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Shortening Ambulanc...
Shortening Ambulance Response Time Increases Survival in Out-of-Hospital Cardiac Arrest
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- Holmén, Johan (author)
- Queen Silvias Childrens Hosp, Dept Anesthesiol & Intens Care, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Dept Prehosp & Emergency Care, Gothenburg, Sweden.
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- Herlitz, Johan, 1949- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Univ Borås, Fac Caring Sci Work Life & Social Welf, Ctr Prehosp Res, Borås, Sweden.
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- Ricksten, Sven-Erik (author)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anesthesiol & Intens Care Med, Gothenburg, Sweden.
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- Strömsöe, Anneli, 1969- (author)
- Uppsala universitet,Högskolan Dalarna,Medicinsk vetenskap,Centre for Clinical Research Dalarna, Uppsala University, Falun; Department of Prehospital Care, Region of Dalarna, Falun,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.;Dept Prehosp Care, Falun, Region Of Dalar, Sweden.
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- Hagberg, Eva (author)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anesthesiol & Intens Care Med, Gothenburg, Sweden.
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- Axelsson, Christer (author)
- Univ Borås, Fac Caring Sci Work Life & Social Welf, Ctr Prehosp Res, Borås, Sweden.
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- Rawshani, Araz (author)
- Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Anesthesiol & Intens Care Med, Gothenburg, Sweden.
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Queen Silvias Childrens Hosp, Dept Anesthesiol & Intens Care, Gothenburg, Sweden;Sahlgrens Univ Hosp, Dept Prehosp & Emergency Care, Gothenburg, Sweden. Akademin för vård, arbetsliv och välfärd (creator_code:org_t)
- Wiley Blackwell, 2020
- 2020
- English.
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In: Journal of the American Heart Association. - : Wiley Blackwell. - 2047-9980. ; 9:21
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Abstract
Subject headings
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- Background The ambulance response time in out-of-hospital cardiac arrest (OHCA) has doubled over the past 30 years in Sweden. At the same time, the chances of surviving an OHCA have increased substantially. A correct understanding of the effect of ambulance response time on the outcome after OHCA is fundamental for further advancement in cardiac arrest care. Methods and ResultsWe used data from the SRCR (Swedish Registry of Cardiopulmonary Resuscitation) to determine the effect of ambulance response time on 30-day survival after OHCA. We included 20 420 cases of OHCA occurring in Sweden between 2008 and 2017. Survival to 30 days was our primary outcome. Stratification and multiple logistic regression were used to control for confounding variables. In a model adjusted for age, sex, calendar year, and place of collapse, survival to 30 days is presented for 4 different groups of emergency medical services (EMS)-crew response time: 0 to 6 minutes, 7 to 9 minutes, 10 to 15 minutes, and >15 minutes. Survival to 30 days after a witnessed OHCA decreased as ambulance response time increased. For EMS response times of >10 minutes, the overall survival among those receiving cardiopulmonary resuscitation before EMS arrival was slightly higher than survival for the sub-group of patients treated with compressions-only cardiopulmonary resuscitation.ConclusionsSurvival to 30 days after a witnessed OHCA decreases as ambulance response times increase. This correlation was seen independently of initial rhythm and whether cardiopulmonary resuscitation was performed before EMS-crew arrival. Shortening EMS response times is likely to be a fast and effective way of increasing survival in OHCA.
Subject headings
- 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)
Keyword
- cardiac arrest
- cardiopulmonary resuscitation
- out‐of‐hospital
- response time
- Hälsa och välfärd
- Health and Welfare
Publication and Content Type
- ref (subject category)
- art (subject category)
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