Early Access to the Cardiac Catheterization Laboratory for Patients Resuscitated From Cardiac Arrest Due to a Shockable Rhythm: The Minnesota Resuscitation Consortium Twin Cities Unified Protocol

Autor: Lucinda Hodgson, Charles Lick, Brian D. Mahoney, Santiago Garcia, Steven Roh, Todd Drexel, Fouad A. Bachour, Ganesh Raveendran, Gregory Helmer, Ralph J. Frascone, Kenneth W. Baran, Qi Wang, Michael Mooney, Carmelo J. Panetta, Marc Conterato, Emily Caldwell, Keith Wesley, Wobo Bekwelem, Bradley A. Bart, Randall P. Stark, Mark Haugland, Demetris Yannopoulos, Selcuk Adabag
Rok vydání: 2016
Předmět:
Male
Cardiac Catheterization
Resuscitation
Time Factors
medicine.medical_treatment
cardiac arrest
030204 cardiovascular system & hematology
Coronary Angiography
Ventricular tachycardia
Health Services Accessibility
Electrocardiography
0302 clinical medicine
Clinical Protocols
Catheter-Based Coronary and Valvular Interventions
Risk Factors
Odds Ratio
Urban Health Services
Medicine
Registries
Coronary Artery Bypass
Original Research
Cardiac catheterization
Neurologic Examination
Do not resuscitate
Middle Aged
Patient Discharge
3. Good health
Cardiopulmonary Arrest
Treatment Outcome
Cardiology
revascularization
Female
Cardiology and Cardiovascular Medicine
Adult
medicine.medical_specialty
Minnesota
Electric Countershock
Resuscitation Science
Risk Assessment
Time-to-Treatment
03 medical and health sciences
Percutaneous Coronary Intervention
Internal medicine
Humans
Cardiopulmonary resuscitation
Aged
Cardiopulmonary Resuscitation and Emergency Cardiac Care
Chi-Square Distribution
business.industry
Patient Selection
Percutaneous coronary intervention
030208 emergency & critical care medicine
Emergency department
medicine.disease
Survival Analysis
Cardiopulmonary Resuscitation
Heart Arrest
Logistic Models
Multivariate Analysis
Ventricular fibrillation
Emergency medicine
Feasibility Studies
prognosis
business
Program Evaluation
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
ISSN: 2047-9980
DOI: 10.1161/jaha.115.002670
Popis: Background In 2013 the Minnesota Resuscitation Consortium developed an organized approach for the management of patients resuscitated from shockable rhythms to gain early access to the cardiac catheterization laboratory (CCL) in the metro area of Minneapolis‐St. Paul. Methods and Results Eleven hospitals with 24/7 percutaneous coronary intervention capabilities agreed to provide early (within 6 hours of arrival at the Emergency Department) access to the CCL with the intention to perform coronary revascularization for outpatients who were successfully resuscitated from ventricular fibrillation/ventricular tachycardia arrest. Other inclusion criteria were age >18 and P =0.03). Conclusions Early access to the CCL after cardiac arrest due to a shockable rhythm in a selected group of patients is feasible in a large metropolitan area in the United States and is associated with a 65% survival rate to hospital discharge with a good neurological outcome.
Databáze: OpenAIRE
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