|
|
||||||||||
|
J Am Coll Cardiol, 1986; 7:752-757 © 1986 by the American College of Cardiology Foundation |
Survival to hospital discharge was related to the clinical history and emergency care system factors in 285 patients with witnessed cardiac arrest due to ventricular fibrillation. Only the emergency care factors were associated with differences in outcome. Both the period from collapse until initiation of basic life support and the duration of basic life support before delivery of the first defibrillatory shock were shorter in patients who survived compared with those who died (3.6 +/- 2.5 versus 6.1 +/- 3.3 minutes and 4.3 +/- 3.3 versus 7.3 +/- 4.2 minutes; p less than 0.05). A linear regression model based on emergency response times for 942 patients discovered in ventricular fibrillation was used to estimate expected survival rates if the first-responding rescuers, in addition to paramedics, had been equipped and trained to defibrillate. Expected survival rates were higher with early defibrillation (38 +/- 3%; 95% confidence limits) than the observed rate (28 +/- 3%). Because outcome from cardiac arrest is primarily influenced by delays in providing cardiopulmonary resuscitation and defibrillation, factors affecting response time should be carefully examined by all emergency care systems.
This article has been cited by other articles:
![]() |
M. P. Anstadt and J. E. Lowe Cardiopulmonary Resuscitation Card. Surg. Adult, January 1, 2008; 3(2008): 487 - 506. [Full Text] |
||||
![]() |
H. M. Spotnitz Surgical Implantation of Pacemakers and Automatic Defibrillators Card. Surg. Adult, January 1, 2008; 3(2008): 1395 - 1428. [Full Text] |
||||
![]() |
H. Halperin, N. Paradis, V. Mosesso Jr, G. Nichol, M. Sayre, J. P. Ornato, M. Gerardi, V. M. Nadkarni, R. Berg, L. Becker, et al. Recommendations for Implementation of Community Consultation and Public Disclosure Under the Food and Drug Administration's "Exception From Informed Consent Requirements for Emergency Research": A Special Report From the American Heart Association Emergency Cardiovascular Care Committee and Council on Cardiopulmonary, Perioperative and Critical Care: Endorsed by the American College of Emergency Physicians and the Society for Academic Emergency Medicine Circulation, October 16, 2007; 116(16): 1855 - 1863. [Full Text] [PDF] |
||||
![]() |
E. F. D. Wever and E. O. Robles de Medina Sudden death in patients without structural heart disease J. Am. Coll. Cardiol., April 7, 2004; 43(7): 1137 - 1144. [Abstract] [Full Text] [PDF] |
||||
![]() |
A.H. Idris, R.A. Berg, J. Bierens, L. Bossaert, C.M. Branche, A. Gabrielli, S.A. Graves, A.J. Handley, R. Hoelle, P.T. Morley, et al. Recommended Guidelines for Uniform Reporting of Data From Drowning: The "Utstein Style" Circulation, November 18, 2003; 108(20): 2565 - 2574. [Full Text] [PDF] |
||||
![]() |
L. Wik, T. B. Hansen, F. Fylling, T. Steen, P. Vaagenes, B. H. Auestad, and P. A. Steen Delaying Defibrillation to Give Basic Cardiopulmonary Resuscitation to Patients With Out-of-Hospital Ventricular Fibrillation: A Randomized Trial JAMA, March 19, 2003; 289(11): 1389 - 1395. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. P. Anstadt and J. E. Lowe Cardiopulmonary Resuscitation Card. Surg. Adult, January 1, 2003; 2(2003): 471 - 494. [Full Text] |
||||
![]() |
H. M. Spotnitz Pacemakers and Automatic Defibrillators Card. Surg. Adult, January 1, 2003; 2(2003): 1293 - 1326. [Full Text] |
||||
![]() |
