(2018) Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand : results from the Aus-ROC epistry. Resuscitation, 126 . pp. 49-57. doi:10.1016/j.resuscitation.2018.02.029 ISSN 0300-9572.
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Abstract
Introduction: The aim of this study was to investigate regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in Australia and New Zealand. Methods: This was a population-based cohort study of OHCA using data from the Aus-ROC Australian and New Zealand OHCA Epistry over the period of 01 January 2015–31 December 2015. Seven ambulance services contributed data to the Epistry with a capture population of 19.8 million people. All OHCA attended by ambulance, regardless of aetiology or patient age, were included. Results: In 2015, there were 19,722 OHCA cases recorded in the Aus-ROC Epistry with an overall crude incidence of 102.5 cases per 100,000 population (range: 51.0–107.7 per 100,000 population). Of all OHCA cases attended by EMS (excluding EMS-witnessed cases), bystander CPR was performed in 41% of cases (range: 36%–50%). Resuscitation was attempted (by EMS) in 48% of cases (range: 40%–68%). The crude incidence for attempted resuscitation cases was 47.6 per 100,000 population (range: 34.7–54.1 per 100,000 population). Of cases with attempted resuscitation, 28% survived the event (range: 21%–36%) and 12% survived to hospital discharge or 30 days (range: 9%–17%; data provided by five ambulance services). Conclusion: In the first results of the Aus-ROC Australian and New Zealand OHCA Epistry, significant regional variation in the incidence, characteristics and outcomes was observed. Understanding the system-level and public health drivers of this variation will assist in optimisation of the chain of survival provided to OHCA patients with the aim of improving outcomes. © 2018 The Authors
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| 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 |
| Journal or Publication Title: | Resuscitation |
| Publisher: | Elsevier Ireland Ltd |
| ISSN: | 0300-9572 |
| Official Date: | May 2018 |
| Dates: | Date Event May 2018 Published 2 March 2018 Available 26 February 2018 Accepted |
| Volume: | 126 |
| Page Range: | pp. 49-57 |
| DOI: | 10.1016/j.resuscitation.2018.02.029 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Open Access (Creative Commons open licence) |
| Copyright Holders: | The Authors |
| Date of first compliant deposit: | 24 July 2018 |
| Date of first compliant Open Access: | 1 August 2018 |
| Funder: | National Health and Medical Research Council (Australia) (NHMRC) |
| Grant number: | 545926 |
| RIOXX Funder/Project Grant: | Project/Grant ID RIOXX Funder Name Funder ID |
| Open Access Version: | |
| URI: | https://wrap.warwick.ac.uk/105444/ |
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