Outcomes of out-of-hospital cardiac arrest in Beijing: a 5-year cross-sectional study
Autor: | Shengkui Ma, Dou Li, Fei Shao, Chunsheng Li, Haibin Li |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Utstein Style Emergency Medical Services medicine.medical_specialty Resuscitation Cross-sectional study 030204 cardiovascular system & hematology Rate ratio Logistic regression Out of hospital cardiac arrest 03 medical and health sciences 0302 clinical medicine Beijing accident & emergency medicine medicine Humans adult intensive & critical care business.industry 030208 emergency & critical care medicine General Medicine Cardiopulmonary Resuscitation Survival Rate Cross-Sectional Studies Logistic Models cardiology Emergency medicine Emergency Medicine Etiology Medicine business Out-of-Hospital Cardiac Arrest |
Zdroj: | BMJ Open, Vol 11, Iss 4 (2021) BMJ Open |
ISSN: | 2044-6055 |
Popis: | ObjectiveThe purpose of this study was to assess the trends in outcomes of out-of-hospital cardiac arrest (OHCA) in Beijing over 5 years.DesignCross-sectional study.MethodsAdult patients with OHCA of all aetiologies who were treated by the Beijing emergency medical service (EMS) between January 2013 and December 2017 were analysed. Data were collected using the Utstein Style. Cases were followed up for 1 year. Descriptive statistics were used to characterise the sample and logistic regression was performed.ResultsOverall, 5016 patients with OHCA underwent attempted resuscitation by the EMS in urban areas of Beijing during the study period. Survival to hospital discharge was 1.2% in 2013 and 1.6% in 2017 (adjusted rate ratio=1.0, p for trend=0.60). Survival to admission and neurological outcome at discharge did not significantly improve from 2013 to 2017. Patient characteristics and the aetiology and location of cardiac arrest were consistent, but there was a decrease in the initial shockable rhythm (from 6.5% to 5.6%) over the 5 years. The rate of bystander cardiopulmonary resuscitation (CPR) increased steadily over the years (from 10.4% to 19.4%).ConclusionSurvival after OHCA in urban areas of Beijing did not improve significantly over 5 years, with long-term survival being unchanged, although the rate of bystander CPR increased steadily, which enhanced the outcomes of patients who underwent bystander CPR. |
Databáze: | OpenAIRE |
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