Contacts With the Health Care System Before Out‐of‐Hospital Cardiac Arrest
| Autor: | F. Folke, Filip Gnesin, Mads Wissenberg, Sidsel Møller, Hanno L. Tan, Nertila Zylyftari, Gunnar Gislason, Escape-Net Investigators, C A Barcella, Christina Ji-Young Lee, Elisabeth Helen Anna Mills, Lars Køber, Amalie Lykkemark Møller, Britta Jensen, Christian Torp-Pedersen, Freddy Lippert |
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| Přispěvatelé: | Cardiology, ACS - Heart failure & arrhythmias, APH - Methodology |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Denmark General Practice Population ESCAPE‐NET Out of hospital cardiac arrest General practitioner Hospital out‐of‐hospital cardiac arrest Health care medicine Humans Diseases of the circulatory (Cardiovascular) system In patient Registries education Health care contact Out-of-hospital cardiac arrest education.field_of_study business.industry Odds ratio Patient Acceptance of Health Care Hospitals Case-Control Studies RC666-701 Emergency medicine Female ESCAPE-NET Cardiology and Cardiovascular Medicine business |
| Zdroj: | Zylyftari, N, Møller, S G, Wissenberg, M, Folke, F, Barcella, C A, Møller, A L, Gnesin, F, Mills, E H A, Jensen, B, Lee, C J-Y, Tan, H L, Køber, L, Lippert, F, Gislason, G H, Torp-Pedersen, C & ESCAPE-NET Investigators 2021, ' Contacts With the Health Care System Before Out-of-Hospital Cardiac Arrest ', Journal of the American Heart Association, vol. 10, no. 23, e021827 . https://doi.org/10.1161/JAHA.121.021827 Journal of the American Heart Association, 10(23):e021827. Wiley-Blackwell Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 23 (2021) Zylyftari, N, Møller, S G, Wissenberg, M, Folke, F, Barcella, C A, Møller, A L, Gnesin, F, Mills, E H A, Jensen, B, Lee, C J Y, Tan, H L, Køber, L, Lippert, F, Gislason, G H, Torp-Pedersen, C & for the ESCAPE-NET Investigators 2021, ' Contacts with the health care system before out-of-hospital cardiac arrest ', Journal of the American Heart Association, vol. 10, no. 23, e021827 . https://doi.org/10.1161/JAHA.121.021827 |
| ISSN: | 2047-9980 |
| DOI: | 10.1161/jaha.121.021827 |
| Popis: | Background It remains challenging to identify patients at risk of out‐of‐hospital cardiac arrest (OHCA). We aimed to examine health care contacts in patients before OHCA compared with the general population that did not experience an OHCA. Methods and Results Patients with OHCA with a presumed cardiac cause were identified from the Danish Cardiac Arrest Registry (2001–2014) and their health care contacts (general practitioner [GP]/hospital) were examined up to 1 year before OHCA. In a case‐control study (1:9), OHCA contacts were compared with an age‐ and sex‐matched background population. Separately, patients with OHCA were examined by the contact type (GP/hospital/both/no contact) within 2 weeks before OHCA. We included 28 955 patients with OHCA. The weekly percentages of patient contacts with GP the year before OHCA were constant (25%) until 1 week before OHCA when they markedly increased (42%). Weekly percentages of patient contacts with hospitals the year before OHCA gradually increased during the last 6 months (3.5%–6.6%), peaking at the second week (6.8%) before OHCA; mostly attributable to cardiovascular diseases (21%). In comparison, there were fewer weekly contacts among controls with 13% for GP and 2% for hospital contacts ( P Conclusions The health care contacts of patients with OHCA nearly doubled leading up to the OHCA event, with more than half of patients having health care contacts within 2 weeks before arrest. This could have implications for future preventive strategies. |
| Databáze: | OpenAIRE |
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