Introduction: Before the introduction of the new international cardiac arrest treatment guidelines in 2005, patients with out-of-hospital cardiac arrest (OHCA) of cardiac origin in Northern Italy had very poor prognosis. Since 2006, a new bundle of care comprising use of automated external defibrillators (AEDs) and therapeutic hypothermia (TH) was started, while extracorporeal CPR program (ECPR) for selected refractory CA and dispatcher-assisted cardio-pulmonary resuscitation (CPR) was started in January 2010. Objectives: We hypothesized that a program of bundled care might improve outcome of OHCA patients. Methods: We analyzed data collected in the OHCA registry of the MB area between September 2007 and August 2011 and compared this with data from 2000 to 2003. Results: Between 2007 and 2011, 1128 OHCAs occurred in the MB area, 745 received CPR and 461 of these had a CA of presumed cardiac origin. Of these, 125 (27%) achieved sustained ROSC, 60 (13%) survived to 1 month, of whom 51 (11%) were discharged from hospital with a good neurological outcome (CPC. ≤. 2), and 9 with a poor neurological outcome (CPC. >. 2).Compared with data from the 2000 to 2003 periods, survival increased from 5.6% to 13.01% (p<. 0.0001). In the 2007-2011 group, low-flow time and bystander CPR were independent markers of survival. Conclusions: OHCA survival has improved in our region. An increased bystander CPR rate associated with dispatcher-assisted CPR was the most significant cause of increased survival, but duration of CA remains critical for patient outcome

Avalli, L., Mauri, T., Citerio, G., Migliari, M., Coppo, A., Caresani, M., et al. (2014). New treatment bundles improve survival in out-of-hospital cardiac arrest patients: A historical comparison. RESUSCITATION, 85(9), 1240-1244 [10.1016/j.resuscitation.2014.06.014].

New treatment bundles improve survival in out-of-hospital cardiac arrest patients: A historical comparison

CITERIO, GIUSEPPE;
2014

Abstract

Introduction: Before the introduction of the new international cardiac arrest treatment guidelines in 2005, patients with out-of-hospital cardiac arrest (OHCA) of cardiac origin in Northern Italy had very poor prognosis. Since 2006, a new bundle of care comprising use of automated external defibrillators (AEDs) and therapeutic hypothermia (TH) was started, while extracorporeal CPR program (ECPR) for selected refractory CA and dispatcher-assisted cardio-pulmonary resuscitation (CPR) was started in January 2010. Objectives: We hypothesized that a program of bundled care might improve outcome of OHCA patients. Methods: We analyzed data collected in the OHCA registry of the MB area between September 2007 and August 2011 and compared this with data from 2000 to 2003. Results: Between 2007 and 2011, 1128 OHCAs occurred in the MB area, 745 received CPR and 461 of these had a CA of presumed cardiac origin. Of these, 125 (27%) achieved sustained ROSC, 60 (13%) survived to 1 month, of whom 51 (11%) were discharged from hospital with a good neurological outcome (CPC. ≤. 2), and 9 with a poor neurological outcome (CPC. >. 2).Compared with data from the 2000 to 2003 periods, survival increased from 5.6% to 13.01% (p<. 0.0001). In the 2007-2011 group, low-flow time and bystander CPR were independent markers of survival. Conclusions: OHCA survival has improved in our region. An increased bystander CPR rate associated with dispatcher-assisted CPR was the most significant cause of increased survival, but duration of CA remains critical for patient outcome
Articolo in rivista - Articolo scientifico
Cardiopulmonary resuscitation; Emergency medical services; Out-of-hospital cardiac arrest; Outcome
English
2014
85
9
1240
1244
partially_open
Avalli, L., Mauri, T., Citerio, G., Migliari, M., Coppo, A., Caresani, M., et al. (2014). New treatment bundles improve survival in out-of-hospital cardiac arrest patients: A historical comparison. RESUSCITATION, 85(9), 1240-1244 [10.1016/j.resuscitation.2014.06.014].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/52115
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