Epidemiology and outcomes from out-of-hospital cardiac arrests in England

This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st Dece...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Resuscitation Ročník 110; s. 133 - 140
Hlavní autori: Hawkes, Claire, Booth, Scott, Ji, Chen, Brace-McDonnell, Samantha J., Whittington, Andrew, Mapstone, James, Cooke, Matthew W., Deakin, Charles D., Gale, Chris P., Fothergill, Rachael, Nolan, Jerry P., Rees, Nigel, Soar, Jasmeet, Siriwardena, A. Niroshan, Brown, Terry P., Perkins, Gavin D.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier Ireland Ltd 01.01.2017
Predmet:
Adult
Aged
Cardiac arrest
Cardiopulmonary Resuscitation - methods
Cardiopulmonary Resuscitation - statistics & numerical data
Demography
Emergency
Emergency medical services
Emergency Medical Services - methods
Emergency Medical Services - statistics & numerical data
England - epidemiology
Female
Heart Diseases - complications
Heart Diseases - epidemiology
Humans
Incidence
Male
Middle Aged
Needs Assessment
Out-of-hospital cardiac arrest
Out-of-Hospital Cardiac Arrest - etiology
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Outcome and Process Assessment (Health Care)
Patient Discharge - statistics & numerical data
Pre-hospital care
Prospective Studies
Registries - statistics & numerical data
Resuscitation
Survival Rate
Out-of-hospital cardiac arrest
Pre-hospital care
Emergency medical services
Resuscitation
Cardiac arrest
ISSN:0300-9572, 1873-1570, 1873-1570
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD=19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n=6302) and survival to hospital discharge was 7.9%. Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ISSN:0300-9572
1873-1570
1873-1570
DOI:10.1016/j.resuscitation.2016.10.030