Cheung, W and Middleton, P and Davies, S and Tummala, S and Thanakrishnan, G and Gullick, J, A comparison of survival following out-of-hospital cardiac arrest in Sydney, Australia, between 2004-2005 and 2009-2010, Critical Care and Resuscitation, 15, (3) pp. 241-246. ISSN 1441-2772 (2013) [Refereed Article]
Copyright 2013 Critical Care and Resuscitation
Official URL: http://www.cicm.org.au/journal_load.php?year=2013&...
Objective: To determine whether survival following out-of-hospital cardiac arrest (OHCA) in Sydney, Australia, improved between 2004-2005 and 2009-2010, and whether there was a change in incidence of OHCA.
Design: Retrospective study using the Ambulance Service of New South Wales and NSW Registry of Births, Deaths and Marriages databases.
Participants and setting: All patients who had an OHCA in the Sydney metropolitan area and who used the Ambulance Service of NSW between June 2009 and May 2010 (2009-2010), and between June 2004 and May 2005 (2004-2005).
Main outcome measures: Survival to 90 days. Other outcome measures included the incidence of OHCA and survival to the day following OHCA, 28 days and 1 year following OHCA. Survival and incidence were also calculated according to initial electrocardiograph rhythm.
Results: Survival to 90 days was 12.3% in 2004-2005 and 10.2% in 2009-2010 (P = 0.015). In 2004-2005, the age-standardised incidence of OHCA was 52.6 events per 100 000 person-years (95% CI, 51.6-53.6 events per 100 000 person-years), and in 2009-2010 it was 48.4 events per 100 000 person-years (95% CI, 46.3-50.4 events per 100 000 person-years). In 2004-2005, the incidence of ventricular fibrillation (VF) was 31.3% (95% CI, 28.4%-33.9%) and in 2009-2010 it was 22.1% (95% CI, 20.0%-24.3%).
Conclusion: There was no improvement in survival following OHCA in Sydney between 2004-2005 and 2009-2010. There has been a decrease in overall survival from OHCA and a decrease in the overall age-standardised incidence of OHCA. The decrease in overall survival may be due to a decline in the incidence of VF.
|Item Type:||Refereed Article|
|Research Division:||Medical and Health Sciences|
|Research Group:||Cardiorespiratory Medicine and Haematology|
|Research Field:||Cardiology (incl. Cardiovascular Diseases)|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Cardiovascular System and Diseases|
|Author:||Davies, S (Ms Suzanne Avis)|
|Web of Science® Times Cited:||11|
|Deposited By:||Medicine (Discipline)|
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