2015 and 2017. Adult OHCA patients with a presumed cardiac origin who initially presented at a non-heart-attack centre were included in the analysis. The main exposure variable was health insurance type (national health insurance versus medical aid), which was used as a proxy measure of individual socioeconomic status. The primary outcome was emergency department disposition (transfer to a heart attack centre versus no transfer). A multivariate logistic analysis using propensity score matching was conducted. We also analysed the associations between patient transfer and neurologic recovery as well as survival to discharge. Results: Of 7804 eligible OHCA patients, 1804 23.0%) were transferred to a heart attack centre. Patients on medical aid were less likely to be transferred (adjusted odds ratio [OR], 0.75; 95% confidence interval [CI], 0.59-0.95 in a matched cohort) compared with patients with national health insurance. Transfer to a heart attack centre was significantly associated with a lower risk of death (adjusted OR, 0.38; 95% CI, 0.33-0.45) and better neurologic recovery (adjusted OR, 0.46; 95% CI, 0.38-0.56). Conclusion: Socioeconomic status appears likely to influence the probability of transfer to a heart attack centre after resuscitation. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.title | Association between health insurance status and transfer of patients with return of spontaneous circulation after out-of-hospital cardiac arrest | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ahn, Ki Ok | - |
dc.identifier.doi | 10.1016/j.resuscitation.2020.02.018 | - |
dc.identifier.scopusid | 2-s2.0-85081021824 | - |
dc.identifier.wosid | 000522634800022 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.149, pp.143 - 149 | - |
dc.relation.isPartOf | RESUSCITATION | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 149 | - |
dc.citation.startPage | 143 | - |
dc.citation.endPage | 149 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordPlus | AMERICAN-HEART-ASSOCIATION | - |
dc.subject.keywordPlus | INTERHOSPITAL TRANSFER | - |
dc.subject.keywordPlus | CARDIOPULMONARY-RESUSCITATION | - |
dc.subject.keywordPlus | POSTRESUSCITATION CARE | - |
dc.subject.keywordPlus | EUROPEAN RESUSCITATION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | UPDATE | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | REGISTRY | - |
dc.subject.keywordAuthor | Out-of-hospital cardiac arrest | - |
dc.subject.keywordAuthor | Patient transfer | - |
dc.subject.keywordAuthor | Socioeconomic status | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0300957220300848?via%3Dihub | - |
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