Comparison of in‐hospital and out‐of‐hospital cardiac arrest outcomes in a <scp>S</scp>candinavian community

Buanes, Eirik Alnes; Heltne, Jon-Kenneth

doi:10.1111/aas.12258

Cited by 27 publications

(25 citation statements)

References 29 publications

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“…Only one study has previously compared IHCA with OHCA, and their findings are in concordance with this study as they found no difference in survival 15. Unfortunately, data on TTM were not available in that study.…”

Section: Discussionsupporting

confidence: 85%

Similar long-term survival of consecutive in-hospital and out-of-hospital cardiac arrest patients treated with targeted temperature management

Engsig

Søholm

Folke

et al. 2016

CLEP

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ObjectiveThe long-term survival of in-hospital cardiac arrest (IHCA) patients treated with targeted temperature management (TTM) is poorly described. The aim of this study was to compare the outcomes of consecutive IHCA with out-of-hospital cardiac arrest (OHCA) patients treated with TTM.Design, setting, and patientsRetrospectively collected data on all consecutive adult patients treated with TTM at a university tertiary heart center between 2005 and 2011 were analyzed.MeasurementsPrimary endpoints were survival to hospital discharge and long-term survival. Secondary endpoint was neurological outcome assessed using the Pittsburgh cerebral performance category (CPC).ResultsA total of 282 patients were included in this study; 233 (83%) OHCA and 49 (17%) IHCA. The IHCA group presented more often with asystole, received bystander cardiopulmonary resuscitation (CPR) in all cases, and had shorter time to return of spontaneous circulation (ROSC). Survival to hospital discharge was 54% for OHCA and 53% for IHCA (adjusted odds ratio 0.98 [95% confidence interval {CI}; 0.43–2.24]). Age ≤60 years, bystander CPR, time to ROSC ≤10 min, and shockable rhythm at presentation were associated with survival to hospital discharge. Good neurologic outcome among survivors was achieved by 86% of OHCA and 92% of IHCA (P=0.83). After a median follow-up time of >5 years, 83% of OHCA and 77% of IHCA were alive (adjusted hazard ratio [HR] 1.51 [95% CI; 0.59–3.91]). Age ≤60 years was the only factor associated with long-term survival (adjusted HR 2.73 [95% CI; 1.36–5.52]).ConclusionThere was no difference in short- and long-term survival and no difference in neurologic outcome to hospital discharge between IHCA and OHCA patients treated with TTM despite higher frequency of asystole in IHCA.

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Section: Discussionsupporting

confidence: 85%

Similar long-term survival of consecutive in-hospital and out-of-hospital cardiac arrest patients treated with targeted temperature management

Engsig

Søholm

Folke

et al. 2016

CLEP

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“…Data from this patient cohort have previously been published. 12 Patients with a CPC above 2 on hospital discharge and patients who could not be reached or had an unknown identity were excluded (Fig. 1).…”

Section: Patientsmentioning

confidence: 99%

“…12 HADS and EQ-5D-5L questionnaires were scored and reviewed by EAB and KKS. Data about medical history and treatment following the return of spontaneous circulation (ROSC) were retrieved retrospectively from the electronic patient journal by EAB.…”

Section: Data Handlingmentioning

confidence: 99%

Cognitive function and health-related quality of life four years after cardiac arrest

et al. 2015

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“…According to the Danish Cardiac Arrest Register, 30-day survival rate after OHCA was 8.6% in 2007 and 10.1% in 2011, 2 while international reports indicate a higher survival rate of OCHA (17-22%). 3,4 Our survival of IHCA was not very high. This is not only a challenge for our institution, but for hospitals worldwide.…”

Section: Sirmentioning

confidence: 75%

No change in survival after cardiac arrest in 2007 and 2012 at a hospital in Denmark

Quitzau¹,

Ullerup-Aagaard

Brabrand

2015

Resuscitation

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Comparison of in‐hospital and out‐of‐hospital cardiac arrest outcomes in a Scandinavian community

Abstract: Survival from in-hospital and out-of-hospital cardiac arrest in this cohort is similar.

Cited by 27 publications

References 29 publications

Similar long-term survival of consecutive in-hospital and out-of-hospital cardiac arrest patients treated with targeted temperature management

Similar long-term survival of consecutive in-hospital and out-of-hospital cardiac arrest patients treated with targeted temperature management

Cognitive function and health-related quality of life four years after cardiac arrest

No change in survival after cardiac arrest in 2007 and 2012 at a hospital in Denmark

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