Post-resuscitation care and outcomes of out-of-hospital cardiac arrest: A nationwide propensity score-matching analysis

Kim, Joo Yeong; Shin, Sang Do; Ro, Young Sun; Song, Kyoung Jun; Lee, Eui Jung; Park, Chang Bae; Hwang, Seung Sik

doi:10.1016/j.resuscitation.2013.02.010

Cited by 51 publications

(33 citation statements)

References 28 publications

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“…Other studies have noted similar sex disparities in interventions. 8,[14][15][16] Given the retrospective nature of this study, the reason for this difference is not known. It is likely attributable, in part, to a higher frequency of STEMI on the ECG and initial shockable rhythm for men.…”

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confidence: 94%

Sex Differences in Survival From Out‐of‐Hospital Cardiac Arrest in the Era of Regionalized Systems and Advanced Post‐Resuscitation Care

Bosson

Kaji

Fang

et al. 2016

JAHA

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confidence: 94%

Sex Differences in Survival From Out‐of‐Hospital Cardiac Arrest in the Era of Regionalized Systems and Advanced Post‐Resuscitation Care

Bosson

Kaji

Fang

et al. 2016

JAHA

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“…30 A CCT may also be able to transport a patient to the most appropriate destination hospital, providing safe transfer over long distances to a centre where coronary angiography and a concentration of expertise is available; factors that have been shown to be associated with improved survival following OHCA. 31,32 In fact, of the patients transported to hospital by the CCT, 82% were transported to the regional cardiac centre, compared to 20% in the ALS paramedic group (data not shown). It is entirely possible that the destination hospital, rather than the CCT team per se, is responsible for an improved patient outcome, however we were unable to test this hypothesis in our study.…”

Section: Discussionmentioning

confidence: 91%

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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“…Several large nationwide studies have suggested that the improvement in outcomes may be related to the provision of post-resuscitation care [12,31,33,34] in addition to the improvement of the actions of bystanders and treatments before the return of spontaneous circulation (ROSC) [3,32,35]. Fugate et al [31] reported the annual in-hospital mortality rate of the American National Inpatient Sample database from 2001 to 2009.…”

Section: Provision Of Post-resuscitation Care and Outcomementioning

confidence: 99%

Regional Systems of Care: The Final Link in the “Chain of Survival” Concept for Out-of-Hospital Cardiac Arrest

Tagami

Yasunaga

2016

Annual Update in Intensive Care and Emergency Medicine

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Post-resuscitation care and outcomes of out-of-hospital cardiac arrest: A nationwide propensity score-matching analysis

Cited by 51 publications

References 28 publications

Sex Differences in Survival From Out‐of‐Hospital Cardiac Arrest in the Era of Regionalized Systems and Advanced Post‐Resuscitation Care

Sex Differences in Survival From Out‐of‐Hospital Cardiac Arrest in the Era of Regionalized Systems and Advanced Post‐Resuscitation Care

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

Regional Systems of Care: The Final Link in the “Chain of Survival” Concept for Out-of-Hospital Cardiac Arrest

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