Incidence of EMS-treated out-of-hospital cardiac arrest in Europe

Atwood, Christie; Eisenberg, Mickey S.; Herlitz, Johan; Rea, Thomas D.

doi:10.1016/j.resuscitation.2005.03.021

Cited by 727 publications

(406 citation statements)

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“…Substantial site-based variation was present in these estimates; for example preliminary estimates of site-based incidence varied from 44 to 114 EMS-attended arrests per 100,000 person-years. These preliminary estimates differed from published estimates of incidence of EMS-treated, all-rhythm cardiac arrest of 37/100,000 and 55/100,000 persons and ventricular fibrillation arrest of between 17/100,000 and 21/100,000, [5][6][7][8][18][19][20] A standardized population-based registry of this size would assure sufficient analytical power to address a variety of important but unanswered questions.…”

Section: Sample Size and Statistical Powermentioning

confidence: 66%

Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry—Cardiac Arrest

Morrison¹,

Nichol²,

Rea³

et al. 2008

Resuscitation

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Objective-To describe the development, design and consequent scientific implications of the Resuscitation Outcomes Consortium (ROC) population-based registry; ROC Epistry-Cardiac Arrest. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.Nonauthor contributions outlined in Online Appendix 1 Methods-The ROC Epistry-Cardiac Arrest is designed as a prospective population-based registry of all Emergency Medical Services (EMS)-attended 9-1-1 calls for patients with out-ofhospital cardiac arrest occurring in the geographical area described by the eight US and three Canadian regions. The data set was derived by an North American interdisciplinary steering committee. Enrolled cases include individuals of all ages who experience cardiac arrest outside the hospital, with evaluation by organized EMS personnel and: a) attempts at external defibrillation (by lay responders or emergency personnel), or chest compressions by organized EMS personnel; OR b) were pulseless but did not receive attempts to defibrillate or CPR by EMS personnel. Selected data items are categorized as mandatory or optional and undergo revisions approximately every 12 months. Where possible all definitions are referenced to existing literature. Where a common definition did not exist one was developed. Optional items include standardized CPR process data elements. It is anticipated the ROC Epistry-Cardiac Arrest will enroll between approximately 9000 and 13,500 treated all rhythm arrests and 4000 and 5000 ventricular fibrillation arrests annually and approximately 8000 EMS-attended but untreated arrests. Conflict of interest: None NIH Public AccessConclusion-We describe the rationale, development, design and future implications of the ROC Epistry-Cardiac Arrest. This paper will serve as the reference for subsequent ROC manuscripts and for the common data elements captured in both ROC Epistry-Cardiac Arrest and the ROC trials.

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Section: Sample Size and Statistical Powermentioning

confidence: 66%

Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry—Cardiac Arrest

Morrison¹,

Nichol²,

Rea³

et al. 2008

Resuscitation

Self Cite

247

204

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Section: Introductionmentioning

confidence: 99%

“…1 Survival rates of between 5% and 38% have been reported, and have been linked to differences in pre-hospital treatment. 1,2 Optimising care for patients suffering OHCA through early recognition and improved prehospital provider response times has been the focus of many emergency medical systems (EMS) over the last two decades. 2,3 A range of different interventions have been studied, 4,5 but only chest compressions 6,7 and defibrillation 2,8 have been shown to consistently improve survival from OHCA.…”

