Contacts With the Health Care System Before Out‐of‐Hospital Cardiac Arrest

Autor: Nertila Zylyftari, Sidsel G. Møller, Mads Wissenberg, Frederik Folke, Carlo A. Barcella, Amalie Lykkemark Møller, Filip Gnesin, Elisabeth Helen Anna Mills, Britta Jensen, Christina Ji‐Young Lee, Hanno L. Tan, Lars Køber, Freddy Lippert, Gunnar H. Gislason, Christian Torp‐Pedersen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 23 (2021)
Druh dokumentu: article
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
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