Jinny Ye, MD
"Prehospital Termination of Resuscitation in Out-of-Hospital Cardiac Arrest"
SAEMF/RAMS Resident Research Grant
Dr. Ye will conduct a retrospective cohort study of patients in the United States with out-ofhospital cardiac arrest (OHCA). The goal of the project is to identify the underlying factors associated with prehospital termination of OHCA. The specific aims of the project are to 1) identify patient-level and prehospital-level factors associated with prehospital termination of resuscitation in OHCA; and 2) identify patient-level and prehospital-level factors associated with transport of OHCA despite meeting the TOR guideline. The central hypothesis is that there are differences in prehospital termination of resuscitation based on patient demographics, initial arrest characteristics, and initial resuscitation despite the same patient outcome according to the TOR guideline. The methodological approach of the project is to use a multi-center, prospectively collected surveillance data to create multivariable regression models. Dr. Ye has the resources and statistical support of the Duke Division of Emergency Medicine and Duke Clinical Research Institute to ensure the successful completion of this project. By understanding how the identification of patients who no longer benefit from continued CPR varies, we can implement more relevant standards to avoid the cost of unnecessary resuscitation of patients with OHCA.
In the United States, the majority of OHCA patients do not survive to hospital discharge. Identifying patients with OHCA who no longer benefit from continued prehospital CPR and the variability in that identification are important in implementing consistent, locally relevant standards in prehospital management.
Dr. Ye is still completing the project.