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Trends in survival ...
Trends in survival after cardiac arrest: a Swedish nationwide study over 30 years
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- Jerkeman, Matilda (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden
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- Sultanian, Pedram (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden
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- Lundgren, Peter (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden;Department of Cardiology, Sahlgrenska University Hospital , Gothenburg , Sweden
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- Nielsen, Niklas (author)
- Department of Clinical Sciences Lund, Anesthesiology and Intensive care, Lund University, Helsingborg Hospital , Lund , Sweden,Lund Univ, Helsingborg Hosp, Dept Clin Sci Lund, Anesthesiol & Intens Care, Lund, Sweden.
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- Helleryd, Edvin (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden
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- Dworeck, Christian (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden;Department of Cardiology, Sahlgrenska University Hospital , Gothenburg , Sweden
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- Omerovic, Elmir, 1968 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden;Department of Cardiology, Sahlgrenska University Hospital , Gothenburg , Sweden
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- Nordberg, Per (author)
- Karolinska Institutet,Department of Clinical Science and Education, Södersjukhuset, Centre for Resuscitation Science, Karolinska Institutet , Stockholm , Sweden
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- Rosengren, Annika, 1951 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden
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- Hollenberg, Jacob (author)
- Karolinska Institutet,Department of Clinical Science and Education, Södersjukhuset, Centre for Resuscitation Science, Karolinska Institutet , Stockholm , Sweden
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- Claesson, Andreas (author)
- Karolinska Institutet,Department of Clinical Science and Education, Södersjukhuset, Centre for Resuscitation Science, Karolinska Institutet , Stockholm , Sweden
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- Aune, Solveig (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden
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- Strömsöe, Anneli, 1969- (author)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Lund Univ, Dept Clin Sci Lund, Anesthesiol & Intens Care, Lund, Sweden.,Centre for Clinical Research Dalarna, Uppsala University , Falun , Sweden;Department of Clinical Sciences Lund, Anesthesiology and Intensive care, Lund University , Lund , Sweden
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- Ravn-Fischer, Annica, 1974 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden;Department of Cardiology, Sahlgrenska University Hospital , Gothenburg , Sweden
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- Friberg, Hans (author)
- Department of Clinical Sciences Lund, Anesthesiology and Intensive care, Lund University , Lund , Sweden,Lund Univ, Dept Clin Sci Lund, Anesthesiol & Intens Care, Lund, Sweden.
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- Herlitz, Johan, 1949- (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Univ Borås, Prehospen Ctr Prehosp Res, Borås, Sweden.;Swedish Registry Cardiopulm Resuscitat, Ctr Registries, Vastra Gotaland, Sweden.,Prehospen—Centre for Prehospital Research, University of Borås , Borås , Sweden;The Swedish Registry for Cardiopulmonary Resuscitation, Centre of Registries , Västra Götaland , Sweden
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- Rawshani, Araz, 1986 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institute of Medicine, Department of Molecular and Clinical Medicine, University of Gothenburg , Gothenburg , Sweden;Department of Cardiology, Sahlgrenska University Hospital , Gothenburg , Sweden;The Swedish Registry for Cardiopulmonary Resuscitation, Centre of Registries , Västra Götaland , Sweden
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(creator_code:org_t)
- 2022
- 2022
- English.
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In: European Heart Journal. - : Oxford University Press. - 0195-668X .- 1522-9645.
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- AimsTrends in characteristics, management, and survival in out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA) were studied in the Swedish Cardiopulmonary Resuscitation Registry (SCRR). Methods and resultsThe SCRR was used to study 106 296 cases of OHCA (1990–2020) and 30 032 cases of IHCA (2004–20) in whom resuscitation was attempted. In OHCA, survival increased from 5.7% in 1990 to 10.1% in 2011 and remained unchanged thereafter. Odds ratios [ORs, 95% confidence interval (CI)] for survival in 2017–20 vs. 1990–93 were 2.17 (1.93–2.43) overall, 2.36 (2.07–2.71) for men, and 1.67 (1.34–2.10) for women. Survival increased for all aetiologies, except trauma, suffocation, and drowning. OR for cardiac aetiology in 2017–20 vs. 1990–93 was 0.45 (0.42–0.48). Bystander cardiopulmonary resuscitation increased from 30.9% to 82.2%. Shockable rhythm decreased from 39.5% in 1990 to 17.4% in 2020. Use of targeted temperature management decreased from 42.1% (2010) to 18.2% (2020). In IHCA, OR for survival in 2017–20 vs. 2004–07 was 1.18 (1.06–1.31), showing a non-linear trend with probability of survival increasing by 46.6% during 2011–20. Myocardial ischaemia or infarction as aetiology decreased during 2004–20 from 67.4% to 28.3% [OR 0.30 (0.27–0.34)]. Shockable rhythm decreased from 37.4% to 23.0% [OR 0.57 (0.51–0.64)]. Approximately 90% of survivors (IHCA and OHCA) had no or mild neurological sequelae. ConclusionSurvival increased 2.2-fold in OHCA during 1990–2020 but without any improvement in the final decade, and 1.2-fold in IHCA during 2004–20, with rapid improvement the last decade. Cardiac aetiology and shockable rhythms were halved. Neurological outcome has not improved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Cardiac arrest
- Cardiovascular disease
- Heart disease
- Resuscitation
- Människan i vården
- The Human Perspective in Care
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Jerkeman, Matild ...
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Sultanian, Pedra ...
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Lundgren, Peter
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Nielsen, Niklas
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Helleryd, Edvin
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Dworeck, Christi ...
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Omerovic, Elmir, ...
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Nordberg, Per
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Rosengren, Annik ...
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Hollenberg, Jaco ...
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Claesson, Andrea ...
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Aune, Solveig
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Strömsöe, Anneli ...
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Ravn-Fischer, An ...
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Friberg, Hans
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Herlitz, Johan, ...
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Rawshani, Araz, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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European Heart J ...
- By the university
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University of Borås
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Uppsala University
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Karolinska Institutet
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University of Gothenburg
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Högskolan Dalarna