Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman
Authors:
Tasnim Al Habsi,
Mohammed Al Badri,
Amal Al Mandhari,
Khalid Al Harthi,
Thekra Al Obaidnai,
Maimoona Al Hinai,
Abdulmajeed Al Shukaili,
Mohammed Al Hassani,
Naima Al Hinai
Introduction The high incidence of out of hospital cardiac arrest (OHCA) as well as its low survival rates are contributing to the burden on public health. Emerging evidence have recognized prodromal symptoms and patterns of healthcare use suggesting the possibility of predicting these cardiac events despite the general belief that they are merely sudden. Our study aimed to identify the characteristics of patients who present in OHCA and the utilization pattern of healthcare facilities by these patients in the period preceding the cardiac arrest. Methods This is a retrospective study which included adult OHCA patients who presented at two emergency departments (ED) in Muscat, Oman between 2016 and 2020. The ED visits that occurred within the six months preceding the arrest were investigated. Descriptive statistics and frequency tables were used to report the baseline characteristics of all patients. Associations were tested using chi-square test. Results The final cohort consisted of 822 patients with mean age of 60.2 years. The male and female percentages were 65.7% and 34.3% respectively. Less than 10% survived to hospital discharge. About two thirds of all recorded ED visits occurred in the three months immediately before the arrest. A significant association was observed between the frequency of pre-OHCA visits and cardiopulmonary resuscitation (CPR) outcome among patients (P-value = 0.000004). Conclusion Over a quarter of the cohort subjects have approached ED prior to the arrest. Patients are more likely to seek medical attention before the arrest complaining mainly of cardiac and respiratory symptoms. The chances of survival after receiving CPR were higher for those with higher number of visits prior to the arrest. Having a unified system to document and monitor frequent emergency presentations as well as demographics of the patients concerned will aid in the pattern recognition and prevention of OHCA in many subjects.
Keywords: OHCA, healthcare visits, CPR, prodromal symptoms.
Authors
Correspondence to:
Amal Al Mandhari, Sultan Qaboos University Hospital, Muscat, Oman amal.mandhari@gmail.com
Publication history:
Received 09 Mar 2024
Accepted 13 Mar 2024
Published online 26 May 2024
TAH, Badri MA, Mandhari AA, Harthi KA, Obaidnai TA, Hinai MA, Shukaili AA, Hassani MA, Hinai NA. Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. SJEMed. Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
TAH, Badri MA, Mandhari AA, Harthi KA, Obaidnai TA, Hinai MA, Shukaili AA, Hassani MA, Hinai NA. Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. https://sjemed.com/?mno=193521 [Access: October 14, 2024]. doi:
10.24911/SJEMed.72-1709838700
TAH, Badri MA, Mandhari AA, Harthi KA, Obaidnai TA, Hinai MA, Shukaili AA, Hassani MA, Hinai NA. Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. SJEMed. Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
TAH, Badri MA, Mandhari AA, Harthi KA, Obaidnai TA, Hinai MA, Shukaili AA, Hassani MA, Hinai NA. Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. SJEMed, [cited October 14, 2024]; Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
, T. A. H., Badri, . M. A., Mandhari, . A. A., Harthi, . K. A., Obaidnai, . T. A., Hinai, . M. A., Shukaili, . A. A., Hassani, . M. A. & Hinai, . N. A. (2024) Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. SJEMed, Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
, Tasnim Al Habsi, Mohammed Al Badri, Amal Al Mandhari, Khalid Al Harthi, Thekra Al Obaidnai, Maimoona Al Hinai, Abdulmajeed Al Shukaili, Mohammed Al Hassani, and Naima Al Hinai. 2024. Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. Saudi Journal of Emergency Medicine, Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
, Tasnim Al Habsi, Mohammed Al Badri, Amal Al Mandhari, Khalid Al Harthi, Thekra Al Obaidnai, Maimoona Al Hinai, Abdulmajeed Al Shukaili, Mohammed Al Hassani, and Naima Al Hinai. "Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman." Saudi Journal of Emergency Medicine Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700
, Tasnim Al Habsi, Mohammed Al Badri, Amal Al Mandhari, Khalid Al Harthi, Thekra Al Obaidnai, Maimoona Al Hinai, Abdulmajeed Al Shukaili, Mohammed Al Hassani, and Naima Al Hinai. "Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman." Saudi Journal of Emergency Medicine Online First: 26 May, 2024. Web. 14 Oct 2024 doi:
10.24911/SJEMed.72-1709838700
, T. A. H., Badri, . M. A., Mandhari, . A. A., Harthi, . K. A., Obaidnai, . T. A., Hinai, . M. A., Shukaili, . A. A., Hassani, . M. A. & Hinai, . N. A. (2024) Investigating characteristics of patients and healthcare Visits Prior to Out-of-Hospital Cardiac Arrest in Two Tertiary Hospitals in Oman. Saudi Journal of Emergency Medicine, Online First: 26 May, 2024. doi:
10.24911/SJEMed.72-1709838700