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Improved outcome in...
Improved outcome in Sweden after out-of-hospital cardiac arrest and possible association with improvements in every link in the chain of survival
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- Strömsöe, Anneli, 1969- (författare)
- Högskolan Dalarna,Medicinsk vetenskap,Sahlgrenska University Hospital, Gothenburg,Högskolan Dalarna, Sweden
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- Svensson, Leif (författare)
- Karolinska Institutet
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- Axelsson, Åsa B., 1955 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Claesson, A (författare)
- Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård
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- Göransson, Katarina, 1974- (författare)
- Karolinska Institutet
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- Nordberg, Per (författare)
- Karolinska Institutet
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- Herlitz, Johan, 1949 (författare)
- Högskolan i Borås,Institutionen för Vårdvetenskap,Prehospital akutsjukvård
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(creator_code:org_t)
- 2014-06-17
- 2015
- Engelska.
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Ingår i: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645. ; 36:14, s. 863-871
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Abstract
Ämnesord
Stäng
- Aims: To describe out-of-hospital cardiac arrest (OHCA) in Sweden from a long-term perspective in terms of changes in outcome and circumstances at resuscitation.Methods and results: All cases of OHCA (n = 59 926) reported to the Swedish Cardiac Arrest Register from 1992 to 2011 were included. The number of cases reported (n/100 000 person-years) increased from 27 (1992) to 52 (2011). Crew-witnessed cases, cardiopulmonary resuscitation prior to the arrival of the emergency medical service (EMS), and EMS response time increased (P < 0.0001). There was a decrease in the delay from collapse to calling for the EMS in all patients and from collapse to defibrillation among patients found in ventricular fibrillation (P< 0.0001). The proportion of patients found in ventricular fibrillation decreased from 35 to 25% (P < 0.0001). Thirty-day survival increased from 4.8 (1992) to 10.7% (2011) (P < 0.0001), particularly among patients found in a shockable rhythm and patients with return of spontaneous circulation (ROSC) at hospital admission. Among patients hospitalized with ROSC in 2008–2011, 41% underwent therapeutic hypothermia and 28% underwent percutaneous coronary intervention. Among 30-day survivors in 2008–2011, 94% had a cerebral performance category score of 1 or 2 at discharge from hospital and the results were even better if patients were found in a shockable rhythm.Conclusion: From a long-term perspective, 30-day survival after OHCA in Sweden more than doubled. The increase in survival was most marked among patients found in a shockable rhythm and those hospitalized with ROSC. There were improvements in all four links in the chain of survival, which might explain the improved outcome.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Cardiopulmonary resuscitation
- Registries
- Survival
- Hälsa och välfärd
- Health and Welfare
- Integrated Caring Science
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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