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Showing content from https://pubmed.ncbi.nlm.nih.gov/20123673/ below:

Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis

Review

Affiliations

• ¹ Departments of Emergency Medicine and Internal Medicine, University of Michigan, Ann Arbor, MI, USA. comilla@umich.edu

• PMID: 20123673
• DOI: 10.1161/CIRCOUTCOMES.109.889576

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Review

Comilla Sasson et al. Circ Cardiovasc Qual Outcomes. 2010 Jan.

• ¹ Departments of Emergency Medicine and Internal Medicine, University of Michigan, Ann Arbor, MI, USA. comilla@umich.edu

• PMID: 20123673
• DOI: 10.1161/CIRCOUTCOMES.109.889576

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Background: Prior studies have identified key predictors of out-of-hospital cardiac arrest (OHCA), but differences exist in the magnitude of these findings. In this meta-analysis, we evaluated the strength of associations between OHCA and key factors (event witnessed by a bystander or emergency medical services [EMS], provision of bystander cardiopulmonary resuscitation [CPR], initial cardiac rhythm, or the return of spontaneous circulation). We also examined trends in OHCA survival over time.

Methods and results: An electronic search of PubMed, EMBASE, Web of Science, CINAHL, Cochrane DSR, DARE, ACP Journal Club, and CCTR was conducted (January 1, 1950 to August 21, 2008) for studies reporting OHCA of presumed cardiac etiology in adults. Data were extracted from 79 studies involving 142 740 patients. The pooled survival rate to hospital admission was 23.8% (95% CI, 21.1 to 26.6) and to hospital discharge was 7.6% (95% CI, 6.7 to 8.4). Stratified by baseline rates, survival to hospital discharge was more likely among those: witnessed by a bystander (6.4% to 13.5%), witnessed by EMS (4.9% to 18.2%), who received bystander CPR (3.9% to 16.1%), were found in ventricular fibrillation/ventricular tachycardia (14.8% to 23.0%), or achieved return of spontaneous circulation (15.5% to 33.6%). Although 53% (95% CI, 45.0% to 59.9%) of events were witnessed by a bystander, only 32% (95% CI, 26.7% to 37.8%) received bystander CPR. The number needed to treat to save 1 life ranged from 16 to 23 for EMS-witnessed arrests, 17 to 71 for bystander-witnessed, and 24 to 36 for those receiving bystander CPR, depending on baseline survival rates. The aggregate survival rate of OHCA (7.6%) has not significantly changed in almost 3 decades.

Conclusions: Overall survival from OHCA has been stable for almost 30 years, as have the strong associations between key predictors and survival. Because most OHCA events are witnessed, efforts to improve survival should focus on prompt delivery of interventions of known effectiveness by those who witness the event.

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• Out-of-hospital cardiac arrest surveillance --- Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005--December 31, 2010.

  McNally B, Robb R, Mehta M, Vellano K, Valderrama AL, Yoon PW, Sasson C, Crouch A, Perez AB, Merritt R, Kellermann A; Centers for Disease Control and Prevention. McNally B, et al. MMWR Surveill Summ. 2011 Jul 29;60(8):1-19. MMWR Surveill Summ. 2011. PMID: 21796098

• Cardiocerebral resuscitation is associated with improved survival and neurologic outcome from out-of-hospital cardiac arrest in elders.

  Mosier J, Itty A, Sanders A, Mohler J, Wendel C, Poulsen J, Shellenberger J, Clark L, Bobrow B. Mosier J, et al. Acad Emerg Med. 2010 Mar;17(3):269-75. doi: 10.1111/j.1553-2712.2010.00689.x. Acad Emerg Med. 2010. PMID: 20370759

• Increased survival after EMS witnessed cardiac arrest. Observations from the Resuscitation Outcomes Consortium (ROC) Epistry-Cardiac arrest.

