Improved survival after an out‐of‐hospital cardiac arrest using new guidelines
Acta Anaesthesiologica ScandinavicaPublished 9 July 2008
Jacob Steinmetz, Steen Barnung, Søren Nielsen, Martin Risom, Lars S. Rasmussen
Citations119
SJR quartileQ2
SJR score0.75
SNIP0.89
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TL;DR
It is hypothesized that the implementations of 2005 European Resuscitation Council resuscitation guidelines were associated with improved 30‐day survival after OHCA.
Abstract
BACKGROUND: An out-of-hospital cardiac arrest (OHCA) is associated with a poor prognosis. We hypothesized that the implementations of 2005 European Resuscitation Council resuscitation guidelines were associated with improved 30-day survival after OHCA. METHODS: We prospectively recorded data on all patients with OHCA treated by the Mobile Emergency Care Unit of Copenhagen in two periods: 1 June 2004 until 31 August 2005 (before implementation) and 1 January 2006 until 31 March 2007 (after implementation), separated by a 4-month period in which the above-mentioned change took place. RESULTS: We found that 30-day survival increased after the implementation from 31/372 (8.3%) to 67/419 (16%), P=0.001. ROSC at hospital admission, as well as survival to hospital discharge, were obtained in a significantly higher proportion from 23.4% to 39.1%, P<0.0001, and from 7.9% to 16.3%, P=0.0004, respectively. Treatment after implementation was confirmed as a significant predictor of better 30-day survival in a logistic regression analysis. CONCLUSION: The implementation of new resuscitation guidelines was associated with improved 30-day survival after OHCA.
Keywords
Medicine
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