Out-of-Hospital Cardiac Arrest in Ireland 2012 to 2020: Bystander CPR, bystander defibrillation and survival in the Utstein comparator group.

IF 2.1 Q3 CRITICAL CARE MEDICINE Resuscitation plus Pub Date : 2024-12-25 eCollection Date: 2025-01-01 DOI:10.1016/j.resplu.2024.100851
Tomás Barry, Garrett Green, Martin Quinn, Conor Deasy, Gerard Bury, Siobhan Masterson, Andrew W Murphy
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Abstract

Background: The Irish Out-of-Hospital Cardiac Arrest registry (OHCAR) collects data based on the internationally recognised Utstein template. The Utstein comparator group (bystander witnessed and initial shockable rhythm) has specific relevance in benchmarking out-of-hospital cardiac arrest (OHCA) health system performance.

Aims: To describe OHCA in the Utstein comparator group during 2012 to 2020 in Ireland. To explore predictors of bystander CPR, defibrillation, and survival to hospital discharge.

Methods: National level OHCA registry data were interrogated. The subset of patients in the Utstein comparator group were identified and explored. Multivariable logistic regression was used to model outcome predictors.

Results: There were 3,092 cases of OHCA in the Utstein comparator group during 2012 to 2020. Overall survival to hospital discharge was 27%. On average there were yearly improvements in bystander CPR, bystander defibrillation, and survival. Bystander CPR was associated with a 57% increase, while bystander defibrillation was associated with a 78% increase in the adjusted odds of survival to hospital discharge. The adjusted odds of both bystander CPR and defibrillation were higher in rural areas, despite decreased survival in these communities when compared to urban. OHCA that occurred at home was associated with decreased odds of bystander CPR, bystander defibrillation, and survival to hospital discharge.

Conclusions: Bystander CPR, bystander defibrillation and survival to hospital discharge have increased in the Utstein comparator group during 2012-2020 in Ireland. Bystander CPR and defibrillation remain key modifiable health systems targets to increase overall OHCA survival.

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2012年至2020年爱尔兰院外心脏骤停:旁观者CPR,旁观者除颤和Utstein比较组的生存率
背景:爱尔兰院外心脏骤停登记处(OHCAR)根据国际公认的Utstein模板收集数据。Utstein比较组(旁观者目睹和初始休克节律)在院外心脏骤停(OHCA)卫生系统性能的基准测试中具有特定的相关性。目的:描述2012年至2020年爱尔兰Utstein比较组的OHCA。探讨旁观者CPR、除颤和存活至出院的预测因素。方法:对国家级OHCA登记资料进行查询。确定并探讨了Utstein比较组的患者亚群。采用多变量logistic回归对结果预测因子进行建模。结果:2012 - 2020年,Utstein比较组共发生3092例OHCA。到出院的总生存率为27%。在旁观者CPR、旁观者除颤和生存率方面,平均每年都有改善。旁观者心肺复苏术与57%的增加相关,而旁观者除颤与78%的调整后出院生存几率相关。在农村地区,旁观者CPR和除颤的调整几率更高,尽管与城市相比,这些社区的生存率较低。在家中发生的OHCA与旁观者CPR、旁观者除颤和存活至出院的几率降低有关。结论:2012-2020年期间,爱尔兰Utstein比较组的旁观者CPR、旁观者除颤和出院存活率均有所增加。旁观者心肺复苏术和除颤仍然是关键的可修改的卫生系统目标,以提高总体OHCA生存率。
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来源期刊
Resuscitation plus
Resuscitation plus Critical Care and Intensive Care Medicine, Emergency Medicine
CiteScore
3.00
自引率
0.00%
发文量
0
审稿时长
52 days
期刊最新文献
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