Incidence and outcomes of out‐of‐hospital cardiac arrest: A New Zealand perspective

Dicker, Bridget; Davey, Paul; Smith, Tony; Beck, Ben

doi:10.1111/1742-6723.12966

Cited by 18 publications

(10 citation statements)

References 13 publications

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“…The St John OHCA Registry contains data for all OHCA attended by New Zealand's largest EMS, St John (but excluding events in the Wellington region). 14 Variables collected in the St John OHCA Registry include whether resuscitation was attempted, patient age and sex, arrest aetiology, whether an event was witnessed (EMS or bystander), performance of bystander CPR, community defibrillation, shockable presenting rhythm, EMS response time (time from call pickup in the call-centre to vehicle arriving at the scene), EMS transport time (time from ambulance departing the scene to arrival at hospital), location (aged care/healthcare facility/home/public/other), and geographic location of the event (urban/rural).…”

Section: The St John Ohca Registrymentioning

confidence: 99%

Direct transport to PCI-capable hospitals after out-of-hospital cardiac arrest in New Zealand: Inequities and outcomes

et al. 2019

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Background: It is widely accepted that survival from OHCA may be improved through direct transfer of patients to hospitals with percutaneous coronary intervention (PCI) capability. However, within the New Zealand healthcare system there is limited evidence available to support this. We aimed to compare patient characteristics and outcomes following an out-of-hospital cardiac arrest between those patients transported to hospitals with or without PCI-capability within New Zealand.Method: A retrospective cohort study was conducted using data from the St John New Zealand OHCA registry for adults treated for an out-of-hospital cardiac arrest of presumed cardiac aetiology between 1 October 2013 and 31 October 2018. Population characteristics were investigated using a Chi-Square analysis. Binary logistic regression modelling was used to investigate outcome differences in survival at 30 days post-event according to receiving hospital PCI-capability. Results:The study included 1750 patients who were transported to hospital following an OHCA. A significantly lower proportion of patients over 65 years (49.9%) were conveyed to hospitals with PCI-capability compared to younger aged patients (15-44 years (52.1%) and 45-64 years (59.7%) (p < 0.001). When ethnic groups were compared, Maori (32.9%) had the lowest proportion transported to PCI-capable hospitals, followed by European (55.6%) then Pacific Peoples (86.2%) (p < 0.001). A lower proportion of patients located rurally (34.7%) were transported to hospitals with PCI-capability compared to patients in an urban location (59.1%) (p < 0.001). Thirty-day survival was higher in patients transported to hospitals with PCI-capability (adjusted OR 1.285, 95%CI (1.01-1.63), p = 0.04).Conclusions: Patient characteristic differences indicate that inequities in healthcare may exist in New Zealand related to age, ethnic group, and rurality. Thirty-day survival was significantly increased in patients conveyed directly to a hospital with PCI-capability.

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Section: The St John Ohca Registrymentioning

confidence: 99%

Direct transport to PCI-capable hospitals after out-of-hospital cardiac arrest in New Zealand: Inequities and outcomes

et al. 2019

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“…The St John OHCA Registry contains data for all OHCA attended by New Zealand's largest emergency medical service, St John. 1 The registry covers incidents attended to within New Zealand with the exception of the Wellington region. Data collection was in accordance with the Utstein definitions.…”

Section: The St John Ohca Registrymentioning

confidence: 99%

“…In New Zealand 5 people a day are treated for an out-of-hospital cardiac arrest (OHCA) with only 12% of these patients discharged from hospital and alive at thirty days. 1 Rates of survival can be much higher elsewhere, with 21% survival reported by King County in the USA in 2013. 2 These variations in survival from OHCA are not only noted internationally, but also regionally within countries.…”

Section: Introductionmentioning

confidence: 99%

Relationship between socioeconomic factors, distribution of public access defibrillators and incidence of out-of-hospital cardiac arrest

et al. 2019

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Background: Survival from out-of-hospital cardiac arrest (OHCA) is improved when public access defibrillators are used. Areas of socioeconomic deprivation may have higher rates of OHCA and thus a greater demand for public access defibrillators. We aimed to determine if there was a relationship between socioeconomic factors, the geographic distribution of public access defibrillators (PADs) and incidence of OHCA. . Relationships between these variables were analysed using a Poisson regression analysis.Results: Cardiac arrest incidence increased with increasing deprivation. The incidence in the most deprived areas of 156.5 events per 100,000 person years (135.4-180.9, 95% CI) is double the incidence in the least deprived areas at 78.0 events per 100,000 person years (66.4-91.7, 95% CI). Significant increases in the rates of OHCA were observed with every 1% increase in proportions of Maori (1.0%, 0.61-1.4%, 95% CI, p = 0.001), Pacific Peoples (0.6%, 0.21-0.9%, p = 0.005), >65 year olds (3.7%, 3.0-4.3%, p < 0.001), and males (3.7%, 1.8-5.6%, p < 0.001). In 2018, the decile 10 areas had the lowest coverage of PADs (65% of these areas contained a PAD) compared with less deprived areas (68-84%, median 81%). Resuscitation j o u r n a l h o m e p a g e : w w w . e l s e v i e r . c o m / l o c a t e / r e s u s c i t a t i o nConclusions: The most socioeconomically deprived communities had the highest incidence of OHCA and the least availability of PADs. This provides impetus for targeted PAD placement in areas of higher deprivation.

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“…Incidenca na godišnjem nivou u drugim centrima u Srbiji se kreće 23/100.000 u Zrenjaninu [2], 54,7 u Somboru [3] i 58,7 u Subotici [4]. Slična incidenca započinjanja mera KPR kod VBSZ se može naći u literaturi -60/100.000, koliko je zabeleženo na Novom Zelandu [5], ali i u razvijenim zemljama Evrope i kreće se od 19, koliko je tokom EureCa One studije prijavljeno iz Španije, 82 iz Belgije i 104 iz Češke [6].…”

Section: Diskusijaunclassified

Epidemiology of out-of-hospital cardiac arrest in Kanjiža municipality: EuReCa Serbia

Babinski¹,

Pajor²

2018

ABC - čas urg medicine

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Cilj rada: Analiza epidemioloških podataka pacijenata sa vanbolničkim srčanim zastojem kod kojih je intervenisala Služba hitne medicinske pomoći Kanjiža, na teritoriji opštine Kanjiža. Metodologija rada: Obrađivani su podaci iz jedinstvenog registra vanbolničkog srčanog zastoja (VBZ) koji je postavljen putem online upitnika od strane Resuscitacionog Saveta Srbije. Podatke je u bazu unosio glavni istraživač ustanove, a nakon intervencije ekipe Službe hitne medicinske pomoći na terenu, kod pacijenata sa VBZ. Za analizu je korišten statistički program SPSS.

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Incidence and outcomes of out‐of‐hospital cardiac arrest: A New Zealand perspective

Cited by 18 publications

References 13 publications

Direct transport to PCI-capable hospitals after out-of-hospital cardiac arrest in New Zealand: Inequities and outcomes

Direct transport to PCI-capable hospitals after out-of-hospital cardiac arrest in New Zealand: Inequities and outcomes

Relationship between socioeconomic factors, distribution of public access defibrillators and incidence of out-of-hospital cardiac arrest

Epidemiology of out-of-hospital cardiac arrest in Kanjiža municipality: EuReCa Serbia

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