scholarly journals Contacts With the Health Care System Before Out‐of‐Hospital Cardiac Arrest

2021 ◽  
Author(s):  
Nertila Zylyftari ◽  
Sidsel G. Møller ◽  
Mads Wissenberg ◽  
Frederik Folke ◽  
Carlo A. Barcella ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Arrest ◽  
Odds Ratio ◽  
Case Control Study ◽  
Case Control ◽  
Preventive Strategies ◽  
Background Population ◽  
Patients At Risk ◽  
Hospital Cardiac Arrest ◽  
Control Study

Background It remains challenging to identify patients at risk of out‐of‐hospital cardiac arrest (OHCA). We aimed to examine health care contacts in patients before OHCA compared with the general population that did not experience an OHCA. Methods and Results Patients with OHCA with a presumed cardiac cause were identified from the Danish Cardiac Arrest Registry (2001–2014) and their health care contacts (general practitioner [GP]/hospital) were examined up to 1 year before OHCA. In a case‐control study (1:9), OHCA contacts were compared with an age‐ and sex‐matched background population. Separately, patients with OHCA were examined by the contact type (GP/hospital/both/no contact) within 2 weeks before OHCA. We included 28 955 patients with OHCA. The weekly percentages of patient contacts with GP the year before OHCA were constant (25%) until 1 week before OHCA when they markedly increased (42%). Weekly percentages of patient contacts with hospitals the year before OHCA gradually increased during the last 6 months (3.5%–6.6%), peaking at the second week (6.8%) before OHCA; mostly attributable to cardiovascular diseases (21%). In comparison, there were fewer weekly contacts among controls with 13% for GP and 2% for hospital contacts ( P <0.001). Within 2 weeks before OHCA, 57.8% of patients with OHCA had a health care contact, and these patients had more contacts with GP (odds ratio [OR], 3.17; 95% CI, 3.09–3.26) and hospital (OR, 2.32; 95% CI, 2.21–2.43) compared with controls. Conclusions The health care contacts of patients with OHCA nearly doubled leading up to the OHCA event, with more than half of patients having health care contacts within 2 weeks before arrest. This could have implications for future preventive strategies.

scholarly journals Non-steroidal anti-inflammatory drugs and the risk of out-of-hospital cardiac arrest: a case–control study

EP Europace ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 99-105
Author(s):  
Mohammad Bakhriansyah ◽  
Patrick C Souverein ◽  
Olaf H Klungel ◽  
Anthonius de Boer ◽  
Marieke T Blom ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Control Study ◽  
Case Control ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Hospital Cardiac Arrest ◽  
Control Study

P4439Increased risk of out-of-hospital cardiac arrest in patients with psoriasis - a nationwide case-control study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
G H Mohr ◽  
C A Barcella ◽  
K Kragholm ◽  
S Rajan ◽  
K B Sondergaard ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Vascular Disease ◽  
Case Control Study ◽  
Conditional Logistic Regression ◽  
Case Control ◽  
Ischemic Heart ◽  
Hospital Cardiac Arrest ◽  
Control Study

