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Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest

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@article{77393ecf1d4d49bf9bfbc5e78752acae,
title = "Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest",
abstract = "Aims: Bystander cardiopulmonary resuscitation (CPR) has increased in several countries following nationwide initiatives to facilitate bystander resuscitative efforts in out-of-hospital cardiac arrest (OHCA). We examined the importance of public or residential location of arrest on temporal changes in bystander CPR and outcomes.Methods and results: From the nationwide Danish Cardiac Arrest Registry, all OHCAs from 2001 to 2014 of presumed cardiac cause and between 18 and 100 years of age were identified. Arrests witnessed by emergency medical services personnel were excluded. Of 25 505 OHCAs, 26.4{\%} (n = 6738) and 73.6{\%} (n = 18 767) were in public and residential locations, respectively. Bystander CPR increased during 2001-2014 in both locations: from 36.4{\%} [95{\%} confidence interval (CI) 30.6-42.6{\%}] to 83.1{\%} (95{\%} CI 80.0-85.8{\%}) in public (P < 0.001) and from 16.0{\%} (95{\%} CI 13.2-19.3{\%}) to 61.0{\%} (95{\%} CI 58.7-63.2{\%}) in residential locations (P < 0.001). Concurrently, 30-day survival increased in public from 6.4{\%} (95{\%} CI 4.0-10.0{\%}) to 25.2{\%} (95{\%} CI 22.1-28.7{\%}) (P < 0.001), and in residential from 2.9{\%} (95{\%} CI 1.8-4.5{\%}) to 10.0{\%} (95{\%} CI 8.7-11.4{\%}) (P < 0.001). Among 2281 30-day survivors, 1-year risk of anoxic brain damage/nursing home admission during 2001-2014 decreased from 18.8{\%} (95{\%} CI 6.6-43.0{\%}) to 6.8{\%} (95{\%} CI 3.9-11.8{\%}) in public (P < 0.001), whereas the corresponding change was insignificant in residential locations from 11.8{\%} (95{\%} CI 3.3-34.3) to 17.6{\%} (95{\%} CI 12.7-23.9{\%}) (P = 0.52).Conclusion: During 2001-2014, bystander CPR and 30-day survival more than doubled in both public and residential OHCA locations. A significant decrease in anoxic brain damage/nursing home admission was observed among 30-day survivors in public, but not among survivors from residential OHCAs.",
author = "Sondergaard, {Kathrine B} and Mads Wissenberg and Gerds, {Thomas Alexander} and Shahzleen Rajan and Lena Karlsson and Kristian Kragholm and Marianne Pape and Lippert, {Freddy K} and Gislason, {Gunnar H} and Fredrik Folke and Christian Torp-Pedersen and Hansen, {Steen Moller}",
year = "2019",
month = "1",
day = "14",
doi = "10.1093/eurheartj/ehy687",
language = "English",
volume = "40",
pages = "309--318",
journal = "European Heart Journal",
issn = "0195-668X",
publisher = "Oxford University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest

