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Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

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@article{4672ec1a668f4df0a7871c4b4c45a9f7,
title = "Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study",
abstract = "BACKGROUND: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents.METHODS: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately.RESULTS: Of 26,999 OCHAs, 2516 (9.3{\%}) occurred in nursing homes, and 24,483 (90.7{\%}) in private homes. Nursing home residents were older (median 83 (Q1-Q3: 75-89) vs. 71 (Q1-Q3: 61-80) years), had more witnessed arrest (55.4{\%} vs. 43.4{\%}), received more bystander cardiopulmonary resuscitation (CPR) (49.7{\%} vs. 35.3{\%}), but less pre-hospital defibrillation (15.1{\%} vs. 29.8{\%}). Registered AEDs increased in the period 2007-2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7{\%} [95{\%}CI: 1.2-2.2{\%}] vs. 4.9{\%} [95{\%}CI: 4.6-5.2{\%}] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7{\%} [95{\%}CI: 3.5-11.9{\%}] vs. 24.2{\%} [95{\%}CI: 22.5-25.9{\%}] in nursing vs. private home residents.CONCLUSIONS: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.",
keywords = "Journal Article",
author = "Marianne Pape and Shahzleen Rajan and Hansen, {Steen M{\o}ller} and Mortensen, {Rikke N{\o}rmark} and Signe Riddersholm and Fredrik Folke and Lena Karlsson and Freddy Lippert and Lars K{\o}ber and Gunnar Gislason and Helle S{\o}holm and Mads Wissenberg and Gerds, {Thomas A} and Christian Torp-Pedersen and Kristian Kragholm",
note = "Copyright {\circledC} 2018 Elsevier B.V. All rights reserved.",
year = "2018",
month = "4",
doi = "10.1016/j.resuscitation.2018.02.004",
language = "English",
volume = "125",
pages = "90--98",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

AU - Pape, Marianne

AU - Rajan, Shahzleen

AU - Hansen, Steen Møller

AU - Mortensen, Rikke Nørmark

AU - Riddersholm, Signe

AU - Folke, Fredrik

AU - Karlsson, Lena

AU - Lippert, Freddy

AU - Køber, Lars

AU - Gislason, Gunnar

AU - Søholm, Helle

AU - Wissenberg, Mads

AU - Gerds, Thomas A

AU - Torp-Pedersen, Christian

AU - Kragholm, Kristian

N1 - Copyright © 2018 Elsevier B.V. All rights reserved.

PY - 2018/4

Y1 - 2018/4

N2 - BACKGROUND: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents.METHODS: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately.RESULTS: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1-Q3: 75-89) vs. 71 (Q1-Q3: 61-80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007-2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2-2.2%] vs. 4.9% [95%CI: 4.6-5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5-11.9%] vs. 24.2% [95%CI: 22.5-25.9%] in nursing vs. private home residents.CONCLUSIONS: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.

AB - BACKGROUND: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents.METHODS: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately.RESULTS: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1-Q3: 75-89) vs. 71 (Q1-Q3: 61-80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007-2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2-2.2%] vs. 4.9% [95%CI: 4.6-5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5-11.9%] vs. 24.2% [95%CI: 22.5-25.9%] in nursing vs. private home residents.CONCLUSIONS: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.

KW - Journal Article

U2 - 10.1016/j.resuscitation.2018.02.004

DO - 10.1016/j.resuscitation.2018.02.004

M3 - Journal article

VL - 125

SP - 90

EP - 98

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

ER -

ID: 53432195