| Cardiac arrest in Irish general practice: an observational study from 426 general practices. | |
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MedLine Citation:
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PMID: 19720440 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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SETTING: Sudden Cardiac Death accounts for approximately 5000 deaths in Ireland each year. Nationally, out-of-hospital cardiac arrest has a very low resuscitation rate, reported at less than 5%. Ireland has a well developed general practice network which routinely manages emergencies arising in the community setting. However, little is known about its potential impact on Sudden Cardiac Death. This study reports on the incidence and management of cardiac arrest in Irish general practice. METHOD: A national training/equipment project in defibrillation in general practice (MERIT) has established a network to prospectively report all cardiac arrests with a resuscitation attempt in general practice. Three monthly surveys of the network record events; structured debriefing uses a modified Utstein template to detail events and their outcomes. RESULTS: 426 practices reported data during a 36-month period (85-97% response rate to surveys), reporting 144 events, of which data are available on 136 events. 88.4% of events were witnessed, 31.6% by general practice staff. 58.2% of events occurred in the general practice or in the patient's home. The general practitioner (GP) was on scene before the ambulance in 72.6% of cases and 52.3% of the patients involved were patients of the GP attending. 52.3% of patients were defibrillated, 32.6% had return of spontaneous circulation at some point and 26 patients (19.5%) were discharged from hospital. CONCLUSIONS: Cardiac arrest in general practice is compatible with structured, effective interventions and significant rates of successful resuscitation. All general practices should be capable of providing this care. |
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Authors:
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Gerard Bury; Mary Headon; Mark Dixon; Mairead Egan |
Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2009-08-31 |
Journal Detail:
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Title: Resuscitation Volume: 80 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-26 Completed Date: 2010-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 1244-7 Citation Subset: IM |
Affiliation:
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Centre for Immediate Care Services, University College Dublin, Belfield, Dublin, Ireland. gerard.bury@ucd.ie |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cardiopulmonary Resuscitation / methods* Child Child, Preschool Death, Sudden, Cardiac / epidemiology* Family Practice / statistics & numerical data* Female Heart Arrest / epidemiology*, therapy Humans Incidence Infant Ireland / epidemiology Male Middle Aged Retrospective Studies Survival Rate / trends Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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