Different defibrillation strategies in survivors after out-of-hospital cardiac arrest
| Autor: | Leif Svensson, Mads Wissenberg, Marieke T Blom, Johan Herlitz, Freddy Lippert, Rudolph W. Koster, Jacob Hollenberg, Mattias Ringh, Stefanie G. Beesems, Hanno L. Tan, Carolina Malta Hansen, Michiel Hulleman, Thea Palsgaard Møller, Andreas Claesson, Mårten Rosenqvist, Fredrik Folke, Søren Viereck, Jo Kramer-Johansen, Jolande A Zijlstra, Theresa M. Olasveengen |
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| Přispěvatelé: | Cardiology, Graduate School, Amsterdam Cardiovascular Sciences, ACS - Heart failure & arrhythmias, APH - Methodology, APH - Health Behaviors & Chronic Diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Emergency Medical Services medicine.medical_specialty Defibrillation Denmark medicine.medical_treatment Electric Countershock 030204 cardiovascular system & hematology Out of hospital cardiac arrest Time-to-Treatment 03 medical and health sciences First responder 0302 clinical medicine Emergency medical services medicine Humans Survivors Cardiopulmonary resuscitation Survival rate Netherlands Retrospective Studies Sweden business.industry 030208 emergency & critical care medicine Retrospective cohort study Middle Aged medicine.disease Cardiopulmonary Resuscitation Survival Rate Emergency medicine Ventricular fibrillation Female Cardiology and Cardiovascular Medicine business Out-of-Hospital Cardiac Arrest Defibrillators |
| Zdroj: | Heart, 104(23), 1929-1936. BMJ Publishing Group Zijlstra, J A, Koster, R W, Blom, M T, Lippert, F K, Svensson, L, Herlitz, J, Kramer-Johansen, J, Ringh, M, Rosenqvist, M, Møller, T P, Tan, H L, Beesems, S G, Hulleman, M, Claesson, A, Folke, F, Olasveengen, T M, Wissenberg, M, Hansen, C M, Viereck, S & Hollenberg, J 2018, ' Different defibrillation strategies in survivors after out-of-hospital cardiac arrest ', Heart, vol. 104, no. 23, pp. 1929-1936 . https://doi.org/10.1136/heartjnl-2017-312622 Heart (British Cardiac Society), 104(23), 1929-1936. BMJ Publishing Group |
| ISSN: | 1355-6037 |
| DOI: | 10.1136/heartjnl-2017-312622 |
| Popis: | BackgroundIn the last decade, there has been a rapid increase in the dissemination of automated external defibrillators (AEDs) for prehospital defibrillation of out-of-hospital cardiac arrest patients. The aim of this study was to study the association between different defibrillation strategies on survival rates over time in Copenhagen, Stockholm, Western Sweden and Amsterdam, and the hypothesis was that non-EMS defibrillation increased over time and was associated with increased survival.MethodsWe performed a retrospective analysis of four prospectively collected cohorts of out-of-hospital cardiac arrest patients between 2008 and 2013. Emergency medical service (EMS)-witnessed arrests were excluded.ResultsA total of 22 453 out-of-hospital cardiac arrest patients with known survival status were identified, of whom 2957 (13%) survived at least 30 days postresuscitation. Of all survivors with a known defibrillation status, 2289 (81%) were defibrillated, 1349 (59%) were defibrillated by EMS, 454 (20%) were defibrillated by a first responder AED and 429 (19%) were defibrillated by an onsite AED and 57 (2%) were unknown. The percentage of survivors defibrillated by first responder AEDs (from 13% in 2008 to 26% in 2013, pConclusionSurvivors of out-of-hospital cardiac arrest are increasingly defibrillated by non-EMS AEDs. This increase is primarily due to a large increase in the use of onsite AEDs as well as an increase in first-responder defibrillation over time. Non-EMS defibrillation accounted for at least part of the increase in survival rate of patients with a shockable initial rhythm. |
| Databáze: | OpenAIRE |
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