| Characteristics and outcome amongst young adults suffering from out-of-hospital cardiac arrest in whom cardiopulmonary resuscitation is attempted. | |
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MedLine Citation:
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PMID: 17040249 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Amongst patients suffering from out-of-hospital cardiac arrest, young adults represent a minority. However, these victims suffer from the catastrophe when they are in a very active phase of life and have a long life expectancy. This survey aims to describe young adults in Sweden who suffer from out-of-hospital cardiac arrest and in whom cardiopulmonary resuscitation (CPR) is attempted in terms of characteristics and outcome. DESIGN: Prospective and descriptive design. SUBJECTS AND METHODS: Young adults (18-35 years) who suffered from out-of-hospital cardiac arrest in whom CPR was attempted and who were included in the Swedish Cardiac Arrest Registry between 1990 and 2004. MAIN OUTCOME MEASURES: Survival to 1 month. RESULTS: In all, 1105 young adults (3.1% of all the patients in the registry) were included, of which 29% were females, 51% were nonwitnessed and 15% had a cardiac aetiology. Only 17% were found in ventricular fibrillation, 53% received bystander CPR. The overall survival to 1 month was 6.3%. High survival was found amongst patients found in ventricular fibrillation (20.8%) and those with a cardiac aetiology (14.8%). Ventricular fibrillation at the arrival of the rescue team remained an independent predictor of an increased chance of survival (odds ratio: 7.43; 95% confidence interval: 3.44-16.65). CONCLUSION: Amongst young adults suffering from out-of-hospital cardiac arrest and in whom CPR was attempted, a minority survived to 1 month. Subgroups with a higher survival could be defined (patients found in ventricular fibrillation and patients in whom there was a cardiac aetiology). However, only one independent predictor of an increased chance of survival could be demonstrated, i.e. ventricular fibrillation at the arrival of the rescue team. |
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Authors:
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J Herlitz; L Svensson; J Silfverstolpe; K-A Angquist; A Wisten; J Engdahl; S Holmberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of internal medicine Volume: 260 ISSN: 0954-6820 ISO Abbreviation: J. Intern. Med. Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-10-16 Completed Date: 2007-03-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904841 Medline TA: J Intern Med Country: England |
Other Details:
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Languages: eng Pagination: 435-41 Citation Subset: IM |
Affiliation:
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Institution of Internal Medicine, Department of Metabolism and Cardiovascular Research, Sahlgrenska University Hospital, Göteborg, Sweden. johan.herlitz@hjl.gu.se |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cardiopulmonary Resuscitation / mortality* Emergency Medical Services Female Heart Arrest / mortality*, therapy Humans Male Prognosis Prospective Studies Risk Factors Survival Analysis Sweden / epidemiology Time Factors Ventricular Fibrillation / epidemiology* |
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