Document Detail


Cardiac arrest in public locations--an independent predictor for better outcome?
MedLine Citation:
PMID:  16901615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Outcome after cardiac arrest is known to be influenced by immediate access to resuscitation. We aimed to analyse the location of arrest in relation to the prognostic value for outcome.
DESIGN: Retrospective review from prospective databases (ambulance routine documentation database and emergency department database on patients treated for cardiac arrest).
SETTING: Vienna (1.7 million inhabitants) ambulance service and tertiary care facility (university clinics).
PATIENTS: Two independent cohorts: (1) a population-based cohort of patients who were treated for cardiac arrest by the municipal ambulance service outside the hospital. The endpoint in this group was survival to hospital admission with spontaneous circulation. (2) A cohort of patients who were admitted to the emergency department after successful out of hospital resuscitation. The endpoint in this group was survival to 6 months with good neurological status (best Cerebral Performance Category 1 or 2 within 6 months).
MEASUREMENTS: We analysed whether the location of non-traumatic adult out-of-hospital cardiac arrest (public versus private place) was a predictor for good outcome.
RESULTS: PATIENTS who had cardiac arrest in a public location were more likely to arrive in hospital alive (39% versus 31%, crude OR 1.4, 95% CI 1.001-1.975, p=0.049) and were more likely to have a good neurological outcome after 6 months (35% versus 25%, crude OR 1.65, adjusted OR 1.59, 95% CI 1.07-2.36, p=0.023), compared to patients who had cardiac arrest in a non-public location.
CONCLUSION: Cardiac arrest in a public location is independently associated with a better outcome.
Authors:
Philip Eisenburger; Fritz Sterz; Moritz Haugk; Wolfdieter Scheinecker; Michael Holzer; Maria Koreny; Alfred Kaff; Anton Laggner; Harald Herkner
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Publication Detail:
Type:  Journal Article     Date:  2006-08-09
Journal Detail:
Title:  Resuscitation     Volume:  70     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2007-02-06     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  395-403     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiopulmonary Resuscitation / methods*
Cohort Studies
Emergency Medical Services
Female
Heart Arrest / therapy*
Humans
Male
Middle Aged
Odds Ratio
Prognosis
Treatment Outcome*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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