Identification of a morning out-of-hospital cardiac arrest cluster of high-incidence: towards a chrono-preventive care strategy

2020 ◽  
Author(s):  
Valentine Baert ◽  
Christian Vilhelm ◽  
Joséphine Escutnaire ◽  
Jean-Baptiste Marc ◽  
Eric Wiel ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Preventive Care ◽  
High Incidence ◽  
Hospital Cardiac Arrest

scholarly journals High Incidence and Mortality of Out-of-Hospital Cardiac Arrest on Traditional Holiday in South Korea

2019 ◽  
Vol 49 (10) ◽  
pp. 945 ◽  
Author(s):  
Joon-myoung Kwon ◽  
Ki-Hyun Jeon ◽  
Hyue Mee Kim ◽  
Min Jeong Kim ◽  
Sungmin Lim ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
South Korea ◽  
Incidence And Mortality ◽  
High Incidence ◽  
Hospital Cardiac Arrest

Abstract 229: What is the Real Incidence of Out-Of-Hospital Cardiac Arrest in Norway

Circulation ◽  
2019 ◽  
Vol 140 (Suppl_2) ◽  
Author(s):  
Ingvild B Tjelmeland ◽  
Morten Larsen ◽  
Eirik Skogvoll ◽  
Jo Kramer-Johansen
Keyword(s):  
Cardiac Arrest ◽  
Data Collection ◽  
National Registry ◽  
Population Incidence ◽  
Ambulance Dispatch ◽  
High Incidence ◽  
Close Relationship ◽  
Low Incidence ◽  
Study Sites ◽  
Hospital Cardiac Arrest

Purpose of the study: The Norwegian Cardiac Arrest Registry (NorCAR) is a mandatory national registry of resuscitation attempts that monitors the population incidence, care and outcome for cardiac arrest. Previously, substantial differences in the number of included patients per 100 000 inhabitants were observed in some “atypical” health trusts (HT). It was not known if this is a problem with data collection or reflected genuine population differences. The purpose of this study was to identify all patients that fill NorCAR’s inclusion criteria among these HTs, by imposing consistent methods for data collection. Materials and methods: The registry implemented consistent, standardised and rigorous data collection methods including targeted audits in four “atypical” health trusts, two with a high and two with a low reported population incidence. Registrations from January to March 2019 was compared with similar results from 2018. Results: In 2018, the observed nationwide annual incidence of out-of-hospital cardiac arrest was 64 per 100 000 inhabitants, varying from 40 to 102. At the four study sites the observed population incidence was stable among HT with high incidence (88 and 110) but apparently increased in the two HTs with previous low incidence after implementation of standardised collection method (from 48 to 56, and 46 to 54). Conclusions: The previously “atypical” low incidence probably reflected a problem with data collection. To achieve full coverage of the population, all data collectors need to collect data using the same method with a concise and thorough investigation of ambulance-, air ambulance-, dispatch-, and hospital records. Data collectors need to have a close relationship with ambulance and dispatch, and constant reminders and feedback on reported results are important. Implementing a new method for data collection takes time, and results need to be evaluated over time.

Out-of-Hospital Cardiac Arrest Locations in a Rural Community: Where Should We Place AEDs?

2004 ◽  
Vol 19 (04) ◽  
pp. 352-355 ◽  
Author(s):  
Marc E. Portner ◽  
Marc L. Pollack ◽  
Steven K. Schirk ◽  
Melissa K. Schlenker
Keyword(s):  
Cardiac Arrest ◽  
Rural Community ◽  
Residential Areas ◽  
Study Objective ◽  
Automated External Defibrillators ◽  
The Past ◽  
Extended Care ◽  
High Incidence ◽  
Care Facilities ◽  
Hospital Cardiac Arrest

AbstractEarly defibrillation improves survival for patients suffering cardiac arrest from ventricular fibrillation (VF) or ventricular tachycardia (VT). Automated external defibrillators (AEDs) should be placed in locations in which there is a high incidence of out-of-hospital cardiac arrest (OOHCA). The study objective was to identify high-risk, rural locations that might benefit from AED placement. A retrospective review of OOHCA in a rural community during the past 5.5 years was conducted. The OOHCAs that occurred in non-residential areas were categorized based on location. Nine hundred, forty OOHCAs occurred during the study period of which 265 (28.2%) happened in non-residential areas. Of these, 127 (47.9%) occurred in healthcare-related locations, including 104 (39.2%) in extended care facilities. No location used in this study had more than two OOHCAs. Most (52.1%) non-residential OOHCAs occurred as isolated events in 146 different locations. Almost half of the OOHCAs that occurred in non-residential areas took place in healthcare-related facilities suggesting that patients at these locations may benefit from AED placement. First responders with AEDs are likely to have the greatest impact in a rural community.

