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Epidemiology and outcomes from out-of-hospital cardiac arrests in England

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OHCAO collaborators (Including: Hawkes, C. M., Booth, Scott J., Ji, Chen, Brace-McDonnell, Samantha J., Whittington, Andrew, Mapstone, James, Cooke, Matthew, Deakin, Charles D., Gale, Chris P., Fothergill, Rachael, Nolan, Jerry P., Rees, Nigel, Soar, Jasmeet, Siriwardena, A. Niroshan, Brown, Terry and Perkins, Gavin D.). (2017) Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation, 110 . pp. 133-140. doi:10.1016/j.resuscitation.2016.10.030

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Official URL: http://dx.doi.org/10.1016/j.resuscitation.2016.10....

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Abstract

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.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Cardiac arrest -- Patients -- Mortality -- Statistics -- England, Cardiac arrest -- Treatment, Older people -- Diseases -- Mortality -- Statistics -- England, Emergency medical services, Resuscitation, CPR (First aid), Epidemiology, Assistance in emergencies, Ambulance service -- England
Journal or Publication Title: Resuscitation
Publisher: Elsevier Ireland Ltd
ISSN: 0300-9572
Official Date: January 2017
Dates:
DateEvent
January 2017Published
17 November 2016Available
31 October 2016Accepted
15 July 2016Submitted
Volume: 110
Page Range: pp. 133-140
DOI: 10.1016/j.resuscitation.2016.10.030
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDBritish Heart Foundationhttp://dx.doi.org/10.13039/501100000274
UNSPECIFIEDResuscitation Council (UK)http://dx.doi.org/10.13039/100012358
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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