R. J. Myerburg, J. Fenster, M. Velez, D. Rosenberg, S. Lai, P. Kurlansky, S. Newton, M. Knox, and A. Castellanos Impact of Community-Wide Police Car Deployment of Automated External Defibrillators on Survival From Out-of-Hospital Cardiac Arrest Circulation, August 27, 2002; 106(9): 1058 - 1064. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Kim, C. E. Fahrenbruch, L. A. Cobb, and M. S. Eisenberg Out-of-Hospital Cardiac Arrest in Men and Women Circulation, November 27, 2001; 104(22): 2699 - 2703. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. P. Marenco, P. J. Wang, M. S. Link, M. K. Homoud, and N. A. M. Estes III Improving Survival From Sudden Cardiac Arrest: The Role of the Automated External Defibrillator JAMA, March 7, 2001; 285(9): 1193 - 1200. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. J. Connolly, A. P. Hallstrom, R. Cappato, E. B. Schron, K.-H. Kuck, D. P. Zipes, H. L. Greene, S. Boczor, M. Domanski, D. Follmann, et al. Meta-analysis of the implantable cardioverter defibrillator secondary prevention trials Eur. Heart J., December 2, 2000; 21(24): 2071 - 2078. [Abstract] [PDF] |
||||
![]() |
N.R. GRUBB and P. BLOOMFIELD Cheating sudden death: how to do it, and what life's like after it QJM, March 1, 2000; 93(3): 191 - 195. [Full Text] [PDF] |
||||
![]() |
L. A. Cobb, C. E. Fahrenbruch, T. R. Walsh, M. K. Copass, M. Olsufka, M. Breskin, and A. P. Hallstrom Influence of Cardiopulmonary Resuscitation Prior to Defibrillation in Patients With Out-of-Hospital Ventricular Fibrillation JAMA, April 7, 1999; 281(13): 1182 - 1188. [Abstract] [Full Text] [PDF] |
||||
![]() |
L.H. Soo, D. Gray, T. Young, A. Skene, and J.R. Hampton Influence of ambulance crew's length of experience on the outcome of out-of-hospital cardiac arrest Eur. Heart J., April 1, 1999; 20(7): 535 - 540. [Abstract] [PDF] |
||||
![]() |
G. P. Walcott, S. B. Melnick, F. W. Chapman, J. L. Jones, W. M. Smith, and R. E. Ideker Relative Efficacy of Monophasic and Biphasic Waveforms for Transthoracic Defibrillation After Short and Long Durations of Ventricular Fibrillation Circulation, November 17, 1998; 98(20): 2210 - 2215. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. D. Valenzuela, D. J. Roe, S. Cretin, D. W. Spaite, and M. P. Larsen Estimating Effectiveness of Cardiac Arrest Interventions : A Logistic Regression Survival Model Circulation, November 18, 1997; 96(10): 3308 - 3313. [Abstract] [Full Text] |
||||
![]() |
L. B. Becker, R. A. Berg, P. E. Pepe, A. H. Idris, T. P. Aufderheide, T. A. Barnes, T. A. EdD, S. J. Stratton, and N. C. Chandra A Reappraisal of Mouth-to-Mouth Ventilation During Bystander-Initiated Cardiopulmonary Resuscitation : A Statement for Healthcare Professionals From the Ventilation Working Group of the Basic Life Support and Pediatric Life Support Subcommittees, American Heart Association Circulation, September 16, 1997; 96(6): 2102 - 2112. [Full Text] |
||||
![]() |
R. A. Berg, K. B. Kern, R. W. Hilwig, M. D. Berg, A. B. Sanders, C. W. Otto, and G. A. Ewy Assisted Ventilation Does Not Improve Outcome in a Porcine Model of Single-Rescuer Bystander Cardiopulmonary Resuscitation Circulation, March 18, 1997; 95(6): 1635 - 1641. [Abstract] [Full Text] |
||||
![]() |
A. H. Idris, L. B. Becker, J. P. Ornato, J. R. Hedges, N. G. Bircher, N. C. Chandra, R. O. Cummins, W. Dick, U. Ebmeyer, H. R. Halperin, et al. Utstein-Style Guidelines for Uniform Reporting of Laboratory CPR Research: A Statement for Healthcare Professionals From a Task Force of the American Heart Association, the American College of Emergency Physicians, the American College of Cardiology, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Institute of Critical Care Medicine, the Safar Center for Resuscitation Research, and the Society for Academic Emergency Medicine Circulation, November 1, 1996; 94(9): 2324 - 2336. [Full Text] |
||||
![]() |
N. R Grubb, R. O'Carroll, S. M Cobbe, J. Sirel, and K. A A Fox Chronic memory impairment after cardiac arrest outside hospital BMJ, July 20, 1996; 313(7050): 143 - 146. [Abstract] [Full Text] |
||||
![]() |
B. B. Lerman and E. D. Engelstein Metabolic Determinants of Defibrillation : Role of Adenosine Circulation, February 1, 1995; 91(3): 838 - 844. [Abstract] [Full Text] |
||||
![]() |
K. Maiese and J. J. Caronna Coma Following Cardiac Arrest: A Review of the Clinical Features, Management, and Prognosis J Intensive Care Med, May 1, 1988; 3(3): 153 - 163. [Abstract] [PDF] |
||||
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |