Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Ian R DrennanRescu Investigators

Abstract

The increasing number of people living in high-rise buildings presents unique challenges to care and may cause delays for 911-initiated first responders (including paramedics and fire department personnel) responding to calls for out-of-hospital cardiac arrest. We examined the relation between floor of patient contact and survival after cardiac arrest in residential buildings. We conducted a retrospective observational study using data from the Toronto Regional RescuNet Epistry database for the period January 2007 to December 2012. We included all adult patients (≥ 18 yr) with out-of-hospital cardiac arrest of no obvious cause who were treated in private residences. We excluded cardiac arrests witnessed by 911-initiated first responders and those with an obvious cause. We used multivariable logistic regression to determine the effect on survival of the floor of patient contact, with adjustment for standard Utstein variables. During the study period, 7842 cases of out-of-hospital cardiac arrest met the inclusion criteria, of which 5998 (76.5%) occurred below the third floor and 1844 (23.5%) occurred on the third floor or higher. Survival was greater on the lower floors (4.2% v. 2.6%, p = 0.002). Lower adjusted survival to hospit...Continue Reading

Citations

Oct 25, 2016·International Journal of Cardiology·Daisuke KobayashiTaku Iwami
Jun 29, 2017·Resuscitation·Minha LeeUNKNOWN Rescu Epistry Investigators
Mar 4, 2017·Circulation·Justin J BoutilierUNKNOWN Rescu Epistry Investigators
Apr 18, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Chien-Yu ChiPatrick Chow-In Ko
Nov 13, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Youdong SohnUNKNOWN Korean Cardiac Arrest Consortium
Nov 20, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Timothy C Y Chan
Mar 14, 2019·Circulation·Paul Dorian, Steve Lin
Jun 18, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Takeyuki KiguchiTaku Iwami
Mar 7, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Hendrik DrinhausThorsten Annecke
Oct 27, 2020·Journal of the American Heart Association·Andrew Fu Wah HoUNKNOWN Singapore Pan‐Asian Resuscitation Outcomes Study (PAROS) investigators *
Nov 28, 2020·International Journal of Health Geographics·Weicong LuoXiaoxiang Zhang
Aug 19, 2020·Resuscitation·Jordan L Singer, Vincent N Mosesso
Mar 27, 2021·Current Opinion in Critical Care·Andrew Fu Wah Ho, Marcus Eng Hock Ong
May 19, 2020·Resuscitation·Matthieu HeidetUNKNOWN Gr-ReAC CanROC investigators

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