Show simple item record

dc.contributor.authorBarnard, Ed BGen
dc.contributor.authorSandbach, Daniel Den
dc.contributor.authorNicholls, Tracy Len
dc.contributor.authorWilson, Alastair Wen
dc.contributor.authorErcole, Arien
dc.date.accessioned2019-04-08T23:30:17Z
dc.date.available2019-04-08T23:30:17Z
dc.date.issued2019-06en
dc.identifier.issn1472-0205
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/291323
dc.description.abstractBackground Out-of-hospital cardiac arrest (OHCA) is prevalent in the UK. Reported survival is lower than in countries with comparable healthcare systems; a better understanding of outcome determinants may identify areas for improvement. Methods An analysis of 9,109 OHCA attended in East of England between 1st January 2015 and 31st July 2017. Univariate descriptives and multivariable analysis were used to understand determinants of survival for non-traumatic cardiac arrest (NTCA) and traumatic cardiac arrest (TCA). Two Utstein outcome variables were used: survival to hospital admission, and hospital discharge. Results The incidence of OHCA was 55.1 per 100,000 population/year. The overall survival to hospital admission was 27.6% (95%CI 26.7-28.6) and the overall survival to discharge was 7.9% (95%CI 7.3-8.5). Survival to hospital admission and survival to hospital discharge were both greater in the NTCA group compared with the TCA group: 27.9% versus 19.3% p=0.001, and 8.0% versus 3.8% p=0.012 respectively. Determinants of NTCA and TCA survival were different, and varied according to the outcome examined. In NTCA, bystander-CPR was associated with survival at discharge but not at admission, and the likelihood of bystander CPR was dependent on geographical socioeconomic status. An air ambulance was associated with increased survival to both hospital admission and discharge in NTCA, but only with survival to admission in TCA. Conclusion NTCA and TCA are clinically distinct entities with different predictors for outcome – future OHCA reports should aim to separate arrest aetiologies. Determinants of survival to hospital admission and discharge differ in a way that likely reflects the determinants of neurological injury. Bystander-CPR public engagement may be best focused in more deprived areas.
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.publisherBMJ Publishing Group
dc.rightsAll rights reserved
dc.rights.uri
dc.subjectHumansen
dc.subjectResuscitationen
dc.subjectRegistriesen
dc.subjectLogistic Modelsen
dc.subjectSurvival Analysisen
dc.subjectRetrospective Studiesen
dc.subjectCohort Studiesen
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectMiddle Ageden
dc.subjectEmergency Service, Hospitalen
dc.subjectEmergency Medical Servicesen
dc.subjectFemaleen
dc.subjectMaleen
dc.subjectOut-of-Hospital Cardiac Arresten
dc.titlePrehospital determinants of successful resuscitation after traumatic and non-traumatic out-of-hospital cardiac arrest.en
dc.typeArticle
prism.endingPage339
prism.issueIdentifier6en
prism.publicationDate2019en
prism.publicationNameEmergency medicine journal : EMJen
prism.startingPage333
prism.volume36en
dc.identifier.doi10.17863/CAM.38504
dcterms.dateAccepted2019-03-29en
rioxxterms.versionofrecord10.1136/emermed-2018-208165en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2019-06en
dc.contributor.orcidBarnard, Ed BG [0000-0002-5187-1952]
dc.contributor.orcidErcole, Ari [0000-0001-8350-8093]
dc.identifier.eissn1472-0213
rioxxterms.typeJournal Article/Reviewen
cam.orpheus.successThu Jan 30 10:47:22 GMT 2020 - Embargo updated*
rioxxterms.freetoread.startdate2019-06-30


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record