دورية أكاديمية
أعرض في EDS

Ongoing CPR with an onboard physician.

التفاصيل البيبلوغرافية
العنوان: Ongoing CPR with an onboard physician.
المؤلفون: Sucunza AE; Servicio de Urgencias Extrahospitalarias de Navarra, Spain., Fernández Del Valle P; M Stat. Agencia de Servicios Sociales y Dependencia de Andalucía, Spain., Vázquez JAI; Fundación Pública Urxencias Sanitarias 061, Galicia, Spain., Azeli Y; Sistema de Emergencies Mediques, Catalunya. Institut d' Investigació Sanitaria Pere i Virgili, Tarragona (IISPV) , Spain., Navalpotro Pascual JM; SUMMA-112 Madrid, Spain., Rodriguez JV; Gerencia de Urgencias, Emergencias y Transporte Sanitario, Spain., Barreras CF; Emergentziak-Emergencias, Osakidetza, Euzkadi, Spain., Embid SR; 061 e Instituto de Ciencias de la Salud, Aragón, Spain., Gutiérrez-García C; Centro de Emergencias 061, SP Málaga, Andalucía, Spain., Rozalén MIC; SAMU061-IB-SALUT, Spain., García CMG; 061 Cantabria, Spain., Del Pozo Pérez C; Emergencias Sanitarias, Castilla y León, Spain., Luque-Hernández MJ; Centro de Emergencias 061, SP Málaga, Andalucía, Spain., Muñoz SS; Sistema de Emergencies Mediques, Catalunya. Institut d' Investigació Sanitaria Pere i Virgili, Tarragona (IISPV) , Spain., Canos ABF; SAMU, Emergencias Sanitarias, Comunidad Valenciana, Spain., Maíllo MIH; Emergencias Sanitarias extrahospitalarias de Extremadura. ESEX 112 Extremadura, Spain., García MJ; Servicio de Emergencias 061 de La Rioja, Spain., García NR; SAMUR Protección Civil, Spain., Isabel BM; SUMMA 112, Spain., Mendoza JJG; Servicio de Urgencias Extrahospitalarias de Navarra, Spain., Ramas JAC; Servicio de Bomberos de Zaragoza, Aragón, Spain., Revilla FR; Servicio de Urgencias Canario (SUC), Spain., Mateo-Rodríguez I; Andalusian School of Public Health, Universidad Nacional a Distancia (UNED). CIBER Epidemiology and Public Health (CIBERESP), Spain., Sanz FR; Fundación Rioja Salud. Unidad de la Ciencia del dato, Spain., Knox E; CIBER Epidemiology and Public Health (CIBERESP), Spain., Codina AD; Andalusian School of Public Health. CIBER Epidemiology and Public Health (CIBERESP), Spain., Azpiazu JIR; Servicio de Servicio de Emergencias 061 de La Rioja, Centro de Investigación Biomédica de La Rioja (CIBIR), Spain., Ortiz FR; Servicio de Emergencias 061 de La Rioja, Centro de Investigación Biomédica de La Rioja (CIBIR), Spain.
مؤلفون مشاركون: OHSCAR investigators group
المصدر: Resuscitation plus [Resusc Plus] 2024 Apr 13; Vol. 18, pp. 100635. Date of Electronic Publication: 2024 Apr 13 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101774410 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-5204 (Electronic) Linking ISSN: 26665204 NLM ISO Abbreviation: Resusc Plus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V., [2020]-
مستخلص: Introduction: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status.
Methods: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician. All OHCA cases occurring between the 1st of January and the 31st of December 2022 were included. Patients receiving ongoing CPR during transport to the hospital were compared with patients pronounced dead at the scene following arrival of the care team. The dependent variable was ongoing CPR during transport to the hospital. The main characteristics and the neurological status of patients surviving to discharge were described.
