Long-term survival after out-of-hospital cardiac arrest

Holler, Nana G.; Mantoni, Teit; Nielsen, Søren; Lippert, Freddy; Rasmussen, Lars S.

doi:10.1016/j.resuscitation.2007.03.015

Cited by 34 publications

(24 citation statements)

References 21 publications

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“…survival in 53 patients, from discharge after OHCA of "primary cardiac" aetiology, between 2002 to 2004. In comparison with the reference literature, we demonstrated that the initial numbers of patients sampled ranged from 48 to 95 patients, (4,11,16,19,20) and 139 to 680 patients. (1,2,5,7,17,(21)(22)(23) Most of these studies are however retrospective in nature with data obtained from central registers.…”

Section: Causes Of Deathmentioning

confidence: 74%

“…consider it important, for the accuracy of clinical status of the patient, to evaluate the physician's long-term contact with the patient from the institution of CPR in the field to outpatient follow-up. Geographically, long-term studies include localities mainly in the United States of America and Europe (Denmark, Sweden, Norway, Estonia, the Netherlands, Scotland and Northern Ireland) (3)(4)(5)9,11,(16)(17)(18)(19). Data for our study were obtained from the region of East Bohemia in the Czech Republic.…”

Section: Discussionmentioning

confidence: 99%

“…In our file, 79% of patients survived in the first year, 72% of patients in the third year, and 62% in the fifth year regardless of the initial cardiac rhythm. Data from other authors on survival in the first year range between 76 to 88%, (3)(4)(5)17,19,22) in the third year between 67 to 81% (4,5,17,22,23) and in the fifth year between 41 to 77%. (4,5,7,22,23) In our study, 59% of patients survived seven years after OHCA.…”

Section: Causes Of Deathmentioning

confidence: 98%

“…(1,2) Few authors describe the survival of such patients in a time horizon longer than seven years. (3)(4)(5)(6) In spite of the advances in medicine [revascularization of the myocardium, implantation of implantable cardioverter-defibrillators (ICD)], there is no unified opinion regarding the improvement of long term mortality after OHCA. (6,7) A good prognosis is however expected in patients after ST-segment elevation myocardial infarction (STEMI).…”

Section: Introductionmentioning

confidence: 99%

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A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

2012

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Section: Causes Of Deathmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Causes Of Deathmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

2012

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“…4 Unfortunately, bystander CPR is provided to only 15% to 30% of sudden cardiac arrest victims. [4][5][6] CPR training for all health care professionals has been recommended since the inception of formal CPR guidelines more than 40 years ago. 7 The majority of colleges and schools of pharmacy require current CPR certification of pharmacy students during enrollment.…”

Section: Introductionmentioning

confidence: 99%

Basic Life Support and Cardiopulmonary Resuscitation Training for Pharmacy Students and the Community by a Pharmacy Student Committee

Goddard¹,

Eppert²,

Underwood³

et al. 2010

American Journal of Pharmaceutical Education

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Objective. To create a self-sufficient, innovative method for providing cardiopulmonary resuscitation (CPR) education within a college of pharmacy using a student-driven committee, and disseminating CPR education into the community through a service learning experience. Design. A CPR committee comprised of doctor of pharmacy (PharmD) students at the University of Tennessee College of Pharmacy provided CPR certification to all pharmacy students. The committee developed a service learning project by providing CPR training courses in the community. Participants in the course were required to complete an evaluation form at the conclusion of each training course. Assessment. The CPR committee successfully certified more than 1,950 PharmD students and 240 community members from 1996 to 2009. Evaluations completed by participants were favorable, with 99% of all respondents (n 5 351) rating the training course as either ''excellent'' or ''good'' in each of the categories evaluated. Conclusion. A PharmD student-directed committee successfully provided CPR training to other students and community members as a service learning experience.

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Association of National Initiatives to Improve Cardiac Arrest Management With Rates of Bystander Intervention and Patient Survival After Out-of-Hospital Cardiac Arrest

Wissenberg

Lippert

Folke

et al. 2013

JAMA

Self Cite

1,019

761

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IMPORTANCE Out-of-hospital cardiac arrest is a major health problem associated with poor outcomes. Early recognition and intervention are critical for patient survival. Bystander cardiopulmonary resuscitation (CPR) is one factor among many associated with improved survival.OBJECTIVE To examine temporal changes in bystander resuscitation attempts and survival during a 10-year period in which several national initiatives were taken to increase rates of bystander resuscitation and improve advanced care. DESIGN, SETTING, AND PARTICIPANTSPatients with out-of-hospital cardiac arrest for which resuscitation was attempted were identified between 2001 and 2010 in the nationwide Danish Cardiac Arrest Registry. Of 29 111 patients with cardiac arrest, we excluded those with presumed noncardiac cause of arrest (n = 7390) and those with cardiac arrests witnessed by emergency medical services personnel (n = 2253), leaving a study population of 19 468 patients.MAIN OUTCOMES AND MEASURES Temporal trends in bystander CPR, bystander defibrillation, 30-day survival, and 1-year survival. RESULTSThe median age of patients was 72 years; 67.4% were men. Bystander CPR increased significantly during the study period, from 21.1% (95% CI, 18.8%-23.4%) in 2001 to 44.9% (95% CI, 42.6%-47.1%) in 2010 (P < .001), whereas use of defibrillation by bystanders remained low (1.1% [95% CI, 0.6%-1.9%] in 2001 to 2.2% [95% CI, 1.5%-2.9%] in 2010; P = .003). More patients achieved survival on hospital arrival (7.9% [95% CI, 6.4%-9.5%] in 2001 to 21.8% [95% CI, 19.8%-23.8%] in 2010; P < .001). Also, 30-day survival improved (3.5% [95% CI, 2.5%-4.5%] in 2001 to 10.8% [95% CI, 9.4%-12.2%] in 2010; P < .001), as did 1-year survival (2.9% [95% CI, 2.0%-3.9%] in 2001 to 10.2% [95% CI, 8.9%-11.6%] in 2010; P < .001). Despite a decrease in the incidence of out-of-hospital cardiac arrests during the study period (40.4 to 34.4 per 100 000 persons in 2001 and 2010, respectively; P = .002), the number of survivors per 100 000 persons increased significantly (P < .001). For the entire study period, bystander CPR was positively associated with 30-day survival, regardless of witnessed status (30-day survival for nonwitnessed cardiac arrest, 4.3% [95% CI, 3.4%-5.2%] with bystander CPR and 1.0% [95% CI, 0.8%-1.3%] without; odds ratio, 4.38 [95% CI, 3.17-6.06]). For witnessed arrest the corresponding values were 19.4% (95% CI, 18.1%-20.7%) vs 6.1% (95% CI, 5.4%-6.7%); odds ratio, 3.74 (95% CI, 3.26-4.28). CONCLUSIONS AND RELEVANCEIn Denmark between 2001 and 2010, an increase in survival following out-of-hospital cardiac arrest was significantly associated with a concomitant increase in bystander CPR. Because of the co-occurrence of other related initiatives, a causal relationship remains uncertain.

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Long-term survival after out-of-hospital cardiac arrest

Cited by 34 publications

References 21 publications

A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

A seven-year follow-up of discharged patients after out-of-hospital cardiac arrest with respect to ST-segment elevation myocardial infarction

Basic Life Support and Cardiopulmonary Resuscitation Training for Pharmacy Students and the Community by a Pharmacy Student Committee

Association of National Initiatives to Improve Cardiac Arrest Management With Rates of Bystander Intervention and Patient Survival After Out-of-Hospital Cardiac Arrest

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