Comparison of out-of-hospital cardiac arrest occurring before and after paramedic arrival: Epidemiology, survival to hospital discharge and 12-month functional recovery

Z. Nehme, E. Andrew, S.A. Bernard, Karen Smith

    Research output: Contribution to journalArticle

    24 Citations (Scopus)

    Abstract

    © 2015 . Background: Despite immediate resuscitation, survival rates following out-of-hospital cardiac arrests (OHCA) witnessed by emergency medical service (EMS) are reportedly low. We sought to compare survival and 12-month functional recovery outcomes for OHCA occurring before and after EMS arrival. Methods: Between 1st July 2008 and 30th June 2013, we included 8648 adult OHCA cases receiving an EMS attempted resuscitation from the Victorian Ambulance Cardiac Arrest Registry, and categorised them into five groups: bystander witnessed cases. ±. bystander CPR, unwitnessed cases. ±. bystander CPR, and EMS witnessed cases. The main outcomes were survival to hospital and survival to hospital discharge. Twelve-month survival with good functional recovery was measured in a sub-group of patients using the Extended Glasgow Outcome Scale (GOSE). Results: Baseline and arrest characteristics differed significantly across groups. Unadjusted survival outcomes were highest among bystander witnessed cases receiving bystander CPR and EMS witnessed cases, however outcomes differed significantly between these groups: survival to hospital (46.0% vs. 53.4% respectively, p
    Original languageEnglish
    Pages (from-to)50-57
    JournalResuscitation
    Volume89
    Issue numberC
    DOIs
    Publication statusPublished - 2015

    Fingerprint Dive into the research topics of 'Comparison of out-of-hospital cardiac arrest occurring before and after paramedic arrival: Epidemiology, survival to hospital discharge and 12-month functional recovery'. Together they form a unique fingerprint.

    Cite this