Search: onr:"swepub:oai:DiVA.org:hb-11576" >
Medical versus non ...
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Claesson, AndreasKarolinska Institutet
(author)
Medical versus non medical etiology in out-of-hospital cardiac arrest-Changes in outcome in relation to the revised Utstein template.
- Article/chapterEnglish2016
Publisher, publication year, extent ...
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Elsevier,2016
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:hb-11576
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https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-11576URI
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https://doi.org/10.1016/j.resuscitation.2016.10.019DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-34024URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-13523URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-31446URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:135370377URI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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INTRODUCTION:The Utstein-style recommendations for reporting etiology and outcome in out-of-hospital cardiac arrest (OHCA) from 2004 have recently been revised. Among other etiologies a medical category is now introduced, replacing the cardiac category from Utstein template 2004.AIM:The aim of this study is to describe characteristics and temporal trends from reporting OHCA etiology according to the revised Utstein template 2014 in regards to patient characteristics and 30-day survival rates.METHODS:This registry study is based on consecutive OHCA cases reported from the Emergency medical services (EMS) to the Swedish Registry of Cardiopulmonary Resuscitation (SRCR) 1992-2014. Characteristics, including a presumed cardiac etiology in Utstein template 2004, were transcribed to a medical etiology in Utstein template 2014.RESULTS:Of a total of n=70,846 cases, 92% were categorized as having a medical etiology and 8% as having a non-medical cause. Using the new classifications, the 30-day survival rate has significantly increased over a 20-year period from 4.7% to 11.0% in the medical group and from 3% to 9.9% in the non-medical group (p≤0.001). Trauma was the most common cause in OHCA of a non-medical etiology (26%) with a 30-day survival rate of 3.4% whilst drowning and drug overdose had the highest survival rates (14% and 10% respectively).CONCLUSION:Based on Utstein 2014 categories of etiology, overall survival after OHCA with a medical etiology has more than doubled in a 20-year period and tripled for non-medical cases. Patients with a medical etiology found in a shockable rhythm have the highest chance of survival. There is great variability in characteristics among non-medical cases.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Djärv, ThereseKarolinska Institutet
(author)
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Axelsson, ChristerHögskolan i Borås,Akademin för vård, arbetsliv och välfärd,Prehospen,The Prehospital Research Centre, University College of Borås, Borås, Sweden(Swepub:hb)chax
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Nordberg, PärKarolinska Institutet
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Ring, MattiasKarolinska Institutet
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Hollenberg, JacobKarolinska Institutet
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Ravn-Fischer, AnnikaDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
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Strömsöe, AnneliMälardalens högskola,Hälsa och välfärd,School of Health, Care and Social Welfare, Mälardalen University, Västerås(Swepub:du)ase
(author)
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Karolinska InstitutetAkademin för vård, arbetsliv och välfärd
(creator_code:org_t)
Related titles
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In:Resuscitation: Elsevier110, s. 48-550300-95721873-1570
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