Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 58 - 62 |
| Number of pages | 5 |
| Journal | Resuscitation |
| Volume | 83 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2012 |
Cite this
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Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia. / Deasy, Conor; Bray, Janet; Smith, Karen Louise; Harriss, Linton; Bernard, Stephen; Davidson, Patricia; Cameron, Peter.
In: Resuscitation, Vol. 83, No. 1, 2012, p. 58 - 62.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia
AU - Deasy, Conor
AU - Bray, Janet
AU - Smith, Karen Louise
AU - Harriss, Linton
AU - Bernard, Stephen
AU - Davidson, Patricia
AU - Cameron, Peter
PY - 2012
Y1 - 2012
N2 - Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for all OHCAs occurring in RACFs in Melbourne. The characteristics and outcomes were compared to non-RACF patients in the VACAR. Results: Between 2000 and 2009 there were 30,006 OHCAs, 2350 (7.8 ) occurring in a RACF. A shockable rhythm was present in 179 (7.6 ) patients on arrival of paramedics of whom bystander CPR had been performed in 118 (66 ); 173 (97 ) received an EMS attempted resuscitation. ROSC was achieved in 71 (41 ) patients and 15 (8.7 ) patients survived to leave hospital. Non shockable rhythm was present in 2171 patients (92 ) of whom 804 (37 ) had an attempted resuscitation by paramedics. ROSC was achieved in 176 patients (22 ) and 10 patients (1.2 ) were discharged alive. Survival from OHCA occurring in a RACF was less than survival in those aged >70 years of age who suffered OHCA in their own homes (1.8 vs. 4.7 , p = 0.001). On multivariable analysis, witnessed OHCA (OR 3.0, 95 CI 2.4a??3.7) and the presence of bystander CPR (OR 4.6, 95 CI 3.7a??5.8) was associated with the paramedic decision to resuscitate. Conclusion: Resuscitation of patients in RACF is not futile. However, informed decisions concerning resuscitation status should be made by patients and their families on entry to a RACF. Where it is appropriate to perform resuscitation, outcomes may be improved by the provision of BLS training and possibly AED equipment to RACF staff.
AB - Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for all OHCAs occurring in RACFs in Melbourne. The characteristics and outcomes were compared to non-RACF patients in the VACAR. Results: Between 2000 and 2009 there were 30,006 OHCAs, 2350 (7.8 ) occurring in a RACF. A shockable rhythm was present in 179 (7.6 ) patients on arrival of paramedics of whom bystander CPR had been performed in 118 (66 ); 173 (97 ) received an EMS attempted resuscitation. ROSC was achieved in 71 (41 ) patients and 15 (8.7 ) patients survived to leave hospital. Non shockable rhythm was present in 2171 patients (92 ) of whom 804 (37 ) had an attempted resuscitation by paramedics. ROSC was achieved in 176 patients (22 ) and 10 patients (1.2 ) were discharged alive. Survival from OHCA occurring in a RACF was less than survival in those aged >70 years of age who suffered OHCA in their own homes (1.8 vs. 4.7 , p = 0.001). On multivariable analysis, witnessed OHCA (OR 3.0, 95 CI 2.4a??3.7) and the presence of bystander CPR (OR 4.6, 95 CI 3.7a??5.8) was associated with the paramedic decision to resuscitate. Conclusion: Resuscitation of patients in RACF is not futile. However, informed decisions concerning resuscitation status should be made by patients and their families on entry to a RACF. Where it is appropriate to perform resuscitation, outcomes may be improved by the provision of BLS training and possibly AED equipment to RACF staff.
UR - http://www.ncbi.nlm.nih.gov/pubmed/21756967
U2 - 10.1016/j.resuscitation.2011.06.030
DO - 10.1016/j.resuscitation.2011.06.030
M3 - Article
VL - 83
SP - 58
EP - 62
JO - Resuscitation
JF - Resuscitation
SN - 0300-9572
IS - 1
ER -