Results: A total of 9321 cases were included, of which 350 (3.7%) were transported to hospital with ongoing CPR. Such patients were young (59.9 ± 20.1 years vs 64.6 ± 16.9 years; p  < 0.001; 95%CI: 0.98 [0.98; 0.99]) with arrest taking place outside of the home (151 [44.5%] vs 4045 [68.01%]; p  < 0.001; 95%CI: 0.41 [0.31; 0.54]) and being witnessed by EMS (126 [36.0%] vs 667 [11.0%]; p  < 0.001; 95%CI: 4.31 [3.19; 5.80]), whilst initial rhythm differed from asystole (164 [47.6%] vs 4325 [73.0%]; p  < 0.01; 95%CI: 0.44 [0.33; 0.60]) and a mechanical device was more often employed during resuscitation and transport to hospital (199 [56.9%] vs 2050 [33.8%]; p  < 0.001; 95%CI: 2.75 [2.10; 3.59]). Seven patients (2%) were discharged alive from hospital, five with ad integrum neurological recovery (CPC1) and two with minimally impaired neurological function (CPC2).
Conclusions: The strategy of ongoing CPR is uncommon in EMS with an onboard physician. Despite their limited efficacy, the availability of mechanical chest compression devices, together with the possibility of specific hospital treatments, mainly ICP and ECMO, opens up the possibility of this approach with determined patients.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Author(s).)
References: Resuscitation. 2017 Apr;113:90-95. (PMID: 28202420)
J Clin Med. 2023 Jun 30;12(13):. (PMID: 37445464)
JAMA Netw Open. 2024 Jan 2;7(1):e2352377. (PMID: 38261321)
Resuscitation. 2024 Apr;197:110113. (PMID: 38218400)
Emergencias. 2018 Jun;30(3):156-162. (PMID: 29687669)
Resuscitation. 2008 Feb;76(2):185-90. (PMID: 17728039)
N Engl J Med. 2006 Aug 3;355(5):478-87. (PMID: 16885551)
Resuscitation. 2019 Nov;144:157-165. (PMID: 31401135)
Resuscitation. 2009 Mar;80(3):324-8. (PMID: 19150167)
Eur Heart J. 2011 Jul;32(13):1649-56. (PMID: 21515626)
Circ Cardiovasc Qual Outcomes. 2009 Jul;2(4):361-8. (PMID: 20031862)
Resuscitation. 2019 May;138:235-242. (PMID: 30928502)
Resuscitation. 2020 Dec;157:248-258. (PMID: 33137418)
Resuscitation. 2015 Nov;96:328-40. (PMID: 25438254)
Resuscitation. 2021 Apr;161:408-432. (PMID: 33773832)
Scand J Trauma Resusc Emerg Med. 2020 Sep 23;28(1):96. (PMID: 32972428)
Resuscitation. 2020 Jan 1;146:66-73. (PMID: 31730900)
Acad Emerg Med. 2009 Mar;16(3):270-3. (PMID: 19183108)
Resuscitation. 2020 Mar 1;148:251-258. (PMID: 31857141)
Ann Intern Med. 1990 Jun 15;112(12):949-54. (PMID: 2187394)
Crit Care. 2018 Sep 29;22(1):242. (PMID: 30268147)
Ann Emerg Med. 2017 Sep;70(3):374-381.e1. (PMID: 28302424)
Resuscitation. 2018 Sep;130:21-27. (PMID: 29958956)
Lancet. 1994 Apr 30;343(8905):1055-9. (PMID: 7909098)
Prehosp Emerg Care. 2013 Oct-Dec;17(4):491-500. (PMID: 23992201)
EBioMedicine. 2023 Mar;89:104464. (PMID: 36773348)
Prehosp Emerg Care. 2012 Oct-Dec;16(4):477-96. (PMID: 22861161)
Resusc Plus. 2021 Oct 16;8:100170. (PMID: 34901895)
Resuscitation. 2021 Jul;164:84-92. (PMID: 34023427)
Acute Med Surg. 2022 Oct 20;9(1):e802. (PMID: 36285104)
Resuscitation. 2023 Jan;182:109680. (PMID: 36584964)
Resuscitation. 2015 Oct;95:302-11. (PMID: 26477419)
Emergencias. 2024 Apr;36(2):131-139. (PMID: 38597620)
JAMA. 2020 Sep 15;324(11):1058-1067. (PMID: 32930759)
فهرسة مساهمة: Keywords: Emergency medical services; Ongoing CPR; Out of hospital cardiac arrest; Survival
تواريخ الأحداث: Date Created: 20240422 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC11026836
DOI: 10.1016/j.resplu.2024.100635
PMID: 38646093
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-5204
DOI:10.1016/j.resplu.2024.100635