Articles: out-of-hospital-cardiac-arrest.
-
Multicenter Study
Automatic Cardiac Rhythm Interpretation during Resuscitation.
Resuscitation guidelines recommend different treatments depending on the patient's cardiac rhythm. Rhythm interpretation is a key tool to retrospectively evaluate and improve the quality of treatment. Manual rhythm annotation is time consuming and an obstacle for handling large resuscitation datasets efficiently. The objective of this study was to develop a system for automatic rhythm interpretation by using signal processing and machine learning algorithms. ⋯ An ECG based automatic rhythm interpreter for resuscitation has been demonstrated. The interpreter handles VT, VF and AS well, while PEA and PR discrimination poses a more difficult problem.
-
Multicenter Study
Associations between Gender and Cardiac Arrest Outcomes in Pan-Asian Out-of-Hospital Cardiac Arrest Patients.
The incidence of out-of-hospital cardiac arrest (OHCA) in women is thought to be lower than that of men, with better outcomes in some Western studies. ⋯ Differences in survival outcomes between reproductive and menopausal women highlight a need for further investigations into the plausible social, pathologic or hormonal basis.
-
Multicenter Study
Prognostication of out-of-hospital cardiac arrest patients by 3-min end-tidal capnometry level in emergency department.
To evaluate the role of initial ETCO2 value in prognostication of OHCA patients in an Asian-Chinese cohort. ⋯ A 3-min ETCO2 ≤10mmHg was associated with poor prognosis and low chance of ROSC. Low ETCO2 level may have a role to reduce prolonged medically futile resuscitation.
-
Scand J Trauma Resus · Apr 2016
Multicenter Study Observational StudyImpact of an emergency medical dispatch system on survival from out-of-hospital cardiac arrest: a population-based study.
In countries where a single public emergency telephone number is not in operation, different emergency telephone numbers corresponding to multiple dispatch centres (police, fire, emergency medical service) may create confusion for the population about the most appropriate service to call. In particular, out-of-hospital cardiac arrest (OHCA) requires a prompt and effective response. We compare two different dispatch systems on OHCA patient survival at 30 days in a national system with multiple emergency telephone numbers. ⋯ A single dispatch centre was associated with a markedly improved increase of survival among OHCA patients at 30 days in a system with several emergency telephone numbers.
-
Randomized Controlled Trial Multicenter Study
Neurobehavioral Outcomes in Children After Out-of-Hospital Cardiac Arrest.
This study examined 12-month neurobehavioral outcomes in children who survived out-of-hospital cardiac arrest (OH-CA), were comatose after resuscitation, and were enrolled in a clinical trial to evaluate targeted temperature management to hypothermia (33.0°C) or normothermia (36.8°C) (Therapeutic Hypothermia after Pediatric Cardiac Arrest, Out-of-Hopsital [THAPCA-OH]; NCT00878644). ⋯ This is the largest study exploring long-term neurobehavioral outcomes in children surviving OH-CA who were comatose after resuscitation. Results revealed significant neurobehavioral morbidity across multiple functional domains, based both on caregiver reports and performance on objective cognitive measures, in survivors 1 year later.