Apr 12, 2012

Out-of-hospital cardiac arrest outcomes stratified by rhythm analysis

Resuscitation
Timothy J MaderCARES Surveillance Group

Abstract

Survival data for out-of-hospital cardiac arrest (OHCA) victims initially in PEA or asystole who convert to a shockable rhythm during attempted resuscitation, relative to an initial shockable rhythm, have never been previously reported. This study was done to assess OHCA outcomes among a large cohort of adults in the CARES dataset stratified by three rhythm categories: initial shockable (IS), converted shockable (CS), and never shockable (NS). The study was IRB approved. All adult index events at participating sites (2005-2010) were study eligible. All patient data elements were provided. Odds ratios of CS and NS status for survival to hospital discharge were calculated via multivariate logistic regression that adjusted for demographics, site, resuscitation initiators, AED use, and other covariates. There were 40,274 OHCA records submitted to the CARES registry during the study period. After exclusions, our final sample size was 30,939 (7404 IS [23.9%], 3225 CS [10.4%], 20,310 NS [65.7%]). Raw survival rates of CS and NS patients were similar (4.7% vs. 4.1%, respectively; p=0.08) but significantly lower than IS patients (26.9%; p<0.001). The adjusted OR of survival to hospital discharge for CS was 0.17 (95% CI: 0.14, 0.20) and ...Continue Reading

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Mentioned in this Paper

Ventricular Fibrillation
NEK1 gene
Brain
Basic Cardiac Life Support
Cerebral Hemisphere Structure (Body Structure)
Tachycardia, Ventricular
Electroversion Therapy
Sleep Initiation and Maintenance Disorders
Electrocardiographic Recorders
Silo (Dataset)

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