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Out-of-hospital cardiac arrest termination of resuscitation with ongoing CPR : an observational study
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Yates, E. J., Schmidbauer, S., Smyth, Michael A., Ward, M., Dorrian, S., Siriwardena, A. N., Friberg, H. and Perkins, Gavin D. (2018) Out-of-hospital cardiac arrest termination of resuscitation with ongoing CPR : an observational study. Resuscitation, 130 . pp. 21-27. doi:10.1016/j.resuscitation.2018.06.021 ISSN 0300-9572.
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Official URL: https://doi.org/10.1016/j.resuscitation.2018.06.02...
Abstract
Termination of resuscitation guidelines for out-of-hospital cardiac arrest can identify patients in whom continuing resuscitation has little chance of success. This study examined the outcomes of patients transferred to hospital with ongoing CPR. It assessed outcomes for those who would have met the universal prehospital termination of resuscitation criteria (no shocks administered, unwitnessed by emergency medical services, no return of spontaneous circulation). A retrospective cohort study of consecutive adult patients who were transported to hospital with ongoing CPR was conducted at three hospitals in the West Midlands, UK between September 2016 and November 2017. Patient characteristics, interventions and response to treatment (ROSC, survival to discharge) were identified. 227 (median age 69 years, 67.8% male) patients were identified. 89 (39.2%) met the universal prehospital termination of resuscitation criteria. Seven (3.1%) were identified with a potentially reversible cause of cardiac arrest. After hospital arrival, patients received few specialist interventions that were not available in the prehospital setting. Most (n = 210, 92.5%) died in the emergency department. 17 were admitted (14 to intensive care), of which 3 (1.3%) survived to hospital discharge. There were no survivors (0%) in those who met the criteria for universal prehospital termination of resuscitation. Overall survival amongst patients transported to hospital with ongoing CPR was very poor. Application of the universal prehospital termination of resuscitation rule, in patients without obvious reversible causes of cardiac arrest, would have allowed resuscitation to have been discontinued at the scene for 39.2% of patients who did not survive.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Cardiac resuscitation -- West Midlands (England), CPR (First aid) -- West Midlands (England) | ||||||||
Journal or Publication Title: | Resuscitation | ||||||||
Publisher: | Elsevier Ireland Ltd | ||||||||
ISSN: | 0300-9572 | ||||||||
Official Date: | September 2018 | ||||||||
Dates: |
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Volume: | 130 | ||||||||
Page Range: | pp. 21-27 | ||||||||
DOI: | 10.1016/j.resuscitation.2018.06.021 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 17 August 2018 | ||||||||
Date of first compliant Open Access: | 26 June 2019 |
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