du.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Improved outcome in Sweden after out-of-hospital cardiac arrest and possible association with improvements in every link in the chain of survival
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Medicinsk vetenskap. Sahlgrenska University Hospital, Gothenburg.ORCID-id: 0000-0001-6885-991x
South Hospital, Stockholm.
Sahlgrenska Academy at Gothenburg University, Gothenburg.
Prehospen University College of Borås, Borås; Kungälv Ambulance Service, Kungälv.
Visa övriga samt affilieringar
2015 (Engelska)Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 36, nr 14, s. 863-871Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aims: To describe out-of-hospital cardiac arrest (OHCA) in Sweden from a long-term perspective in terms of changes in outcome and circumstances at resuscitation.

Methods and results: All cases of OHCA (n = 59 926) reported to the Swedish Cardiac Arrest Register from 1992 to 2011 were included. The number of cases reported (n/100 000 person-years) increased from 27 (1992) to 52 (2011). Crew-witnessed cases, cardiopulmonary resuscitation prior to the arrival of the emergency medical service (EMS), and EMS response time increased (P < 0.0001). There was a decrease in the delay from collapse to calling for the EMS in all patients and from collapse to defibrillation among patients found in ventricular fibrillation (P< 0.0001). The proportion of patients found in ventricular fibrillation decreased from 35 to 25% (P < 0.0001). Thirty-day survival increased from 4.8 (1992) to 10.7% (2011) (P < 0.0001), particularly among patients found in a shockable rhythm and patients with return of spontaneous circulation (ROSC) at hospital admission. Among patients hospitalized with ROSC in 2008–2011, 41% underwent therapeutic hypothermia and 28% underwent percutaneous coronary intervention. Among 30-day survivors in 2008–2011, 94% had a cerebral performance category score of 1 or 2 at discharge from hospital and the results were even better if patients were found in a shockable rhythm.

Conclusion: From a long-term perspective, 30-day survival after OHCA in Sweden more than doubled. The increase in survival was most marked among patients found in a shockable rhythm and those hospitalized with ROSC. There were improvements in all four links in the chain of survival, which might explain the improved outcome.

Ort, förlag, år, upplaga, sidor
Oxford University Press, 2015. Vol. 36, nr 14, s. 863-871
Nyckelord [en]
Cardiopulmonary resuscitation, Registries, Survival
Nationell ämneskategori
Klinisk medicin
Forskningsämne
Hälsa och välfärd
Identifikatorer
URN: urn:nbn:se:du-14534DOI: 10.1093/eurheartj/ehu240ISI: 000353541400009OAI: oai:DiVA.org:du-14534DiVA, id: diva2:729619
Tillgänglig från: 2014-06-26 Skapad: 2014-06-26 Senast uppdaterad: 2017-05-24Bibliografiskt granskad

Open Access i DiVA

fulltext(493 kB)128 nedladdningar
Filinformation
Filnamn FULLTEXT02.pdfFilstorlek 493 kBChecksumma SHA-512
5bbba92904046724f001800e242eca64acfa316f7eedaa2e9b06e040fc886e316f88b0f6da8ab520ec7ca29645ea8c6669f7f2334b0a7675efbb31e6197ba129
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltext

Personposter BETA

Strömsöe, Anneli

Sök vidare i DiVA

Av författaren/redaktören
Strömsöe, Anneli
Av organisationen
Medicinsk vetenskap
I samma tidskrift
European Heart Journal
Klinisk medicin

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 128 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 717 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf