Survival of 1476 patients initially resuscitated from out of hospital cardiac arrest

Cobbe, Stuart M.; Dalziel, Kirsty; Ford, Ian; Marsden, A K

doi:10.1136/bmj.312.7047.1633

Cited by 109 publications

(50 citation statements)

References 26 publications

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“…9,10 Several investigators have recently evaluated the outcomes or quality of life of survivors of out-of-hospital cardiac arrest. [11][12][13][14] We have previously found that most patients who survive to hospital discharge have quite good quality of life and functional status. 15 Little is known, however, about the factors that may correlate with or lead to better functional status for these cardiac arrest survivors.…”

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confidence: 99%

Health-Related Quality of Life Is Better for Cardiac Arrest Survivors Who Received Citizen Cardiopulmonary Resuscitation

et al. 2003

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Background-This study evaluated the prehospital factors associated with better health-related quality of life for survivors of out-of-hospital cardiac arrest. Methods and Results-This prospective, 20-community, cohort study involved consecutive, adult out-of-hospital cardiac arrest patients who survived to 1 year. Patients were contacted by telephone and evaluated for the Health Utilities Index Mark III (HUI3), which describes health as a utility score on a scale from 0 (dead) to 1.0 (perfect health). The 8091 cardiac arrest patients had overall survival rates of 5.2% to hospital discharge and 4.0% to 1 year. We successfully contacted and evaluated 268 of 316 (84.8%) of known 1-year survivors. The median HUI3 score was 0.80 (interquartile range, 0.50 to 0.97), which compares well with age-adjusted values for the general population (0.83). Logistic regression identified 2 factors independently associated with very good quality of life (HUI3 Ͼ0.90) and their odds ratios (95% CIs), as follows: age 80 years or older, 0.3 (0.1 to 0.84), and citizen-initiated cardiopulmonary resuscitation (CPR), 2.0 (1.2 to 3.4) (Hosmer-Lemeshow goodness-of-fit statistic, 0.74). Conclusions-This study is the largest ever conducted for out-of-hospital cardiac arrest survivors, clearly shows that these patients have good quality of life, and is the first to demonstrate that citizen-initiated CPR is strongly and independently associated with better quality of life. These results emphasize the importance of optimizing community citizen CPR readiness. Given the low rate of citizen-initiated CPR in many communities, we believe that local and national initiatives should vigorously promote the practice of bystander CPR.

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confidence: 99%

Health-Related Quality of Life Is Better for Cardiac Arrest Survivors Who Received Citizen Cardiopulmonary Resuscitation

et al. 2003

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“…consider it important, for the accuracy of clinical status of the patient, to evaluate the physician's long-term contact with the patient from the institution of CPR in the field to outpatient follow-up. Geographically, long-term studies include localities mainly in the United States of America and Europe (Denmark, Sweden, Norway, Estonia, the Netherlands, Scotland and Northern Ireland) (3)(4)(5)9,11,(16)(17)(18)(19). Data for our study were obtained from the region of East Bohemia in the Czech Republic.…”

Section: Discussionmentioning

confidence: 99%

“…In our file, 79% of patients survived in the first year, 72% of patients in the third year, and 62% in the fifth year regardless of the initial cardiac rhythm. Data from other authors on survival in the first year range between 76 to 88%, (3)(4)(5)17,19,22) in the third year between 67 to 81% (4,5,17,22,23) and in the fifth year between 41 to 77%. (4,5,7,22,23) In our study, 59% of patients survived seven years after OHCA.…”

Section: Causes Of Deathmentioning

confidence: 99%

“…In comparison with the reference literature, we demonstrated that the initial numbers of patients sampled ranged from 48 to 95 patients, (4,11,16,19,20) and 139 to 680 patients. (1,2,5,7,17,(21)(22)(23) Most of these studies are however retrospective in nature with data obtained from central registers. In our file, 79% of patients survived in the first year, 72% of patients in the third year, and 62% in the fifth year regardless of the initial cardiac rhythm.…”

Section: Causes Of Deathmentioning

confidence: 99%

“…(7) The long-term prognosis of patients discharged from hospital is mainly influenced by diagnostic and therapeutic measures undertaken during acute hospitalization and during subsequent long-term follow-up. (2,3,11,17,24) P value, Fisher's exact test in contingency tables. …”

Section: Causes Of Deathmentioning

confidence: 99%

See 2 more Smart Citations

A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

2012

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Validation of a decision support tool for the evaluation of cardiac arrest victims

Mccullough¹,

Thompson²,

Tobin

et al. 1998

Clinical Cardiology

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SummaryBtrckground: There is currently no well-accepted model for early and accurate prediction of neurologic and vital outcomes after cardiac arrest. Recent studies indicate that individuals with acute myocardial ischemia as the etiology for the wrest may benefit from early revascularization.Hypothesis: This study was undertaken to examine whether the cardiac arrest score is valid for predicting outcomes upon anival at the emergency department.Morhods: We previously developed ii cardiac arrest score based on time to return of spontaneous circulation, initial systolic blood pressure, and level of neurologic alertness in 127 patients (derivation set). This score was prospectively applied to 61 patients with similar clinical profiles (validation set). Utility of the score was evaluated by the area under the receiver operator characteristic curves (C) for both sets. Consistency was measured by using the alpha statistic applied to the cumulative survival at each ascending level of the score.Rt~srrlts: The derivation and validation sets were similar with respect to baseline characteristics and proportions at each level of score.

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Survival of 1476 patients initially resuscitated from out of hospital cardiac arrest

Abstract: About 40% of initial survivors of resuscitation out of hospital are discharged home without major neurological disability. Patients at high risk of subsequent cardiac death can be identified and may benefit from further cardiological evaluation.

Cited by 109 publications

References 26 publications

Health-Related Quality of Life Is Better for Cardiac Arrest Survivors Who Received Citizen Cardiopulmonary Resuscitation

Health-Related Quality of Life Is Better for Cardiac Arrest Survivors Who Received Citizen Cardiopulmonary Resuscitation

A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

Validation of a decision support tool for the evaluation of cardiac arrest victims

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