Outcomes of sudden cardiac arrest in a state-wide integrated resuscitation program: Results from the Minnesota Resuscitation Consortium

Autor: Vidhu Anand, Charles Lick, Ralph J. Frascone, Lucinda Hodgson, Brian D. Mahoney, Marc Conterato, Demetris Yannopoulos, Selcuk Adabag, Santiago Garcia, Keith Wesley
Rok vydání: 2017
Předmět:
Male
Emergency Medical Services
Resuscitation
medicine.medical_specialty
Time Factors
Minnesota
Population
Electric Countershock
030204 cardiovascular system & hematology
Emergency Nursing
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Bystander cardiopulmonary resuscitation
Registries
Intensive care medicine
education
Survival rate
Aged
education.field_of_study
business.industry
030208 emergency & critical care medicine
Sudden cardiac arrest
Middle Aged
Hypothermia
Impedance threshold device
Quality Improvement
Cardiopulmonary Resuscitation
Patient Discharge
Survival Rate
Outcome and Process Assessment
Health Care
Ventricular Fibrillation
Emergency Medicine
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Out-of-Hospital Cardiac Arrest
Program Evaluation
Zdroj: Resuscitation. 110:95-100
ISSN: 0300-9572
DOI: 10.1016/j.resuscitation.2016.10.029
Popis: Despite many advances in resuscitation science the outcomes of sudden cardiac arrest (SCA) remain poor. The Minnesota Resuscitation Consortium (MRC) is a statewide integrated resuscitation program, established in 2011, to provide standardized, evidence-based resuscitation and post-resuscitation care. The objective of this study is to assess the outcomes of a state-wide integrated resuscitation program.We examined the trends in resuscitation metrics and outcomes in Minnesota since 2011 and compared these to the results from the national Cardiac Arrest Registry to Enhance Survival (CARES) program. Since 2011 MRC has expanded significantly providing service to75% of Minnesota's population.A total of 5192 SCA occurred in counties covered by MRC from 2011 to 2014. In this period, bystander cardiopulmonary resuscitation (CPR) and use of hypothermia, automatic CPR device and impedance threshold device increased significantly (p0.0001 for all). Compared to CARES, SCA cases in Minnesota were more likely to be ventricular fibrillation (31% vs. 23%, p0.0001) but less likely to receive bystander CPR (33% vs. 39%, p0.0001). Survival to hospital discharge with good or moderate cerebral performance (12% vs. 8%, p0.0001), survival in SCA with a shockable rhythm (Utstein survival) (38% vs. 33%, p=0.0003) and Utstein survival with bystander CPR (44% vs. 37%, p=0.003) were greater in Minnesota than CARES.State-wide integration of resuscitation services in Minnesota was feasible. Survival rate after cardiac arrest is greater in Minnesota compared to the mean survival rate in CARES.
Databáze: OpenAIRE
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