Better management of out-of-hospital cardiac arrest increases survival rate and improves neurological outcome in the Swiss Canton Ticino

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Romano MauriAngelo Auricchio

Abstract

To determine the incidence of out-of-hospital cardiac arrest (OHCA) fulfilling Utstein criteria in the Canton Ticino, Switzerland, the survival rate of OHCA patients and their neurological outcome. All OHCAs treated in Canton Ticino between 1 January 2005 and 31 December 2014 were followed until either death or hospital discharge. The survival and neurological outcome of those OHCA fulfilling Utstein criteria are reported. A total of 3367 OHCAs occurred in the Canton Ticino over a 10-year period. Resuscitation was attempted in 2298 patients; of those 1492 (65%) were of presumed cardiac origin, 454 fulfilling the Utstein comparator criteria. About 69% [95% confidence interval (CI), 66.6-71.4%] of the patients had a bystander-witnessed arrest; a dispatched cardiopulmonary resuscitation (CPR) steadily and significantly increased from 2005 to 2014. Out-of-hospital cardiac arrest occurred prevalently home (67%), in men (71%) of a mean age of 71 ± 13 years. There were no statistically significant differences either in demographic characteristics of OHCA victims over these years or in presenting rhythm. There was a progressive increase in the survival at discharge from 15% in 2005 to 55% in 2014; overall 96% (95% CI, 93.3-99.9%) of th...Continue Reading

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Citations

Feb 3, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Peter J Kudenchuk
Nov 28, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Raphael RuchDaniel Anthony Button
Feb 6, 2020·Biometrical Journal. Biometrische Zeitschrift·Stefano PelusoAngelo Auricchio
Jun 6, 2019·Korean Circulation Journal·Joon Myoung KwonByung Hee Oh
Dec 1, 2020·JMIR Formative Research·Simon RegardLaurent Suppan
Jan 26, 2020·International Journal of Cardiology·Enrico BaldiAngelo Auricchio
Mar 29, 2021·Resuscitation·Jan-Thorsten GräsnerGavin D Perkins
May 26, 2021·BMC Emergency Medicine·Séverine VuilleumierThierry Spichiger
Sep 26, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Enrico BaldiUNKNOWN and the MANI-CPR investigators
Aug 28, 2021·The American Journal of Emergency Medicine·Mariachiara IppolitoUNKNOWN MANI-CPR Investigators

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