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Hospital characteristics are associated with patient outcomes following out-of-hospital cardiac arrest
  1. Dion Stub1,2,3,
  2. Karen Smith3,4,
  3. Janet E Bray3,4,
  4. Stephen Bernard2,3,4,
  5. Stephen J Duffy1,2,
  6. David M Kaye1,2,3
  1. 1Baker IDI Heart Diabetes Institute, Melbourne, Australia
  2. 2Alfred Hospital, Melbourne, Australia
  3. 3Monash University, Melbourne, Australia
  4. 4Ambulance Victoria, Australia
  1. Correspondence to Dr Dion Stub, Heart Centre Alfred Hospital Commercial Road, Melbourne 3004, Australia; d.stub{at}alfred.org.au

Abstract

Objective Post-resuscitation care may influence outcome following transport to hospital after resuscitation from out-of-hospital cardiac arrest (OHCA). This study aimed to determine whether receiving hospital characteristics such as 24-h cardiac catheterisation services, total bed number or OHCA patient volume influence the rate of survival.

Setting Data were analysed from the Victorian Ambulance Cardiac Arrest Registry of patients from January 2003 to March 2010 who were transported to hospital with return of spontaneous circulation (ROSC) after OHCA.

Results Ambulance paramedics attended 9971 patients with OHCA of suspected cardiac cause during the study period. Of these, 2902 (29%) achieved ROSC and were transported to one of 70 hospitals. 1816 (63%) were treated at hospitals with 24-h cardiac interventional services. After adjusting for differences in baseline characteristics, hospital factors significantly associated with survival were treatment at hospitals with 24-h cardiac interventional services (OR 1.40; 95% CI 1.12 to 1.74, p=0.003) and patient reception between 08:00 and 17:00 hours (OR 1.34; 95% CI 1.10 to 1.64, p=0.004). OHCA patient volume and total hospital bed number were not independently associated with outcome.

Conclusion Hospital characteristics are associated with improved survival in patients with OHCA. This finding has implications for the establishment of regionalised systems of care for patients who have been resuscitated from OHCA.

  • Catheterisation
  • coronary intervention
  • heart arrest
  • post resuscitation care
  • resusitation
  • sudden cardiac death

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Footnotes

  • Funding DS is supported by a National Heart Foundation research scholarship and Baker IDI Heart and Diabetes Institute award. KS, SB, SJD and DMK are supported by National Health and Medical Research Council of Australia grants. The study was supported by a Centre of Research Excellence Grant from the National Health and Medical Research Council of Australia.

  • Competing intrests None to declare.

  • Ethics approval Alfred Hospital ethics committee and Ethics Committee of Ambulance Victoria.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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