Dispatcher Identification of Out-of-Hospital Cardiac Arrest and Neurologically Intact Survival: A Retrospective Cohort Study
| Autor: | David A. Miramontes, David A. Wampler, Chetan U. Kharod, Stephen A. Harper, Anthony M Darrington, Julian G. Mapp |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Emergency Nursing Return of spontaneous circulation Out of hospital cardiac arrest Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Emergency medical services Humans Chain of survival Prospective Studies Cardiopulmonary resuscitation Automated external defibrillator Aged Retrospective Studies business.industry 030208 emergency & critical care medicine Retrospective cohort study Middle Aged Quality Improvement Survival Analysis Texas Emergency Medical Dispatcher Advanced life support Benchmarking Emergency medicine Emergency Medicine Female business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Prehospital and Disaster Medicine. 35:17-23 |
| ISSN: | 1945-1938 1049-023X |
| DOI: | 10.1017/s1049023x19005077 |
| Popis: | Introduction:To date, there are no published data on the association of patient-centered outcomes and accurate public-safety answering point (PSAP) dispatch in an American population. The goal of this study is to determine if PSAP dispatcher recognition of out-of-hospital cardiac arrest (OHCA) is associated with neurologically intact survival to hospital discharge.Methods:This retrospective cohort study is an analysis of prospectively collected Quality Assurance/Quality Improvement (QA/QI) data from the San Antonio Fire Department (SAFD; San Antonio, Texas USA) OHCA registry from January 2013 through December 2015. Exclusion criteria were: Emergency Medical Services (EMS)-witnessed arrest, traumatic arrest, age Results:Of 3,469 consecutive OHCA cases, 2,569 cases were included in this analysis. The PSAP dispatched 1,964/2,569 (76.4%) of confirmed OHCA cases correctly. The PSAP dispatched 605/2,569 (23.6%) of confirmed OHCA cases as another chief complaint. Neurologically intact survival to hospital discharge occurred in 99/1,964 (5.0%) of the recognized cardiac arrest group and 28/605 (4.6%) of the unrecognized cardiac arrest group (OR = 1.09; 95% CI, 0.71–1.70). Bystander CPR occurred in 975/1,964 (49.6%) of the recognized cardiac arrest group versus 138/605 (22.8%) of the unrecognized cardiac arrest group (OR = 3.34; 95% CI, 2.70–4.11).Conclusion:This study found no association between PSAP dispatcher identification of OHCA and neurologically intact survival to hospital discharge. Dispatcher identification of OHCA remains an important, but not singularly decisive link in the OHCA chain of survival. |
| Databáze: | OpenAIRE |
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