du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • 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
Dalarna University, School of Education, Health and Social Studies, Medical Science. 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.
Show others and affiliations
2015 (English)In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 36, no 14, 863-871 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Oxford University Press, 2015. Vol. 36, no 14, 863-871 p.
Keyword [en]
Cardiopulmonary resuscitation, Registries, Survival
National Category
Clinical Medicine
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-14534DOI: 10.1093/eurheartj/ehu240ISI: 000353541400009OAI: oai:DiVA.org:du-14534DiVA: diva2:729619
Available from: 2014-06-26 Created: 2014-06-26 Last updated: 2017-05-24Bibliographically approved

Open Access in DiVA

fulltext(493 kB)5 downloads
File information
File name FULLTEXT02.pdfFile size 493 kBChecksum SHA-512
5bbba92904046724f001800e242eca64acfa316f7eedaa2e9b06e040fc886e316f88b0f6da8ab520ec7ca29645ea8c6669f7f2334b0a7675efbb31e6197ba129
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Strömsöe, Anneli
By organisation
Medical Science
In the same journal
European Heart Journal
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 5 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 619 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf