Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest
| Autor: | F. K. Lippert, Fredrik Folke, Christian Torp-Pedersen, Bodil Steen Rasmussen, Carolina Malta Hansen, Kirsten Fonager, Shahzleen Rajan, Kristinn Thorsteinsson, Lars Køber, Steen Møller Hansen, Mads Wissenberg, Svend Eggert Jensen, Kristian Kragholm, Thomas A. Gerds, Gunnar Gislason, Rikke Nørmark Mortensen |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Risk Volunteers medicine.medical_specialty Defibrillation medicine.medical_treatment Denmark Psychological intervention Electric Countershock Brain damage 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Journal Article medicine Bystander effect Humans Cardiopulmonary resuscitation Intensive care medicine Hypoxia Brain Survival analysis Aged Intention-to-treat analysis business.industry Research Support Non-U.S. Gov't Institutionalization 030208 emergency & critical care medicine General Medicine Middle Aged Survival Analysis Cardiopulmonary Resuscitation Intention to Treat Analysis Nursing Homes Female medicine.symptom Nursing homes business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Kragholm, K, Wissenberg, M, Mortensen, R N, Hansen, S M, Hansen, C M, Thorsteinsson, K, Rajan, S, Lippert, F, Folke, F, Gislason, G, Køber, L, Fonager, K, Jensen, S E, Gerds, T A, Torp-Pedersen, C & Rasmussen, B S 2017, ' Bystander efforts and 1-year outcomes in out-of-hospital cardiac arrest ', New England Journal of Medicine, vol. 376, no. 18, pp. 1737-1747 . https://doi.org/10.1056/NEJMoa1601891 Sørensen, K D K, Wissenberg, M, Mortensen, R N, Hansen, S M, Malta Hansen, C, Thorsteinsson, K, Rajan, S, Lippert, F, Folke, F, Gislason, G, Køber, L, Fonager, K, Jensen, S E, Gerds, T, Torp-Pedersen, C & Rasmussen, B S 2017, ' Bystander Efforts and 1-Year Outcomes in Out-of-Hospital Cardiac Arrest ', The New England Journal of Medicine, vol. 376, no. 18, pp. 1737-1747 . https://doi.org/10.1056/NEJMoa1601891 |
| Popis: | BACKGROUND: The effect of bystander interventions on long-term functional outcomes among survivors of out-of-hospital cardiac arrest has not been extensively studied.METHODS: We linked nationwide data on out-of-hospital cardiac arrests in Denmark to functional outcome data and reported the 1-year risks of anoxic brain damage or nursing home admission and of death from any cause among patients who survived to day 30 after an out-of-hospital cardiac arrest. We analyzed risks according to whether bystander cardiopulmonary resuscitation (CPR) or defibrillation was performed and evaluated temporal changes in bystander interventions and outcomes.RESULTS: Among the 2855 patients who were 30-day survivors of an out-of-hospital cardiac arrest during the period from 2001 through 2012, a total of 10.5% had brain damage or were admitted to a nursing home and 9.7% died during the 1-year follow-up period. During the study period, among the 2084 patients who had cardiac arrests that were not witnessed by emergency medical services (EMS) personnel, the rate of bystander CPR increased from 66.7% to 80.6% (PCONCLUSIONS: In our study, we found that bystander CPR and defibrillation were associated with risks of brain damage or nursing home admission and of death from any cause that were significantly lower than those associated with no bystander resuscitation. (Funded by TrygFonden and the Danish Heart Foundation.). |
| Databáze: | OpenAIRE |
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