scholarly journals Temporal trends in out-of-hospital cardiac arrest survival outcomes between two metropolitan communities: Seoul-Osaka resuscitation study

BMJ Open ◽  
2015 ◽  
Vol 5 (6) ◽  
pp. e007626-e007626 ◽  
Author(s):  
Y. S. Ro ◽  
S. D. Shin ◽  
T. Kitamura ◽  
E. J. Lee ◽  
K. Kajino ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Temporal Trends ◽  
Survival Outcomes ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

scholarly journals Chest compression rates and pediatric in-hospital cardiac arrest survival outcomes

Resuscitation ◽  
2018 ◽  
Vol 130 ◽  
pp. 159-166 ◽  
Author(s):  
Robert M. Sutton ◽  
Ron W. Reeder ◽  
William Landis ◽  
Kathleen L. Meert ◽  
Andrew R. Yates ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Chest Compression ◽  
Survival Outcomes ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

scholarly journals Ventilation Rates and Pediatric In-Hospital Cardiac Arrest Survival Outcomes*

2019 ◽  
Vol 47 (11) ◽  
pp. 1627-1636 ◽  
Author(s):  
Robert M. Sutton ◽  
Ron W. Reeder ◽  
William P. Landis ◽  
Kathleen L. Meert ◽  
Andrew R. Yates ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Outcomes ◽  
Ventilation Rates ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

Survival Outcomes With the Introduction of Intravenous Epinephrine in the Management of Out-of-Hospital Cardiac Arrest

2007 ◽  
Vol 50 (6) ◽  
pp. 635-642 ◽  
Author(s):  
Marcus Eng Hock Ong ◽  
Eng Hoe Tan ◽  
Faith Suan Peng Ng ◽  
Anushia Panchalingham ◽  
Swee Han Lim ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Outcomes ◽  
Hospital Cardiac Arrest

Survival Outcomes and Resuscitation Process Measures in Maternal In-Hospital Cardiac Arrest

2021 ◽  
Author(s):  
Merrill Thomas ◽  
Vittal Hejjaji ◽  
Yuanyuan Tang ◽  
Kevin Kennedy ◽  
Anna Grodzinsky ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Outcomes ◽  
Process Measures ◽  
Hospital Cardiac Arrest

Epinephrine dosing interval and survival outcomes during pediatric in-hospital cardiac arrest

Resuscitation ◽  
2017 ◽  
Vol 117 ◽  
pp. 18-23 ◽  
Author(s):  
Derek B. Hoyme ◽  
Sonali S. Patel ◽  
Ricardo A. Samson ◽  
Tia T. Raymond ◽  
Vinay M. Nadkarni ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Survival Outcomes ◽  
Dosing Interval ◽  
Hospital Cardiac Arrest

scholarly journals External validation of multimodal termination of resuscitation rules for out-of-hospital cardiac arrest patients in the COVID-19 era

2020 ◽  
Author(s):  
Haewon Jung ◽  
Mijin Lee ◽  
Jae Wan Cho ◽  
Sang Hun Lee ◽  
Suk Hee Lee ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Disease Transmission ◽  
Life Support ◽  
External Validation ◽  
Advanced Life Support ◽  
Survival Outcomes ◽  
Shock Delivery ◽  
Treatment Protocols ◽  
Multicenter Observational Study ◽  
Hospital Cardiac Arrest

Abstract Background: Futile resuscitation for out-of-hospital cardiac arrest (OHCA) patients in the coronavirus disease (COVID)-19 era can lead to risk of disease transmission and unnecessary transport. Various existing basic or advanced life support (BLS or ALS, respectively) rules for the termination of resuscitation (TOR) have been derived and validated in North America and Asian countries. This study aimed to evaluate the external validation of these rules in predicting the survival outcomes of OHCA patients in the COVID-19 era.Methods: This was a multicenter observational study using the WinCOVID-19 Daegu registry data collected during February 18–March 31, 2020. The subjects were patients who showed cardiac arrest of presumed cardiac etiology. The outcomes of each rule were compared to the actual patient survival outcomes. The sensitivity, specificity, false positive value (FPV), and positive predictive value (PPV) of each TOR rule were evaluated. Results: In total, 170 of the 184 OHCA patients were eligible and evaluated. TOR was recommended for 122 patients based on the international basic life support termination of resuscitation (BLS-TOR) rule, which showed 85% specificity, 74% sensitivity, 0.8% FPV, and 99% PPV for predicting unfavorable survival outcomes. When the traditional BLS-TOR rules and KoCARC TOR rule II were applied to our registry, one patient met the TOR criteria but survived at hospital discharge. With regard to the FPV (upper limit of 95% confidence interval <5%), specificity (100%), and PPV (>99%) criteria, only the KoCARC TOR rule I, which included a combination of three factors including not being witnessed by emergency medical technicians, presenting with an asystole at the scene, and not experiencing prehospital shock delivery or return of spontaneous circulation, was found to be superior to all other TOR rules. Conclusion: Among the previous nine BLS and ALS TOR rules, KoCARC TOR rule I was most suitable for predicting poor survival outcomes and showed improved diagnostic performance. Further research on variations in resources and treatment protocols among facilities, regions, and cultures will be useful in determining the feasibility of TOR rules for COVID-19 patients worldwide.

