2010
DOI: 10.1161/circoutcomes.109.889576
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Predictors of Survival From Out-of-Hospital Cardiac Arrest

Abstract: Background-Prior studies have identified key predictors of out-of-hospital cardiac arrest (OHCA), but differences exist in the magnitude of these findings.

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Cited by 1,820 publications
(1,320 citation statements)
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References 126 publications
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“…[3] There is an ongoing discussion concerning interventions to improve survival rates. Some interventions have strong evidence such as prompt initiation of high quality CPR ( OR 1.23–5.01),[4] early defibrillation ( OR 2.56, 95% CI 1.41–4.64),[5,6] minimizing interruption in chest compressions ( OR 2.33–3.01),[7] and post resuscitation care inititatives. [810] Conversely, interventions such as intravenous vasopressor drugs have a controversial role in resuscitation.…”
Section: Introductionmentioning
confidence: 99%
“…[3] There is an ongoing discussion concerning interventions to improve survival rates. Some interventions have strong evidence such as prompt initiation of high quality CPR ( OR 1.23–5.01),[4] early defibrillation ( OR 2.56, 95% CI 1.41–4.64),[5,6] minimizing interruption in chest compressions ( OR 2.33–3.01),[7] and post resuscitation care inititatives. [810] Conversely, interventions such as intravenous vasopressor drugs have a controversial role in resuscitation.…”
Section: Introductionmentioning
confidence: 99%
“…The proportion of out‐of‐hospital cardiac arrest patients who are successfully resuscitated and hospitalized, and then survive to discharge neurologically intact, varies widely in the literature from 12% to 68% 13, 34. Although ROSC in the field is an important step toward hospital discharge, a significant proportion of patients admitted alive subsequently die, especially within the first days, often from severe brain damage 35. Patients were referred by EMS to the nearest hospital and since there is no standardized protocol for postcardiac arrest treatment (ie, targeted temperature management and emergent coronary angiography) in Sao Paulo, different postresuscitation care approaches were certainly used depending on the particular hospital.…”
Section: Discussionmentioning
confidence: 99%
“…Improving OHCA resuscitation and outcomes is challenging given its sudden unexpected nature and its complex physiology requiring time‐sensitive multimodal care 2, 3, 4. Survival to hospital discharge remains low and varies markedly across community emergency care systems, suggesting an opportunity to improve outcomes by addressing care differences and uniformly implementing best practices 1, 5, 6, 7, 8, 9, 10. Consequently, improving OHCA survival requires effective community‐based education, evidence‐based care delivery, and a coordinated response from a diverse set of stakeholders along the chain of survival that includes laypersons, emergency telecommunicators, first responders, emergency medical services (EMS), and hospital personnel 3, 11…”
Section: Introductionmentioning
confidence: 99%