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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 ...

  • Elsevier,2016
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:hb-11576
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-11576URI
  • https://doi.org/10.1016/j.resuscitation.2016.10.019DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-34024URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-13523URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-31446URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:135370377URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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 ...)

  • Djärv, ThereseKarolinska Institutet (author)
  • Axelsson, ChristerHögskolan i Borås,Akademin för vård, arbetsliv och välfärd,Prehospen,The Prehospital Research Centre, University College of Borås, Borås, Sweden(Swepub:hb)chax (author)
  • Nordberg, PärKarolinska Institutet (author)
  • Ring, MattiasKarolinska Institutet (author)
  • Hollenberg, JacobKarolinska Institutet (author)
  • Ravn-Fischer, AnnikaDepartment of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden (author)
  • Strömsöe, AnneliMälardalens högskola,Hälsa och välfärd,School of Health, Care and Social Welfare, Mälardalen University, Västerås(Swepub:du)ase (author)
  • Karolinska InstitutetAkademin för vård, arbetsliv och välfärd (creator_code:org_t)

Related titles

  • In:Resuscitation: Elsevier110, s. 48-550300-95721873-1570

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