Outcomes for out-of-hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi-centre observational study

Bui Hai Hoang; Ngoc Son Do; Dinh Hung Vu; Giang Phuc Do; Xuan Dung Dao; Huu Huan Nguyen; Quang Thuy Luu; Van Cuong Le; Huu Tu Nguyen; Michael M Dinh; Shinji Nakahara

doi:10.1111/1742-6723.13750

Outcomes for out-of-hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi-centre observational study

Emerg Med Australas. 2021 Jun;33(3):541-546. doi: 10.1111/1742-6723.13750. Epub 2021 Mar 11.

Authors

Bui Hai Hoang^{1

2}, Ngoc Son Do³, Dinh Hung Vu¹, Giang Phuc Do¹, Xuan Dung Dao⁴, Huu Huan Nguyen⁵, Quang Thuy Luu⁶, Van Cuong Le⁷, Huu Tu Nguyen^{2

8}, Michael M Dinh^{9

10}, Shinji Nakahara^{11

12}

Affiliations

¹ Emergency and Critical Medicine Department, Hanoi Medical University Hospital, Hanoi, Vietnam.
² Hanoi Medical University, Hanoi, Vietnam.
³ Emergency Department, Bach Mai Hospital, Hanoi, Vietnam.
⁴ Emergency and Critical Medicine Department, Hanoi Heart Hospital, Hanoi, Vietnam.
⁵ Emergency and Critical Medicine Department, Ministry of Agriculture Hospital, Hanoi, Vietnam.
⁶ Intensive Care Unit, Viet Duc Hospital, Hanoi, Vietnam.
⁷ Critical Care Unit and Cardiovascular Intervention Center, Thanh Hoa General Hospital, Hanoi, Vietnam.
⁸ Anaesthesia and Intensive Care Department, Hanoi Medical University Hospital, Hanoi, Vietnam.
⁹ Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
¹⁰ Discipline of Emergency Medicine, Hoc Mai Foundation, RPA Green Light Institute, Sydney, New South Wales, Australia.
¹¹ Teikyo University School of Medicine, Tokyo, Japan.
¹² Graduate School of Health Innovation, Kanagawa University of Human Services, Kawasaki, Japan.

PMID: 33706418
DOI: 10.1111/1742-6723.13750

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.

Keywords: Vietnam; cardiopulmonary resuscitation; emergency medical service; out-of-hospital cardiac arrest.

Abstract

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