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Original Research

Open Access Special Issue

Qualitative and quantitative analysis of emergency department cardiac arrest publications

  • Hsiang-Yun Lo1,2
  • Shang-Kai Hung1
  • Chip-Jin Ng1
  • Shou-Yen Chen1,3

1Department of Emergency Medicine, Chang Gung Memorial Hospital and Chang Gung University, 333 Taoyuan, Taiwan

2Institute of health policy and management, National Taiwan University, 106 Taipei, Taiwan

3,Graduate Institute of Clinical Medical Sciences

4 Division of Medical Education, College of Medicine, Chang Gung University, 333 Taoyuan, Taiwan

DOI: 10.22514/sv.2021.209

Submitted: 06 July 2021 Accepted: 10 August 2021

Online publish date: 17 September 2021

*Corresponding Author(s): Shou-Yen Chen E-mail: allendream0621@yahoo.com.tw allendream0621@gmail.com 8902007@cgmh.org.tw

Abstract

Cardiac arrest is a medical emergency with a poor prognosis. Patient characteristics and outcomes are associated with location and are traditionally categorized into out-of-hospital cardiac arrest (OHCA) or in-hospital cardiac arrest (IHCA). Increasing evidence has revealed that cardiac arrest occurring in the emergency department is distinct from OHCA or IHCA in other locations in hospitals, but most academic publications combine these populations and apply the knowledge arising from OHCA or IHCA to patients with emergency department cardiac arrest (EDCA). The aim of this study was to identify the research direction of EDCA in the past 20 years and to analyze the characteristics and content of academic publications. We searched the MEDLINE and EMBASE databases for eligible articles until May 30, 2021. Two independent reviewers extracted data by using a customized form to record crucial information, and any conflicts between the two reviewers were resolved through discussion with another independent reviewer. The aggregated data underwent a scoping review and analyzed qualitatively and quantitatively. In total, 52 original articles investigating EDCA were included; only 15 articles simply focused on EDCA, while other articles involved OHCA or IHCA simultaneously. There were 3 articles discussing the relationship of overcrowdedness and EDCA, 12 articles for prediction and risk factors associated with EDCA, 15 articles for epidemiology and prognosis, and 22 articles for specific diagnostic or resuscitation skills with regard to EDCA. Studies focusing on EDCA are increasing but still scarce. Applying the knowledge arising from OHCA or IHCA to EDCA is questionable, and research focused on EDCA is necessary. ED overcrowdedness-associated EDCA and prediction models for EDCA are essential topics that need further investigation.


Keywords

Emergency department cardiac arrest; Resuscitation; In-hospital cardiac arrest; Overcrowdedness


Cite and Share

Hsiang-Yun Lo,Shang-Kai Hung,Chip-Jin Ng,Shou-Yen Chen. Qualitative and quantitative analysis of emergency department cardiac arrest publications. Signa Vitae. 2021.doi:10.22514/sv.2021.209.

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