دورية أكاديمية
Outcomes of cardiac arrest in the nursing home: destiny or futility? [see comment].
| العنوان: | Outcomes of cardiac arrest in the nursing home: destiny or futility? [see comment]. |
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| المؤلفون: | Benkendorf R; Department of Emergency Medicine, Lapeer Regional Medical Hospital, MI, USA., Swor RA, Jackson R, Rivera-Rivera EJ, Demrick A |
| المصدر: | Prehospital emergency care [Prehosp Emerg Care] 1997 Apr-Jun; Vol. 1 (2), pp. 68-72. |
| نوع المنشور: | Comment; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9703530 Publication Model: Print Cited Medium: Print ISSN: 1090-3127 (Print) Linking ISSN: 10903127 NLM ISO Abbreviation: Prehosp Emerg Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Philadelphia, PA : Hanley & Belfus, c1997- |
| مواضيع طبية MeSH: | Treatment Outcome*, Cardiopulmonary Resuscitation/*statistics & numerical data , Emergency Medical Services/*statistics & numerical data , Heart Arrest/*therapy , Home Care Services/*statistics & numerical data , Nursing Homes/*statistics & numerical data, Adult ; Aged ; Cohort Studies ; Female ; Health Status ; Heart Arrest/mortality ; Hospitalization ; Humans ; Male ; Michigan/epidemiology ; Middle Aged ; Prospective Studies ; Retrospective Studies ; Suburban Health Services ; Survival Analysis |
| مستخلص: | Objective: To compare EMS system characteristics and outcomes between nursing home (NH) patients and out-of-hospital cardiac arrest (OHCA) patients whose arrests occurred in a residence (home). Design: Prospective cohort study reviewing OHCA from July 1989 to December 1993. Variables were age, witnessed arrest, response intervals, automated external defibrillator (AED) use, and arrest rhythms. Outcomes were hospital admission and discharge. Pearson chi-square was used for analysis. Setting: Suburban EMS system. Subjects: Patients > or = 19 years old with arrest of presumed cardiac cause, with locations at home or at a NH. Results: 2,348 total arrests were complete for analysis, 182 at a NH and 2,166 at home. BLS and ALS response intervals were shorter for the NH patients. The NH patients were more likely to receive CPR on collapse, were older (73.1 vs 67.5 years, p < 0.001), were less likely to have had an AED used (9.9% vs 30.0%, p < 0.001), and were more likely to have an arrest bradyasystolic rhythm (74.7% vs 51.5%, p < 0.001). They were less likely to survive to hospital admission (10.4% vs 18.5%, p < 0.006) and discharge (0.0% vs 5.6%, p < 0.001). Conclusion: During this four-and-a-half-year study period, no NH patient survived, even though % CPR was increased. Arrest rhythm is an important factor in this finding. EMS initial care for ventricular tachycardia/fibrillation NH patients, with less application of AEDs, was identified. This different response may adversely contribute to dismal NH outcome. |
| التعليقات: | Comment on: Prehosp Emerg Care. 1997 Apr-Jun;1(2):120-2. (PMID: 9709351) |
| تواريخ الأحداث: | Date Created: 19970401 Date Completed: 19980917 Latest Revision: 20191102 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1080/10903129708958790 |
| PMID: | 9709340 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1090-3127 |
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| DOI: | 10.1080/10903129708958790 |