Abstract Background Chronic inflammatory disorders such as psoriasis have been associated with cardiovascular diseases and linked to proarrhythmogenic electrocardiographic changes, including QT-prolongation. However, evidence regarding the risk of out-of-hospital cardiac arrest with a history of psoriasis is lacking. Purpose To investigate the association between psoriasis and out-of-hospital cardiac arrest. Methods Through the nationwide Danish Cardiac Arrest Registry, we identified adult out-of-hospital cardiac arrest patients of presumed cardiac cause with and without psoriasis between June 2001 and December 2014. The odds of cardiac arrest were estimated using conditional logistic regression in a case-control design where we matched up to nine controls per case on age, sex and ischemic heart disease. The models were adjusted for comorbidities, concomitant pharmacotherapy and socioeconomic position. Results A total of 32,447 out-of-hospital cardiac arrest cases were included and matched with 291,999 controls from the general population. The median age was 72 years, 67% were male and 29% had ischemic heart disease. A total of 607 (1.9%) cases and 4662 (1.6%) controls had psoriasis. Compared with cardiac arrest cases without psoriasis, cases with psoriasis had same age (p=0.718) and gender distribution (p=0.794), higher prevalence of comorbidities such as congestive heart failure (25.7% vs 20.2%, p=0.001), chronic kidney disease (8.9% vs 6.2%, p=0.008) and chronic obstructive pulmonary disease (19.0% vs 14.7%, p=0.005) but had same prevalence of cerebral vascular disease (15.8% vs 14.5%, p=0.351) and peripheral vascular disease (13.3% vs 11.1%, p=0.078). In unadjusted and adjusted analyses, psoriasis was significantly associated with increased odds of cardiac arrest (odds ratio (OR) 1.18 [95% confidence interval (CI) 1.08–1.28] and OR 1.13 [95% CI 1.04–1.23], respectively) (Figure 1). Conclusion In this nationwide case-control study, psoriasis was significantly associated with increased odds of out-of-hospital cardiac arrest. Focus on risk factors and prevention of cardiovascular disease in patients with psoriasis is warranted. Acknowledgement/Funding None

Predictors of in‐hospital cardiac arrest within 24 h after emergency department triage: A case–control study in urban Thailand

2019 ◽  
Vol 31 (5) ◽  
pp. 843-850
Author(s):  
Winchana Srivilaithon ◽  
Kumpol Amnuaypattanapon ◽  
Chitlada Limjindaporn ◽  
Intanon Imsuwan ◽  
Kiattichai Daorattanachai ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Case Control Study ◽  
Case Control ◽  
Emergency Department Triage ◽  
Hospital Cardiac Arrest ◽  
Control Study

scholarly journals Age discrimination in out-of-hospital cardiac arrest care: a case-control study

2017 ◽  
Vol 17 (6) ◽  
pp. 505-512 ◽  
Author(s):  
Eric Wiel ◽  
Christophe Di Pompéo ◽  
Nicolas Segal ◽  
Gérald Luc ◽  
Jean-Baptiste Marc ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Older Patients ◽  
Case Control Study ◽  
Life Support ◽  
Young Patients ◽  
Case Control ◽  
Vital Status ◽  
Lower Survival Rate ◽  
Hospital Cardiac Arrest ◽  
Control Study

Background: Although some studies have questioned whether cardiopulmonary resuscitation (CPR) in older people could be futile, age is not considered an essential out-of-hospital cardiac arrest (OHCA) prognostic factor. However, in the daily clinical practice of mobile medical teams (MMTs), age seems to be an important factor affecting OHCA care. Aims: The purpose of this study was to compare OHCA care and outcomes between young patients (<65 years old) and older patients. Methods: We performed a case-control study based on data extracted from the French National Cardiac Arrest (CA) registry. All adult patients with CA recorded between July 2011 and May 2014 were included. Each older patient was matched on three criteria: sex, initial cardiac rhythm and no-flow duration. Results: We studied 4347 pairs. We found significantly less basic life support initiation, shorter advanced cardiac life support duration, less MMT automated chest compression, less MMT ventilation and less MMT epinephrine injection in the older patients. Significant differences were also observed for return of spontaneous circulation (odds ratio (OR)=0.84, 95% confidence interval (CI) 0.77–0.92, p<0.001), transport to hospital (OR=0.58, 95% CI 0.51–0.61, p<0.001), vital status at hospital admission (OR=0.55, 95% CI 0.50–0.60, p<0.001) and vital status 30 days after CA (OR=0.42, 95% CI 0.35–0.50, p<0.001). Conclusion: All OHCA guidelines, ethical statements and clinical procedures do not propose age as a discrimination criterion in OHCA care. However, in our case-control study, we notice a shorter duration and less intensive care among older patients. This finding may partly explain the lower survival rate compared with younger people.

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