Admission of out-of-hospital cardiac arrest victims to a high volume cardiac arrest center is linked to improved outcome.
Resuscitation
; 106: 42-8, 2016 09.
Article
em En
| MEDLINE
| ID: mdl-27368428
ABSTRACT
AIM:
Cardiac arrest centers have been associated with improved outcome for patients after cardiac arrest. Aim of this study was to investigate the effect on outcome depending on admission to high-, medium- or low volume centers.METHODS:
Analysis from a prospective, multicenter registry for out of hospital cardiac arrest patients treated by the emergency medical service of Vienna, Austria. The frequency of cardiac arrest patients admitted per center/year (low <50; medium 50-100; high >100) was correlated to favorable outcome (30-day survival with cerebral performance category of 1 or 2).RESULTS:
Out of 2238 patients (years 2013-2015) with emergency medical service resuscitation, 861 (32% female, age 64 (51;73) years) were admitted to 7 different centers. Favorable outcome was achieved in 267 patients (31%). Survivors were younger (58 vs. 66 years; p<0.001), showed shockable initial heart rhythm more frequently (72 vs. 35%; p<0.001), had shorter CPR durations (22 vs. 29min; p<0.001) and were more likely to be treated in a high frequency center (OR 1.6; CI 1.2-2.1; p=0.001). In multivariate analysis, age below 65 years (OR 15; CI 3.3-271.4; p=0.001), shockable initial heart rhythm (OR 10.1; CI 2.4-42.6; p=0.002), immediate bystander or emergency medical service CPR (OR 11.2; CI 1.4-93.3; p=0.025) and admission to a center with a frequency of >100 OHCA patients/year (OR 5.2; CI 1.2-21.7; p=0.025) was associated with favorable outcome.CONCLUSIONS:
High frequency of post-cardiac arrest treatment in a specialized center seems to be an independent predictor for favorable outcome in an unselected population of patients after out of hospital cardiac arrest.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Reanimação Cardiopulmonar
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Serviços Médicos de Emergência
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Serviço Hospitalar de Emergência
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Parada Cardíaca Extra-Hospitalar
Tipo de estudo:
Clinical_trials
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Resuscitation
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Áustria