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Sökning: onr:"swepub:oai:DiVA.org:hb-8068" > Clinical consequenc...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004305naa a2200421 4500
001oai:DiVA.org:hb-8068
003SwePub
008260529s2006 | |||||||||||000 ||eng|
009oai:swepub.ki.se:574074
009oai:gup.ub.gu.se/36272
0247 a https://ki.se/en/research/search-research-information?t=2&query=id%3A5740742 URI
0247 a https://doi.org/10.1016/j.resuscitation.2006.02.0112 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-80682 URI
0247 a https://gup.ub.gu.se/publication/362722 URI
040 a (SwePub)kid (SwePub)hbd (SwePub)gu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Axelsson, Christer,d 1955u Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,[external]4 aut0 (Swepub:hb)chax
2451 0a Clinical consequences of the introduction of mechanical chest compression in the EMS system for treatment of out-of-hospital cardiac arrest-a pilot study.
264 1b Elsevier BV,c 2006
520 a AIM: To evaluate the outcome among patients suffering from out-of-hospital cardiac arrest (OHCA) after the introduction of mechanical chest compression (MCC) compared with standard cardiopulmonary resuscitation (SCPR) in two emergency medical service (EMS) systems. METHODS: The inclusion criterion was witnessed OHCA. The exclusion criteria were age < 18 years, the following judged etiologies behind OHCA: trauma, pregnancy, hypothermia, intoxication, hanging and drowning or return of spontaneous circulation (ROSC) prior to the arrival of the advanced life support (ALS) unit. Two MCC devices were allocated during six-month periods between four ALS units for a period of two years (cluster randomisation). RESULTS: In all, 328 patients fulfilled the criteria for participation and 159 were allocated to the MCC tier (the device was used in 66% of cases) and 169 to the SCPR tier. In the MCC tier, 51% had ROSC (primary end-point) versus 51% in the SCPR tier. The corresponding values for hospital admission alive (secondary end-point) were 38% and 37% (NS). In the subset of patients in whom the device was used, the percentage who had ROSC was 49% versus 50% in a control group matched for age, initial rhythm, aetiology, bystander-/crew-witnessed status and delay to CPR. The percentage of patients discharged alive from hospital after OHCA was 8% versus 10% (NS) for all patients and 2% versus 4%, respectively (NS) for the patients in the subset (where the device was used and the matched control population). CONCLUSION: In this pilot study, the results did not support the hypothesis that the introduction of mechanical chest compression in OHCA improves outcome. However, there is room for further improvement in the use of the device. The hypothesis that this will improve outcome needs to be tested in further prospective trials.
7001 a Nestin, Johan4 aut
7001 a Svensson, Leifu Department of Clinical Science and Education, Södersjukhuset (KI SÖS),Department of Clinical Science and Education, Södersjukhuset (KI SÖS),Department of Clinical Science and Education, Södersjukhuset (KI SÖS)4 aut0 (Swepub:ki)ba1144d55110c626eee0652df70baa0d
7001 a Axelsson, Åsa B.,d 1955u Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences4 aut0 (Swepub:gu)xaxeas
7001 a Herlitz, Johanu Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,[external]4 aut0 (Swepub:gu)xherjo
7001 a Axelsson, C4 aut
7001 a Nestin, J4 aut
7001 a Svensson, Lu Department of Clinical Science and Education, Södersjukhuset (KI SÖS)4 aut0 (Swepub:ki)ba1144d55110c626eee0652df70baa0d
7001 a Axelsson, AB4 aut
7001 a Herlitz, J4 aut
7102 a Högskolan i Boråsb Akademin för vård, arbetsliv och välfärd4 org
7730 t RESUSCITATIONd : Elsevier BVg 71:1, s. 47-55q 71:1<47-55x 0300-9572x 1873-1570
8564 8u https://ki.se/en/research/search-research-information?t=2&query=id%3A574074
8564 8u https://doi.org/10.1016/j.resuscitation.2006.02.011
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8068
8564 8u https://gup.ub.gu.se/publication/36272

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