The impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest in Victoria, Australia: implications for Utstein-style outcome reports

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Abstract

Background: Success rates from cardiopulmonary resuscitation (CPR) are often quantified by Utstein-style outcome reports in populations who receive an attempted resuscitation. In some cases, evidence of futility is ascertained after a partial resuscitation attempt has been administered, and these cases reduce the overall effectiveness of CPR. We examine the impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. Methods: Between 2002 and 2012, 34,849 adult OHCA cases of presumed cardiac aetiology were included from the Victorian Ambulance Cardiac Arrest Registry. Resuscitation attempts lasting =10. min in cases which died on scene were defined as a partial resuscitation. We used logistic regression to identify factors associated with a partial resuscitation attempt in the emergency medical service (EMS) treated population. Survival outcomes with and without partial resuscitations were compared across included years. Results: The proportion of partial resuscitations in the overall EMS treated population increased significantly from 8.6 in 2002 to 18.8 in 2012 (p for trend.
Original languageEnglish
Pages (from-to)1185 - 1191
Number of pages7
JournalResuscitation
Volume85
Issue number9
DOIs
Publication statusPublished - 2014

Cite this

@article{59198d5527e64929a2051edf5dc540cb,
title = "The impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest in Victoria, Australia: implications for Utstein-style outcome reports",
abstract = "Background: Success rates from cardiopulmonary resuscitation (CPR) are often quantified by Utstein-style outcome reports in populations who receive an attempted resuscitation. In some cases, evidence of futility is ascertained after a partial resuscitation attempt has been administered, and these cases reduce the overall effectiveness of CPR. We examine the impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. Methods: Between 2002 and 2012, 34,849 adult OHCA cases of presumed cardiac aetiology were included from the Victorian Ambulance Cardiac Arrest Registry. Resuscitation attempts lasting =10. min in cases which died on scene were defined as a partial resuscitation. We used logistic regression to identify factors associated with a partial resuscitation attempt in the emergency medical service (EMS) treated population. Survival outcomes with and without partial resuscitations were compared across included years. Results: The proportion of partial resuscitations in the overall EMS treated population increased significantly from 8.6 in 2002 to 18.8 in 2012 (p for trend.",
author = "Ziad Nehme and Andrew, {Emily P} and Bernard, {Stephen Anthony} and Smith, {Karen Louise}",
year = "2014",
doi = "10.1016/j.resuscitation.2014.05.032",
language = "English",
volume = "85",
pages = "1185 -- 1191",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier",
number = "9",

}

TY - JOUR

T1 - The impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest in Victoria, Australia: implications for Utstein-style outcome reports

AU - Nehme, Ziad

AU - Andrew, Emily P

AU - Bernard, Stephen Anthony

AU - Smith, Karen Louise

PY - 2014

Y1 - 2014

N2 - Background: Success rates from cardiopulmonary resuscitation (CPR) are often quantified by Utstein-style outcome reports in populations who receive an attempted resuscitation. In some cases, evidence of futility is ascertained after a partial resuscitation attempt has been administered, and these cases reduce the overall effectiveness of CPR. We examine the impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. Methods: Between 2002 and 2012, 34,849 adult OHCA cases of presumed cardiac aetiology were included from the Victorian Ambulance Cardiac Arrest Registry. Resuscitation attempts lasting =10. min in cases which died on scene were defined as a partial resuscitation. We used logistic regression to identify factors associated with a partial resuscitation attempt in the emergency medical service (EMS) treated population. Survival outcomes with and without partial resuscitations were compared across included years. Results: The proportion of partial resuscitations in the overall EMS treated population increased significantly from 8.6 in 2002 to 18.8 in 2012 (p for trend.

AB - Background: Success rates from cardiopulmonary resuscitation (CPR) are often quantified by Utstein-style outcome reports in populations who receive an attempted resuscitation. In some cases, evidence of futility is ascertained after a partial resuscitation attempt has been administered, and these cases reduce the overall effectiveness of CPR. We examine the impact of partial resuscitation attempts on the reported outcomes of out-of-hospital cardiac arrest (OHCA) in Victoria, Australia. Methods: Between 2002 and 2012, 34,849 adult OHCA cases of presumed cardiac aetiology were included from the Victorian Ambulance Cardiac Arrest Registry. Resuscitation attempts lasting =10. min in cases which died on scene were defined as a partial resuscitation. We used logistic regression to identify factors associated with a partial resuscitation attempt in the emergency medical service (EMS) treated population. Survival outcomes with and without partial resuscitations were compared across included years. Results: The proportion of partial resuscitations in the overall EMS treated population increased significantly from 8.6 in 2002 to 18.8 in 2012 (p for trend.

UR - http://www.sciencedirect.com/science/article/pii/S0300957214005735

U2 - 10.1016/j.resuscitation.2014.05.032

DO - 10.1016/j.resuscitation.2014.05.032

M3 - Article

VL - 85

SP - 1185

EP - 1191

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

IS - 9

ER -