Association of bystander interventions and hospital length of stay and admission to intensive care unit in out-of-hospital cardiac arrest survivors

Organ support therapy in the intensive care unit and return to work in out-of-hospital cardiac arrest survivors–A nationwide cohort study

“…This is supported by previous studies showing lower ICU admission rates and increased return to work rates in patients with witnessed arrest and/or bystander cardiopulmonary resuscitation. [5,7,10] Thus, our study supports ongoing and future interventions that enhance the early links in the chain of survival including early CPR and defibrillation. However, when adjusting for prehospital variables and arrival-status (comatose or awake), our findings remained unchanged, indicating that need of organ support itself is a predictor of a worse long-term outcome.…”

“…In multivariable Cox regression analysis adjusted for both baseline and prehospital variables patients at arrival (comatose or awake), and in comlete case analyses, results were similar (eFigures [6][7][8][9][10][11][12]. No interaction was found between organ support and calendar year-group or presumed cause of arrest.…”

“…In line with this, bystander interventions have previously been shown to be associated with reduced hospital length of stay and risk of admission to an ICU as a proxy for reduced morbidity following OHCA. [7] Furthermore, in the ICU, number and severity of organ failures are well-known predictors of mortality. [8,9] Still, little is known on how the in-hospital treatment and the need of organ support therapy following OHCA predicts the long-term prognosis and in particular function in survivors.…”

Anstieg der Laienreanimationsrate in Deutschland geht mit vermehrter Telefonreanimation einher

“…Die Wahrscheinlichkeit, das Krankenhaus lebend zu verlassen beziehungsweise nach 30 Tagen noch zu leben, kann so auf das Zwei-bis Dreifache gesteigert werden [2,11]. Ebenso kann die Aufenthaltsdauer auf der Intensivstation reduziert werden [12]. Überdies sind neurologische Folgeschäden geringer, wenn vor dem Eintreffen des Rettungsdienstes schon reanimiert wird [13].…”

Medical Correctness and User Friendliness of Available Apps for Cardiopulmonary Resuscitation: Systematic Search Combined With Guideline Adherence and Usability Evaluation (Preprint)

“…In most times, the bystander will be a medical layperson. It has been shown in multiple studies, that bystander-CPR increases the rate of survival [2][3][4][5][6]. Nevertheless the rate of bystander-CPR is still relatively low [7].…”