In:
Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 140, No. Suppl_2 ( 2019-11-19)
Abstract:
Introduction: The Emergency Medical Service Systems (EMS) in Germany are physician-based and provided by a two-tier system: One unit comprises physician staffing, and the second paramedics. Both units are simultaneously dispatched for a CPR call and are to arrive on scene at the same time. The physicians are allowed to terminate resuscitation efforts on scene or to indicate a transport to hospital under ongoing resuscitation.The aim of this study was to find out which patient survived after hospital admission with ongoing resuscitation. Materials and Methods: Data from the German Resuscitation Registry from the period 2014-2018, which have documented a hospital admission under ongoing resuscitation, will be examined. We excluded all patients without information on hospital outcome. Results: During the period, 7.146 patients were admitted to hospital under ongoing CPR. We included 2,884 patients with complete information on hospital outcome in this study. Of those, 73% were male and, on average, 62.2 years old. In 52% of all cases, mechanical chest compression devices were used. 12% of all patients admitted to hospital with ongoing resuscitation survived 24 hours and 4% can discharged alive, 2% with good neurological outcome (CPC ½). Patients survived to hospital discharge were younger (57.4 vs. 62.4 years), more male (79% vs. 73%) and have a shorter resuscitation free interval (3:49 vs. 4:53 min). If the patients can discharge alive, the initial rhythm were more often VF/pVT (71% vs. 30%) and more often the emergency physician presumed a cardiac cause of the arrest (79% vs. 67%). The rate of bystander resuscitation (39% vs. 36%) and telephone-guided CPR is similar between the two groups (18% vs. 16%). Conclusions: At all, 4% of all patients admitted to hospital under ongoing CPR can be discharged alive. The discharged patients are younger, more often male and have more often a cardiac cause of the arrest. More detailed analyses are necessary to define criteria for transport under ongoing resuscitation.
Type of Medium:
Online Resource
ISSN:
0009-7322
,
1524-4539
DOI:
10.1161/circ.140.suppl_2.419
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2019
detail.hit.zdb_id:
1466401-X
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