PaRamEDIc assessment of laCTate in OHCA and survival to hospital (PREDICT protocol)

2021 ◽  
Vol 13 (3) ◽  
pp. 100-104
Author(s):  
Karl Charlton ◽  
Hayley Moore
Keyword(s):  
Cardiac Arrest ◽  
Primary Outcome ◽  
Spontaneous Circulation ◽  
Prognostic Role ◽  
Single Centre ◽  
Intravenous Access ◽  
Secondary Outcomes ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

Background: Studies suggest that blood lactate differs between survivors and non-survivors of out-of-hospital cardiac arrest who are transported to hospital. The prognostic role of lactate taken during out-of-hospital cardiac arrest remains unexplored. Aims: To measure the association between lactate taken during out-of-hospital cardiac arrest, survival to hospital and 30-day mortality. Methods: This is a feasibility, single-centre, prospective cohort study. Eligible for inclusion are patients aged ≥18 years suffering out-of-hospital cardiac arrest, receiving cardiopulmonary resuscitation, in the catchment of Newcastle or Gateshead hospitals, who are attended to by a study-trained specialist paramedic. Exclusions are known/apparent pregnancy, blunt or penetrating injury as primary cause of out-of-hospital cardiac arrest and an absence of intravenous access. Between February 2020 and March 2021, 100 participants will be enrolled. Primary outcome is survival to hospital; secondary outcomes are return of spontaneous circulation at any time and 30-day mortality.

Abstract 249: The Effect of Response Time on Out-Of-Hospital Cardiac Arrest Survival Varies by Patient Subpopulation

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Clara Stoesser ◽  
Justin Boutilier ◽  
Christopher L Sun ◽  
Katie N Dainty ◽  
Steve Lin ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Regression Analysis ◽  
Response Time ◽  
Time Interval ◽  
Probability Of Survival ◽  
Subgroup Analyses ◽  
Impact On Survival ◽  
The Impact ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

Itroduction: Previous research has quantified the impact of EMS response time on the probability of survival from OHCA, but the impact on different subpopulations is currently unknown. Aim: To investigate how response time affects OHCA survival for different patient subpopulations. Methods: We conducted a logistic regression analysis on non-EMS witnessed OHCAs of presumed cardiac etiology from the Toronto Regional RescuNet between January 1, 2007 and December 31, 2016. We predicted survival using age, sex, public location, presenting rhythm, bystander witnessed, bystander resuscitation, and response time, defined as the time interval from 911 call to EMS arrival at the patient. We conducted subgroup analyses to quantify the effect of response time on survival for eight different subpopulations: public, private, bystander resuscitation, no bystander resuscitation, patients ≥65, patients <65, witnessed, and unwitnessed OHCA. We also quantified the effect of response time on survival for pairwise intersections of the subpopulations. We compared our results to Valenzuela et al. (1997), which suggests survival odds decrease by 10% for each minute delay in response time. Results: We identified 22,988 OHCAs. Overall, a one-minute delay in EMS response time was associated with a 13.2% reduction in the odds of survival. The reduction varied by subpopulation, ranging from a 7.2% reduction in survival odds for unwitnessed arrests to a 16.4% reduction in survival odds for arrests with bystander resuscitation. Response time had the largest impact on survival for the subpopulation of OHCAs that were both witnessed and received bystander resuscitation (17.4% reduction in survival odds). Conclusion: The effect of a one-minute delay in EMS response on the odds of survival from OHCA can be as low as a 7.2% reduction and as high as a 17.4% reduction. This variability contrasts with the currently accepted 10% rule that is assumed across the entire population.

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