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Dead on arrival study in Kaohsiung area

J S Wang1, S H Cheng, L J Leu

  • 1Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|January 1, 1995
PubMed
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Dead on arrival (DOA) is a significant issue, with a 0.22% incidence in Kaohsiung. Most DOA patients had asystole, and resuscitation success rates were low, highlighting the need for improved emergency medical services.

Area of Science:

  • Emergency Medicine
  • Public Health
  • Cardiology

Background:

  • Dead on arrival (DOA) presents challenges for medical staff and families, with limited research in Taiwan.
  • DOAs are often sudden, irrespective of pre-existing conditions.

Purpose of the Study:

  • To investigate the incidence, characteristics, and outcomes of dead on arrival (DOA) patients in the Kaohsiung area.
  • To identify areas for improvement in the emergency medical service system (EMSS).

Main Methods:

  • A retrospective study analyzing 487 dead on arrival (DOA) patients from January 1 to December 31, 1993.
  • Data collected via questionnaires from four major hospitals in the Kaohsiung area.

Main Results:

  • The incidence of DOA was 0.22%, with a male to female ratio of 2.25.

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  • The predominant age group was 61-75 years; most patients arrived via non-ambulance vehicles by non-medical personnel.
  • Initial cardiac rhythm was mostly asystole, with low survival (1.44%) and resuscitation response (9.24%) rates. Causes included no evident cause (31.42%), non-trauma (40.04%), and trauma (28.54%).

    • Conclusions:

    • Despite the active emergency medical service system (EMSS), significant drawbacks persist.
    • Enhancing public cardiopulmonary resuscitation (CPR) education, improving EMSS accessibility, and optimizing in-hospital management are crucial.
    • Improvements in prehospital care, EMSS, and in-hospital care are expected to reduce DOA incidents.