  Hostler D, Thomas EG, Emerson SS, Christenson J, Stiell IG, Rittenberger JC, Gorman KR, Bigham BL, Callaway CW, Vilke GM, Beaudoin T, Cheskes S, Craig A, Davis DP, Reed A, Idris A, Nichol G; Resuscitation Outcomes Consortium Investigators. Hostler D, et al. Resuscitation. 2010 Jul;81(7):826-30. doi: 10.1016/j.resuscitation.2010.02.005. Epub 2010 Apr 18. Resuscitation. 2010. PMID: 20403656 Free PMC article.

• When is a Cardiac Arrest Non-Cardiac?

  Carter RM, Cone DC. Carter RM, et al. Prehosp Disaster Med. 2017 Oct;32(5):523-527. doi: 10.1017/S1049023X17006446. Epub 2017 May 2. Prehosp Disaster Med. 2017. PMID: 28463098 Review.

• Delayed versus immediate defibrillation for out-of-hospital cardiac arrest due to ventricular fibrillation: A systematic review and meta-analysis of randomised controlled trials.

  Simpson PM, Goodger MS, Bendall JC. Simpson PM, et al. Resuscitation. 2010 Aug;81(8):925-31. doi: 10.1016/j.resuscitation.2010.04.016. Epub 2010 May 18. Resuscitation. 2010. PMID: 20483525 Review.

• Hyperoxia following cardiac arrest.

  Ball J, Ranzani OT. Ball J, et al. Intensive Care Med. 2015 Mar;41(3):534-6. doi: 10.1007/s00134-015-3660-1. Epub 2015 Jan 29. Intensive Care Med. 2015. PMID: 25631813 No abstract available.

• Survival after out-of-hospital cardiac arrest, Viet Nam: multicentre prospective cohort study.

  Do SN, Luong CQ, Pham DT, Nguyen CV, Ton TT, Pham TT, Hoang QT, Hoang HT, Nguyen DT, Khuong DQ, Nguyen QH, Nguyen TA, Pham HT, Nguyen MH, McNally BF, Ong ME, Nguyen AD. Do SN, et al. Bull World Health Organ. 2021 Jan 1;99(1):50-61. doi: 10.2471/BLT.20.269837. Epub 2020 Oct 28. Bull World Health Organ. 2021. PMID: 33658734 Free PMC article.

• Effect of cardiac arrest on cognitive impairment and hippocampal plasticity in middle-aged rats.

  Cohan CH, Neumann JT, Dave KR, Alekseyenko A, Binkert M, Stransky K, Lin HW, Barnes CA, Wright CB, Perez-Pinzon MA. Cohan CH, et al. PLoS One. 2015 May 1;10(5):e0124918. doi: 10.1371/journal.pone.0124918. eCollection 2015. PLoS One. 2015. PMID: 25933411 Free PMC article.

• Application of Automated External Defibrillators Among the Public: A Cross-Sectional Study of Knowledge, Attitude, Practice, and Barriers of Use in Saudi Arabia.

  AlRadini FA, Sabbagh AY, Alamri FA, Almuzaini Y, Alsofayan YM, Alahmari AA, Khan AA, Amer SA, Alanazi RC, Alanazi IF, Shubayli AA, Alkenani RM, Mzahim B, Maghraby N, Salamah AM, Aljahany M. AlRadini FA, et al. Int J Gen Med. 2023 Nov 6;16:5089-5096. doi: 10.2147/IJGM.S442167. eCollection 2023. Int J Gen Med. 2023. PMID: 37954656 Free PMC article.

• Adrenaline to improve survival in out-of-hospital cardiac arrest: the PARAMEDIC2 RCT.

  Perkins GD, Ji C, Achana F, Black JJ, Charlton K, Crawford J, de Paeztron A, Deakin C, Docherty M, Finn J, Fothergill RT, Gates S, Gunson I, Han K, Hennings S, Horton J, Khan K, Lamb S, Long J, Miller J, Moore F, Nolan J, O'Shea L, Petrou S, Pocock H, Quinn T, Rees N, Regan S, Rosser A, Scomparin C, Slowther A, Lall R. Perkins GD, et al. Health Technol Assess. 2021 Apr;25(25):1-166. doi: 10.3310/hta25250. Health Technol Assess. 2021. PMID: 33861194 Free PMC article. Clinical Trial.

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