AU - Sondergaard, Kathrine B

AU - Wissenberg, Mads

AU - Gerds, Thomas Alexander

AU - Rajan, Shahzleen

AU - Karlsson, Lena

AU - Kragholm, Kristian

AU - Pape, Marianne

AU - Lippert, Freddy K

AU - Gislason, Gunnar H

AU - Folke, Fredrik

AU - Torp-Pedersen, Christian

AU - Hansen, Steen Moller

PY - 2019/1/14

Y1 - 2019/1/14

N2 - Aims: Bystander cardiopulmonary resuscitation (CPR) has increased in several countries following nationwide initiatives to facilitate bystander resuscitative efforts in out-of-hospital cardiac arrest (OHCA). We examined the importance of public or residential location of arrest on temporal changes in bystander CPR and outcomes.Methods and results: From the nationwide Danish Cardiac Arrest Registry, all OHCAs from 2001 to 2014 of presumed cardiac cause and between 18 and 100 years of age were identified. Arrests witnessed by emergency medical services personnel were excluded. Of 25 505 OHCAs, 26.4% (n = 6738) and 73.6% (n = 18 767) were in public and residential locations, respectively. Bystander CPR increased during 2001-2014 in both locations: from 36.4% [95% confidence interval (CI) 30.6-42.6%] to 83.1% (95% CI 80.0-85.8%) in public (P < 0.001) and from 16.0% (95% CI 13.2-19.3%) to 61.0% (95% CI 58.7-63.2%) in residential locations (P < 0.001). Concurrently, 30-day survival increased in public from 6.4% (95% CI 4.0-10.0%) to 25.2% (95% CI 22.1-28.7%) (P < 0.001), and in residential from 2.9% (95% CI 1.8-4.5%) to 10.0% (95% CI 8.7-11.4%) (P < 0.001). Among 2281 30-day survivors, 1-year risk of anoxic brain damage/nursing home admission during 2001-2014 decreased from 18.8% (95% CI 6.6-43.0%) to 6.8% (95% CI 3.9-11.8%) in public (P < 0.001), whereas the corresponding change was insignificant in residential locations from 11.8% (95% CI 3.3-34.3) to 17.6% (95% CI 12.7-23.9%) (P = 0.52).Conclusion: During 2001-2014, bystander CPR and 30-day survival more than doubled in both public and residential OHCA locations. A significant decrease in anoxic brain damage/nursing home admission was observed among 30-day survivors in public, but not among survivors from residential OHCAs.

AB - Aims: Bystander cardiopulmonary resuscitation (CPR) has increased in several countries following nationwide initiatives to facilitate bystander resuscitative efforts in out-of-hospital cardiac arrest (OHCA). We examined the importance of public or residential location of arrest on temporal changes in bystander CPR and outcomes.Methods and results: From the nationwide Danish Cardiac Arrest Registry, all OHCAs from 2001 to 2014 of presumed cardiac cause and between 18 and 100 years of age were identified. Arrests witnessed by emergency medical services personnel were excluded. Of 25 505 OHCAs, 26.4% (n = 6738) and 73.6% (n = 18 767) were in public and residential locations, respectively. Bystander CPR increased during 2001-2014 in both locations: from 36.4% [95% confidence interval (CI) 30.6-42.6%] to 83.1% (95% CI 80.0-85.8%) in public (P < 0.001) and from 16.0% (95% CI 13.2-19.3%) to 61.0% (95% CI 58.7-63.2%) in residential locations (P < 0.001). Concurrently, 30-day survival increased in public from 6.4% (95% CI 4.0-10.0%) to 25.2% (95% CI 22.1-28.7%) (P < 0.001), and in residential from 2.9% (95% CI 1.8-4.5%) to 10.0% (95% CI 8.7-11.4%) (P < 0.001). Among 2281 30-day survivors, 1-year risk of anoxic brain damage/nursing home admission during 2001-2014 decreased from 18.8% (95% CI 6.6-43.0%) to 6.8% (95% CI 3.9-11.8%) in public (P < 0.001), whereas the corresponding change was insignificant in residential locations from 11.8% (95% CI 3.3-34.3) to 17.6% (95% CI 12.7-23.9%) (P = 0.52).Conclusion: During 2001-2014, bystander CPR and 30-day survival more than doubled in both public and residential OHCA locations. A significant decrease in anoxic brain damage/nursing home admission was observed among 30-day survivors in public, but not among survivors from residential OHCAs.

UR - http://www.scopus.com/inward/record.url?scp=85060021410&partnerID=8YFLogxK

U2 - 10.1093/eurheartj/ehy687

DO - 10.1093/eurheartj/ehy687

M3 - Journal article

VL - 40

SP - 309

EP - 318

JO - European Heart Journal

JF - European Heart Journal

SN - 0195-668X

IS - 3

ER -

ID: 55562593