OBJECTIVE: To describe and compare presentation, management, and survival by aetiology of cardiopulmonary arrest. DESIGN, SETTING, AND PATIENTS: A retrospective cohort study was undertaken of all 21 175 first out of hospital cardiopulmonary arrests in Scotland between May 1991 and March 1998. MAIN OUTCOME MEASURE: Discharge alive from hospital. RESULTS: Presumed cardiac disease accounted for 17 451 cases (82%), other internal aetiologies for 1814 (9%), and external aetiologies for 1910 (9%). Arrests caused by presumed cardiac disease had a better risk profile in terms of presence of a witness, bystander cardiopulmonary resuscitation, call-response interval, and use of defibrillation; 1265 (7%) of those who arrested from presumed cardiac disease were discharged alive, compared with only 77 (2%) of those with non-cardiac disorders (p < 0.001). Among those defibrillated, call-response interval was associated with survival following arrests from both presumed cardiac and non-cardiac causes (p < 0.001). CONCLUSIONS: Out of hospital cardiopulmonary arrests from non-cardiac causes were associated with worse crude survival than arrests from cardiac causes. Improvements in call-response interval and basic life support skills in the community would improve survival irrespective of the aetiology and should therefore be encouraged.
OBJECTIVE: To describe and compare presentation, management, and survival by aetiology of cardiopulmonary arrest. DESIGN, SETTING, AND PATIENTS: A retrospective cohort study was undertaken of all 21 175 first out of hospital cardiopulmonary arrests in Scotland between May 1991 and March 1998. MAIN OUTCOME MEASURE: Discharge alive from hospital. RESULTS: Presumed cardiac disease accounted for 17 451 cases (82%), other internal aetiologies for 1814 (9%), and external aetiologies for 1910 (9%). Arrests caused by presumed cardiac disease had a better risk profile in terms of presence of a witness, bystander cardiopulmonary resuscitation, call-response interval, and use of defibrillation; 1265 (7%) of those who arrested from presumed cardiac disease were discharged alive, compared with only 77 (2%) of those with non-cardiac disorders (p < 0.001). Among those defibrillated, call-response interval was associated with survival following arrests from both presumed cardiac and non-cardiac causes (p < 0.001). CONCLUSIONS: Out of hospital cardiopulmonary arrests from non-cardiac causes were associated with worse crude survival than arrests from cardiac causes. Improvements in call-response interval and basic life support skills in the community would improve survival irrespective of the aetiology and should therefore be encouraged.
Authors: R O Cummins; D A Chamberlain; N S Abramson; M Allen; P J Baskett; L Becker; L Bossaert; H H Delooz; W F Dick; M S Eisenberg Journal: Circulation Date: 1991-08 Impact factor: 29.690
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Authors: Marc D Berg; Stephen M Schexnayder; Leon Chameides; Mark Terry; Aaron Donoghue; Robert W Hickey; Robert A Berg; Robert M Sutton; Mary Fran Hazinski Journal: Circulation Date: 2010-11-02 Impact factor: 29.690
Authors: Patrick Meybohm; Matthias Gruenewald; Martin Albrecht; Kai D Zacharowski; Ralph Lucius; Karina Zitta; Alexander Koch; Nguyen Tran; Jens Scholz; Berthold Bein Journal: PLoS One Date: 2009-10-26 Impact factor: 3.240
Authors: John Bro-Jeppesen; Jesper Kjaergaard; Michael Wanscher; Frants Pedersen; Lene Holmvang; Freddy K Lippert; Jacob E Møller; Lars Køber; Christian Hassager Journal: Eur Heart J Acute Cardiovasc Care Date: 2012-12