540 Variability in Potential Causal Factors Between “Cardiotoxic” Neighbourhoods With High Incidence of Out-of-Hospital Cardiac Arrest

2012 ◽  
Vol 28 (5) ◽  
pp. S300-S301
Author(s):  
K.S. Allan ◽  
J. Ray ◽  
P. Gozdyra ◽  
A. Kiss ◽  
L. Morrison ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Causal Factors ◽  
High Incidence ◽  
Hospital Cardiac Arrest

scholarly journals The benefits of youth are lost on the young cardiac arrest patient

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 77 ◽  
Author(s):  
Brian Griffith ◽  
Patrick Kochanek ◽  
Cameron Dezfulian
Keyword(s):  
Young Adults ◽  
Cardiac Arrest ◽  
Brain Injuries ◽  
Age Groups ◽  
Standards Of Care ◽  
High Incidence ◽  
Children And Young Adults ◽  
The Difference ◽  
Hospital Response ◽  
Hospital Cardiac Arrest

Children and young adults tend to have reduced mortality and disability after acquired brain injuries such as trauma or stroke and across other disease processes seen in critical care medicine. However, after out-of-hospital cardiac arrest (OHCA), outcomes are remarkably similar across age groups. The consistent lack of witnessed arrests and a high incidence of asphyxial or respiratory etiology arrests among pediatric and young adult patients with OHCA account for a substantial portion of the difference in outcomes. Additionally, in younger children, differences in pre-hospital response and the activation of developmental apoptosis may explain more severe outcomes after OHCA. These require us to consider whether present practices are in line with the science. The present recommendations for compression-only cardiopulmonary resuscitation in young adults, normothermia as opposed to hypothermia (33°C) after asphyxial arrests, and paramedic training are considered within this review in light of existing evidence. Modifications in present standards of care may help restore the benefits of youth after brain injury to the young survivor of OHCA.

scholarly journals Out-of-hospital cardiac arrest and ambient air pollution: A dose-effect relationship and an association with OHCA incidence

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256526
Author(s):  
Francesca Romana Gentile ◽  
Roberto Primi ◽  
Enrico Baldi ◽  
Sara Compagnoni ◽  
Claudio Mare ◽  
...  
Keyword(s):  
Air Pollution ◽  
Cardiac Arrest ◽  
Dose Response ◽  
Ambient Air ◽  
Dose Effect ◽  
Ambient Air Pollution ◽  
Lombardy Region ◽  
High Incidence ◽  
Concentration Changes ◽  
Hospital Cardiac Arrest

Background Pollution has been suggested as a precipitating factor for cardiovascular diseases. However, data about the link between air pollution and the risk of out-of-hospital cardiac arrest (OHCA) are limited and controversial. Methods By collecting data both in the OHCA registry and in the database of the regional agency for environmental protection (ARPA) of the Lombardy region, all medical OHCAs and the mean daily concentration of pollutants including fine particulate matter (PM10, PM2.5), benzene (C6H6), carbon monoxide (CO), nitrogen dioxide (NO2), sulphur dioxide (SO2), and ozone (O3) were considered from January 1st to December 31st, 2019 in the southern part of the Lombardy region (provinces of Pavia, Lodi, Cremona and Mantua; 7863 km2; about 1550000 inhabitants). Days were divided into high or low incidence of OHCA according to the median value. A Probit dose-response analysis and both uni- and multivariable logistic regression models were provided for each pollutant. Results The concentrations of all the pollutants were significantly higher in days with high incidence of OHCA except for O3, which showed a significant countertrend. After correcting for temperature, a significant dose-response relationship was demonstrated for all the pollutants examined. All the pollutants were also strongly associated with high incidence of OHCA in multivariable analysis with correction for temperature, humidity, and day-to-day concentration changes. Conclusions Our results clarify the link between pollutants and the acute risk of cardiac arrest suggesting the need of both improving the air quality and integrating pollution data in future models for the organization of emergency medical services.

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