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FältnamnIndikatorerMetadata
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001oai:DiVA.org:hb-24291
003SwePub
008201204s2020 | |||||||||||000 ||eng|
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009oai:prod.swepub.kib.ki.se:144681000
009oai:DiVA.org:liu-170629
009oai:gup.ub.gu.se/295193
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-242912 URI
0247 a https://doi.org/10.1016/j.resuscitation.2020.07.0092 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-983772 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4233672 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1446810002 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1706292 URI
0247 a https://gup.ub.gu.se/publication/2951932 URI
040 a (SwePub)hbd (SwePub)lnud (SwePub)uud (SwePub)kid (SwePub)liud (SwePub)gu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Hessulf, Fredrik,d 1986u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xhesfr
2451 0a Adherence to Guidelines is Associated With Improved Survival Following In-hospital Cardiac Arrest in Sweden
264 1b Lippincott Williams & Wilkins,c 2020
338 a print2 rdacarrier
500 a Scientific Sessions of the American-Heart-Association, Philadelphia, PA, NOV 16-18, 2019
500 a Funding Agencies|Region Halland Research and Development; Swedish Resuscitation Council; Laerdal Foundation; Swedish Heart Foundation; Swedish government [ALFGBG-716901]; Swedish County Council, the ALF [ALFGBG-716901]; Swedish Research CouncilSwedish Research Council [2019-02019]; Stockholm County CouncilStockholm County Council
520 a Background: Most resuscitation guidelines have recommendations regarding maximum delay times from collapse to calling for the rescue team and initiation of treatment following cardiac arrest. The aim of the study was to investigate the association between adherence to guidelines for cardiopulmonary resuscitation (CPR) after in-hospital cardiac arrest (IHCA) and survival with a focus on delay to treatment.Methods: We used the Swedish Registry for CPR to study 3212 patients with a shockable rhythm and 9113 patients with non-shockable rhythm from January 1, 2008 to December 31, 2017. Adult patients older than or equal to 18 years with a witnessed IHCA where resuscitation was initiated were included. We assessed trends in adherence to guidelines and their associations with 30-day survival and neurological function. Adherence to guidelines was defined as follows: time from collapse to calling for the rescue team and CPR within 1 min for non-shockable rhythms. For shockable rhythms, adherence was defined as the time from collapse to calling for the rescue team and CPR within 1 min and defibrillation within 3 min.Results: In patients with a shockable rhythm, the 30-day survival for those treated according to guidelines was 66.1%, as compared to 46.5% among those not treated according to guidelines on one or more parameters, adjusted odds ratio 1.84 (95% CI 1.52-2.22). Among patients with a non-shockable rhythm the 30-day survival for those treated according to guidelines was 22.8%, as compared to 16.0% among those not treated according to guidelines on one or more parameters, adjusted odds ratio 1.43 (95% CI 1.24-1.65). Neurological function (cerebral performance category 1-2) among survivors was better among patients treated in accordance with guidelines for both shockable (95.7% vs 91.1%, <0.001) and non-shockable rhythms (91.0% vs 85.5%, p < 0.008). Adherence to the Swedish guidelines for CPR increased slightly 2008-2017.Conclusions: Adherence to guidelines was associated with increased probability of survival and improved neurological function in patients with a shockable and non-shockable rhythm, respectively. Increased adherence to guidelines could increase cardiac arrest survival.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
653 a Cardiopulmonary resuscitation
653 a Chain of survival
653 a Guidelines
653 a In-hospital cardiac arrest
653 a Människan i vården
653 a The Human Perspective in Care
653 a Omvårdnad
7001 a Herlitz, Johan,d 1949-u Gothenburg University,Göteborgs universitet,Högskolan i Borås,Akademin för vård, arbetsliv och välfärd,Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Mol & Clin Med, Gothenburg, Sweden.;PreHospen Ctr Prehosp Res, SE-50190 Borås, Sweden.;Univ Bores, Acad Caring Sci Welf & Work Life, SE-50190 Borås, Sweden.,University of Gothenburg, Sweden;University of Borås, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xherjo
7001 a Rawshani, Araz,d 1986u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xrawar
7001 a Aune, Solveigu Unit for EMS-coordination, Provider Governance and Coordination, Head Office, Region Västra Götaland, Sweden.,Provider Governance & Coordinat, Unit EMS Coordinat, Vastra Gotaland, Region Vastra G, Sweden.4 aut
7001 a Israelsson, Johanu Linköpings universitet,Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Department of Internal Medicine, Division of Cardiology, Kalmar County Hospital, Kalmar, Sweden; Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden; Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden.,Kalmar Cty Hosp, Dept Internal Med, Div Cardiol, Kalmar, Sweden.;Linnaeus Univ, Fac Hlth & Life Sci, Kalmar, Sweden.;Linköping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linköping, Sweden.,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten4 aut0 (Swepub:liu)johis66
7001 a Södersved Källestedt, Marie-Louise,d 1976-u Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Sweden4 aut0 (Swepub:uu)marka924
7001 a Nordberg, Peru Karolinska Institutet,Soder Sjukhuset, Sweden4 aut
7001 a Lundgren, Peteru Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xlpetj
7001 a Engdahl, Johanu Gothenburg University,Göteborgs universitet,Karolinska Institutet,Univ Gothenburg, Sweden; Danderyd Hosp, Sweden,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut
7001 a Sodersvedkallestedt, ML4 aut
7102 a Göteborgs universitetb Institutionen för medicin, avdelningen för molekylär och klinisk medicin4 org
7730 t Resuscitationd : Lippincott Williams & Wilkinsg 155, s. -21q 155<-21x 0300-9572x 1873-1570
8564 u https://doi.org/10.1016/j.resuscitation.2020.07.009y Fulltext
8564 u http://www.resuscitationjournal.com/article/S0300957220302847/pdf
8564 u https://uu.diva-portal.org/smash/get/diva2:1484330/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://liu.diva-portal.org/smash/get/diva2:1484999/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-24291
8564 8u https://doi.org/10.1016/j.resuscitation.2020.07.009
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-98377
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-423367
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:144681000
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-170629
8564 8u https://gup.ub.gu.se/publication/295193

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