Epidemiology and outcomes from out-of-hospital cardiac arrests in England
Epidemiology and outcomes from out-of-hospital cardiac arrests in England
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DOI：
10.1016/j.resuscitation.2016.10.030
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发表时间：
2017-01-01
期刊：
影响因子：
6.5
通讯作者：
Perkins, Gavin D.
中科院分区：
文献类型：
--
作者：
Hawkes, Claire;Booth, Scott;Perkins, Gavin D.
简介：本研究报告了2014年英国院外心脏骤停（OHCA）的流行病学和结局。方法：前瞻性观察研究，来自国家OHCA登记处。根据Utstein的建议，报告了2014年1月1日至2014年12月31日期间在10个英国救护车服务（EMS）地区接受OHCA治疗的患者的发病率，人口统计学和结局，服务人口近5400万。结果：报告了28，729例OHCA EMS治疗的心脏骤停病例（每100，000名居民中有53例）。平均年龄为68.6岁（SD = 19.6），41.3%为女性。大多数（83%）发生在居住地，52.7%是由EMS或旁观者目睹的。在非EMS见证的病例中，55.2%接受了旁观者CPR，而公共访问除颤很少使用（2.3%）。心脏病是导致心脏骤停的主要原因（60.9%）。所有病例中42.4%的初始心律为心搏停止，20.6%的初始心律为可电击（VF或pVT）。25.8%（n= 6302）的患者在转院时恢复自主循环，出院时存活率为7.9%。结论：心脏骤停是英国死亡的重要原因。由于存活的患者不到十分之一，因此有改善结果的余地。接受旁观者心肺复苏术和公共途径除颤的患者的存活率最高。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Introduction: This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014.Methods: Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations.Results: 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n= 6302) and survival to hospital discharge was 7.9%.Conclusion: Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation. (C) 2016 Elsevier Ireland Ltd. All rights reserved.