AIM: To describe the 3-year survival of patients after out-of-hospital cardiac arrest (OHCA) taking into account the presence of ST-segment elevation myocardial infarction (STEMI) and evaluating prognostic factors associated with pre-hospital and hospital care. PATIENT GROUP: Over a period of 29 months and with the aid of a questionnaire supplied to 24 rescue stations, we prospectively included 560 individuals (415 men; aged 16-97 years, median 68) for whom cardio-pulmonary resuscitation (CPR) for OHCA of confirmed cardiac etiology was attempted. RESULTS: Of 149 hospitalized individuals, 28.2% survived 1 year and 25.5% survived 3 years after OHCA. In the subgroup of patients with STEMI (26 individuals; 17.5%), 57.7% survived 1 year and 53.9% survived 3 years. In the subgroup of patients without STEMI (n=123), 22% survived 1 year and 19.5% survived 3 years. The strongest predictors for long-term survival by logistic regression analysis were: age under 70 years, ventricular fibrillation as initial rhythm, CPR without atropine, and STEMI. OHCA occurrence at a public place was an indicator of better survival in the subgroup with STEMI. In the subgroup of patients without STEMI, long-term angiotensin-converting enzyme inhibitor treatment, CPR without atropine, a Glasgow Coma Scale upon hospital admission over 3, no presence of cardiogenic shock, and no manifestations of postanoxic encephalopathy (Fisher's exact test, chi(2) test) were indicators of better survival. CONCLUSION: Among 560 individuals with "primary cardiac" etiology OHCA and initiation of professional CPR, 8% survived 1 year and 7% survived 3 years. A higher survival rate among patients with STEMI was documented.
AIM: To describe the 3-year survival of patients after out-of-hospital cardiac arrest (OHCA) taking into account the presence of ST-segment elevation myocardial infarction (STEMI) and evaluating prognostic factors associated with pre-hospital and hospital care. PATIENT GROUP: Over a period of 29 months and with the aid of a questionnaire supplied to 24 rescue stations, we prospectively included 560 individuals (415 men; aged 16-97 years, median 68) for whom cardio-pulmonary resuscitation (CPR) for OHCA of confirmed cardiac etiology was attempted. RESULTS: Of 149 hospitalized individuals, 28.2% survived 1 year and 25.5% survived 3 years after OHCA. In the subgroup of patients with STEMI (26 individuals; 17.5%), 57.7% survived 1 year and 53.9% survived 3 years. In the subgroup of patients without STEMI (n=123), 22% survived 1 year and 19.5% survived 3 years. The strongest predictors for long-term survival by logistic regression analysis were: age under 70 years, ventricular fibrillation as initial rhythm, CPR without atropine, and STEMI. OHCA occurrence at a public place was an indicator of better survival in the subgroup with STEMI. In the subgroup of patients without STEMI, long-term angiotensin-converting enzyme inhibitor treatment, CPR without atropine, a Glasgow Coma Scale upon hospital admission over 3, no presence of cardiogenic shock, and no manifestations of postanoxic encephalopathy (Fisher's exact test, chi(2) test) were indicators of better survival. CONCLUSION: Among 560 individuals with "primary cardiac" etiology OHCA and initiation of professional CPR, 8% survived 1 year and 7% survived 3 years. A higher survival rate among patients with STEMI was documented.
Authors: Michael P Alexander; Ginette Lafleche; David Schnyer; Chun Lim; Mieke Verfaellie Journal: J Int Neuropsychol Soc Date: 2011-01-04 Impact factor: 2.892
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Authors: Eva M Spoormans; Jorrit S Lemkes; Gladys N Janssens; Ouissal Soultana; Nina W van der Hoeven; Lucia S D Jewbali; Eric A Dubois; Martijn Meuwissen; Tom A Rijpstra; Hans A Bosker; Michiel J Blans; Gabe B Bleeker; Remon Baak; Georgios J Vlachojannis; Bob J W Eikemans; Pim van der Harst; Iwan C C van der Horst; Michiel Voskuil; Joris J van der Heijden; Albertus Beishuizen; Martin Stoel; Cyril Camaro; Hans van der Hoeven; José P Henriques; Alexander P J Vlaar; Maarten A Vink; Bas van den Bogaard; Ton A C M Heestermans; Wouter de Ruijter; Thijs S R Delnoij; Harry J G M Crijns; Pranobe V Oemrawsingh; Marcel T M Gosselink; Koos Plomp; Michael Magro; Paul W G Elbers; Peter M van de Ven; Niels van Royen Journal: Eur Heart J Acute Cardiovasc Care Date: 2022-07-21
Authors: Philip Andrew Quinones; Inge Kirchberger; Margit Heier; Bernhard Kuch; Ines Trentinaglia; Andreas Mielck; Annette Peters; Wolfgang von Scheidt; Christa Meisinger Journal: BMC Public Health Date: 2014-01-30 Impact factor: 3.295