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Titolo:
Effects of bystander first aid, defibrillation and advanced life support on neurologic outcome and hospital costs in patients after ventricular fibrillation cardiac arrest
Autore:
Bur, A; Kittler, H; Sterz, F; Holzer, M; Eisenburger, P; Oschatz, E; Kofler, J; Laggner, AN;
Indirizzi:
Univ Vienna, Clin Emergency Med, Allgemeines Krankenhaus Stadt Wein, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 aus Stadt Wein, A-1090 Vienna, Austria Allgemeines Krankenhaus Stadt Wein, Dept Dermatol, A-1090 Vienna, Austria Allgemeines Krankenhaus Stadt Wein Vienna Austria A-1090 Vienna, Austria
Titolo Testata:
INTENSIVE CARE MEDICINE
fascicolo: 9, volume: 27, anno: 2001,
pagine: 1474 - 1480
SICI:
0342-4642(200109)27:9<1474:EOBFAD>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
EMERGENCY MEDICAL TECHNICIANS; PREHOSPITAL DEFIBRILLATION; RAPID DEFIBRILLATION; SURVIVAL; RESUSCITATION; SERVICES; IMPACT; SYSTEM; MANAGEMENT; OPALS;
Keywords:
basic life support; cardiopulmonary resuscitation; defibrillation; heart arrest; hospital costs; intubation; outcome assessment; ventricular fibrillation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Sterz, F Univ Vienna, Clin Emergency Med, Allgemeines Krankenhaus Stadt Wein, Wahringer Gurtel 18-20-6-D, A-1090 Vienna, Austria Univ Vienna Wahringer Gurtel 18-20-6-D Vienna Austria A-1090 ria
Citazione:
A. Bur et al., "Effects of bystander first aid, defibrillation and advanced life support on neurologic outcome and hospital costs in patients after ventricular fibrillation cardiac arrest", INTEN CAR M, 27(9), 2001, pp. 1474-1480

Abstract

Objective: To evaluate the effects of basic life support, time to first defibrillation and emergency medical service arrival time on neurologic outcome and expenses for hospital care in patients after cardiac arrest. Setting: Large urban emergency medical services system and emergency department in a 2000-bed university hospital. Design: Outcome and cost benefit analysis of patients admitted to the hospital after witnessed, out-of-hospital, ventricular fibrillation cardiac arrest from October 1, 1991, until December 31, 1997. Patients: Out of 1245 patients with out-of-hospital cardiac arrest, 276 were eligible. Measurements and results: The effects of basic and advanced life support measures on neurologic outcome and hospital expenses were evaluated. In contrast to intubation (odds ratio 1.08; 95 % CI: 0.51-2.31; p = 0.84), basic life support (odds ratio 0.44; 95 % CI: 0.24-0.77; p = 0.004) and time to first defibrillation (odds ratio 1.08; 95 % CI: 1.03-1.13; p = 0.001) were significantly correlated with good neurologic outcome. Among the patients whodid not receive basic life support, the average cost per patient with goodneurologic outcome significantly increased with the delay of the first defibrillation (p < 0.001). Conclusions: In contrast to intubation, bystander basic life support and time to first defibrillation were significantly associated with good neurologic outcome and resulted in fewer expenses spent on in-hospital efforts.

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Documento generato il 05/04/20 alle ore 07:00:07