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dc.contributor.authorMasterson, Siobhán
dc.contributor.authorCullinan, John
dc.contributor.authorMcNally, Bryan
dc.contributor.authorDeasy, Conor
dc.contributor.authorMurphy, Andrew
dc.contributor.authorWright, Peter
dc.contributor.authorO'Reilly, Martin
dc.contributor.authorVellinga, Akke
dc.date.accessioned2017-06-28T07:25:03Z
dc.date.available2017-06-28T07:25:03Z
dc.date.issued2016-10-20
dc.identifier.citationMasterson, Siobhán, Cullinan, John, McNally, Bryan, Deasy, Conor, Murphy, Andrew, Wright, Peter, O’Reilly, Martin, Vellinga, Akke. (2016). Out-of-hospital cardiac arrest attended by ambulance services in Ireland: first 2 years’ results from a nationwide registry. Emergency Medicine Journal, 33(11), 776-781. doi: 10.1136/emermed-2015-205107en_IE
dc.identifier.issn1472-0213
dc.identifier.urihttp://hdl.handle.net/10379/6607
dc.description.abstractBackground National data collection provides information on out-of-hospital cardiac arrest (OHCA) incidence, management and outcomes that may not be generalisable from smaller studies. This retrospective cohort study describes the first 2 years' results from the Irish National Out-of-Hospital Cardiac Arrest Register (OHCAR).Methods Data on OHCAs attended by emergency medical services (EMS) where resuscitation was attempted (EMS-treated) were collected from ambulance services and entered onto OHCAR. Descriptive analysis of the study population was performed, and regression analysis was performed on the subgroup of adult patients with a bystander-witnessed event of presumed cardiac aetiology and an initial shockable rhythm (Utstein group).Results 3701 EMS-treated OHCAs were recorded for the study period (1 January 2012-31 December 2013). Incidence was 39/100 000 population/year. In the Utstein group (n=577), compared with the overall group, there was a higher proportion of male patients, public event location, bystander cardiopulmonary resuscitation (CPR) and early defibrillation. Median EMS call-response interval was similar in both groups. A higher proportion of patients in the Utstein group achieved return of spontaneous circulation (35% vs 17%) and survival to hospital discharge (22% vs 6%). After multivariate adjustment for the Utstein group, the following variables were found to be independent predictors of the outcome survival to hospital discharge: public event location (OR 3.1 (95% CI 1.9 to 5.0)); bystander CPR (2.4 (95% CI 1.2 to 4.9)); EMS response of 8 min or less (2.2 (95% CI 1.3 to 3.6)).Conclusions This study highlights the role of nationwide registries in quantifying, monitoring and benchmarking OHCA incidence and outcome, providing baseline data upon which service improvement effects can be measured.en_IE
dc.formatapplication/pdfen_IE
dc.language.isoenen_IE
dc.publisherBMJ Publishing Groupen_IE
dc.relation.ispartofEmergency medicine journal : EMJen
dc.subjectSurvivalen_IE
dc.subjectOutcomesen_IE
dc.subjectAssociationen_IE
dc.subjectSwedenen_IE
dc.subjectRatesen_IE
dc.subjectAmbulance servicesen_IE
dc.subjectIrelanden_IE
dc.subjectOut-of-hospitalen_IE
dc.subjectCardiac arrestsen_IE
dc.titleOut-of-hospital cardiac arrest attended by ambulance services in Ireland: first 2 years' results from a nationwide registryen_IE
dc.typeArticleen_IE
dc.date.updated2017-06-16T07:14:39Z
dc.identifier.doi10.1136/emermed-2015-205107
dc.local.publishedsourcehttp://dx.doi.org/10.1136/emermed-2015-205107en_IE
dc.description.peer-reviewedpeer-reviewed
dc.contributor.funder|~|
dc.internal.rssid11713432
dc.local.contactAkke Vellinga, General Practice/Bacteriology, Nui Galway. 5192 Email: akke.vellinga@nuigalway.ie
dc.local.copyrightcheckedNo
dc.local.versionACCEPTED
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