Increases in survival from out-of-hospital cardiac arrest: A five year study

Increases in survival from out-of-hospital cardiac arrest: A five year study
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DOI:
10.1016/j.resuscitation.2013.03.034
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发表时间:
2013-08-01
期刊:
影响因子:
6.5
通讯作者:
Whitbread, Mark
Whitbread, Mark
中科院分区:
医学2区
文献类型:
--
作者:
Fothergill, Rachael T.;Watson, Lynne R.;Whitbread, Mark

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目的:这项研究报告了2007年至2012年五年期间伦敦院外心脏骤停患者生存率的改善,并探讨了观察到的非常显著增加的潜在原因。方法:回顾性分析了2007年至2012年伦敦救护车服务中心心脏骤停登记处的所有符合Utstein对照组标准的患者的数据结果:我们观察到在五年期间院外心脏骤停患者的生存率增加,Utstein对照组患者每年从12%增加到32%。结论:我们认为,在过去的五年里,伦敦院前心脏病护理的一系列重要变化有助于在研究期间观察到的生存率增加。此外,我们提倡一系列进一步的举措,以继续提高院外心脏骤停的生存率。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Objective: This study reports improvements in survival from out-of-hospital cardiac arrest in London over a five year period from 2007 to 2012 and explores the potential reasons for the very striking increases observed.Methods: Data from the London Ambulance Service's cardiac arrest registry from 2007 to 2012 were analysed retrospectively for all patients who met the Utstein comparator group criteria (an arrest of a presumed cardiac cause that was bystander witnessed with an initial rhythm of VF/VT).Results: We observed an increase in survival from out-of-hospital cardiac arrest during the five year period, with incremental improvements each year from 12% to 32% for the Utstein comparator group of patients.Conclusion: We suggest that a range of important changes made to pre-hospital cardiac care in London over the last five years have contributed to the observed increase in survival over the study period. In addition we advocate a range of further initiatives to continue improving survival from out-of-hospital cardiac arrest. (C) 2013 Elsevier Ireland Ltd. All rights reserved.