Outcomes for out‐of‐hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi‐centre observational study
Hoàng Bùi Hải, Do Ngoc Son, Dinh Hung Vu, Giang Phuc, Xuan Dung Dao, Huan Huu Nguyen, Quang Thuy Luu, Van Cuong Le, Huu Tu Nguyen, Michael Dinh, Shinji Nakahara
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.