Section: Introductionmentioning

confidence: 99%

The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest

2015

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The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest. Resuscitation, 96. pp. 290-295. ISSN 0300-9572 Available from: http://eprints.uwe.ac.uk/29457We recommend you cite the published version. The publisher's URL is: http://dx.doi.org/10.1016/j.resuscitation.2015.08.020Refereed: Yes (no note) Disclaimer UWE has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material. UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT.The Impact of a pre-hospital critical care team on survival from out of hospital cardiac arrest 1 THE IMPACT OF A PRE-HOSPITAL CRITICAL CARE TEAM ON SURVIVAL FROM OUT-OF- WORD COUNT, REFERENCES, FIGURES AND TABLES Abstract: 233Manuscript: 3045 ABSTRACT AimTo assess the impact of a pre-hospital critical care team (CCT) on survival from out-ofhospital cardiac arrest (OHCA). MethodsWe undertook a retrospective observational study, comparing OHCA patients attended by advanced life support (ALS) paramedics with OHCA patients attended by ALS paramedics and a CCT between April 2011 and April 2013 in a single ambulance service in Southwest England. We used multiple logistic regression to control for an anticipated imbalance of prognostic factors between the groups. The primary outcome was survival to hospital discharge. All data were collected independently of the research. Results1851 cases of OHCA were included in the analysis, of which 1686 received ALS paramedic treatment and 165 were attended by both ALS paramedics and a CCT. Unadjusted rates of survival to hospital discharge were significantly higher in the CCT group, compared to the ALS paramedic group (15.8% and 6.5%, respectively, p < 0.001). After adjustment using multiple logistic regression, the effect of CCT treatment was no longer statistically significant (OR 1.54, 95% CI 0.89 to 2.67, p = 0.13). Subgroup analysis of OHCA with first monitored rhythm of ventricular fibrillation or pulseless ventricular tachycardia showed similar results. ConclusionPre-hospital critical care for OHCA was not associated with significantly improved rates of survival to hospital discharge. These results are in keeping with previously published studies.Further research with a larger sample size is required to determine whether CCTs can improve outcome in OHCA.The Impact of a pre-hospital critical care team on survival from out of hospital cardiac arrest 3

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“…There are almost 424 000 cases of emergency medical service (EMS)–assessed OHCA each year in the United States,1 300 000 in Europe,2 100 000 in Japan,3 and upwards of 3.7 million worldwide 4. The achievement of a successful return of spontaneous circulation (ROSC) depends on a chain of survival, including the recognition of early signs of cardiac arrest and the provision of early and high‐quality cardiopulmonary resuscitation (CPR) 5.…”

mentioning

confidence: 99%

Mechanical Cardiopulmonary Resuscitation and Hospital Survival Among Adult Patients With Nontraumatic Out‐of‐Hospital Cardiac Arrest Attending the Emergency Department: A Prospective, Multicenter, Observational Study in Japan (SOS‐KANTO [Survey of Survivors after Out‐of‐Hospital Cardiac Arrest in Kanto Area] 2012 Study)

Hayashida

Tagami

Fukuda

et al. 2017

JAHA

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BackgroundMechanical cardiopulmonary resuscitation (mCPR) for patients with out‐of‐hospital cardiac arrest attending the emergency department has become more widespread in Japan. The objective of this study is to determine the association between the mCPR in the emergency department and clinical outcomes.Methods and ResultsIn a prospective, multicenter, observational study, adult patients with out‐of‐hospital cardiac arrest with sustained circulatory arrest on hospital arrival were identified. The primary outcome was survival to hospital discharge. The secondary outcomes included a return of spontaneous circulation and successful hospital admission. Multivariate analyses adjusted for potential confounders and within‐institution clustering effects using a generalized estimation equation were used to analyze the association of the mCPR with outcomes. Between January 1, 2012 and March 31, 2013, 6537 patients with out‐of‐hospital cardiac arrest were eligible; this included 5619 patients (86.0%) in the manual CPR group and 918 patients (14.0%) in the mCPR group. Of those patients, 28.1% (1801/6419) showed return of spontaneous circulation in the emergency department, 20.4% (1175/5754) had hospital admission, 2.6% (168/6504) survived to hospital discharge, and 1.2% (75/6419) showed a favorable neurological outcome at 1 month after admission. Multivariate analyses revealed that mCPR was associated with a decreased likelihood of survival to hospital discharge (adjusted odds ratio, 0.40; 95% confidence interval, 0.20–0.78; P=0.005), return of spontaneous circulation (adjusted odds ratio, 0.71; 95% confidence interval, 0.53–0.94; P=0.018), and hospital admission (adjusted odds ratio, 0.57; 95% confidence interval, 0.40–0.80; P=0.001).ConclusionsAfter accounting for potential confounders, the mCPR in the emergency department was associated with decreased likelihoods of good clinical outcomes after adult nontraumatic out‐of‐hospital cardiac arrest. Further studies are needed to clarify circumstances in which mCPR may benefit these patients.

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Incidence of EMS-treated out-of-hospital cardiac arrest in Europe

Cited by 727 publications

References 43 publications

Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry—Cardiac Arrest

Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry—Cardiac Arrest

The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest

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