Document Detail


Predicting non-cardiac aetiology: a strategy to allocate rescue breathing during bystander CPR.
MedLine Citation:
PMID:  21983124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Optimal care for out-of hospital cardiac arrest (OHCA) patients may depend on the underlying aetiology of OHCA. Specifically chest compression only bystander CPR may provide greater benefit among those with cardiac aetiology and chest compressions plus rescue breathing may provide greater benefit among those with non-cardiac aetiology. The aim of this study was to generate a simple predictor model to identify OHCA patients with non-cardiac aetiology in order to accurately allocate rescue breathing.
METHODS: We used two independent cohorts of OHCA patients from a randomized pre-hospital trial and a prospective hospital registry (total n=3086) to assess whether the characteristics of age, gender and arrest location (private versus public) could sufficiently discriminate non-cardiac aetiology. We used logistic regression models to generate a receiver operator curve and likelihood ratios.
RESULTS: Overall, 965/3086 (31%) had a final diagnosis of a non-cardiac cause. Using 8 exclusive groups according to age, gender, and location, the frequency of non-cardiac aetiology varied from a low of 16% (55/351) among men >age 50 in a public location up to 58% (199/346) among women <60 in a private location. Although each characteristic was predictive in the logistic regression model, the area under the curve in the receiver operating curve was only 0.66. The associated positive likelihood ratios ranged from 1 to 3 and the negative likelihood ratios ranged from 1 to 0.4.
CONCLUSION: The results highlight the challenge of accurately identifying non-cardiac aetiology by characteristics that could be consistently used to allocate bystander rescue breathing.
Authors:
F Dumas; C Farhenbruch; C Hambly; R T Donohoe; P Carli; A Cariou; T D Rea
Related Documents :
21317634 - Pharmacological postconditioning protects isolated rat hearts against ischemia-reperfus...
21484234 - A minimally-invasive closed chest myocardial occlusion-reperfusion model in rhesus monk...
606864 - Echocardiogram in pulsus paradoxus. respiration dependent cyclic changes in mitral and ...
15891764 - Accessory mitral valve in an adult population: the role of echocardiography in diagnosi...
3339374 - Wind-chill and the seasonal variation of cerebrovascular disease.
16084164 - Prognostic value of electrocardiographic criteria for left ventricular hypertrophy.
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial     Date:  2011-10-06
Journal Detail:
Title:  Resuscitation     Volume:  83     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  2012-05-15     Revised Date:  2012-06-01    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  134-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Emergency Medical Services Division of Public Health for Seattle and King County, Seattle, WA 98104, USA. florence.dumas@htd.aphp.fr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation / methods*
Emergency Medical Services / methods*
England / epidemiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Out-of-Hospital Cardiac Arrest / mortality,  therapy*
Prospective Studies
Registries
Respiration*
Survival Rate / trends
Treatment Outcome
Washington / epidemiology
Young Adult
Comments/Corrections
Comment In:
Resuscitation. 2012 May;83(5):e121; author reply e123   [PMID:  22327037 ]
Resuscitation. 2012 Jan;83(1):9-10   [PMID:  22062681 ]

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


Previous Document:  Therapeutic hypothermia and prevention of acute kidney injury: a meta-analysis of randomized control...
Next Document:  Interferon gamma receptor expression on granulocytes of cardiac surgical patients is modulated diffe...