The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest

von Vopelius-Feldt, Johannes; Coulter, Archibald; Benger, Jonathan

Abstract

© 2015 Elsevier Ireland Ltd. Aim: To assess the impact of a pre-hospital critical care team (CCT) on survival from out-of-hospital cardiac arrest (OHCA). Methods: We undertook a retrospective observational study, comparing OHCA patients attended by advanced life support (ALS) paramedics with OHCA patients attended by ALS paramedics and a CCT between April 2011 and April 2013 in a single ambulance service in Southwest England. We used multiple logistic regression to control for an anticipated imbalance of prognostic factors between the groups. The primary outcome was survival to hospital discharge. All data were collected independently of the research. Results: 1851 cases of OHCA were included in the analysis, of which 1686 received ALS paramedic treatment and 165 were attended by both ALS paramedics and a CCT. Unadjusted rates of survival to hospital discharge were significantly higher in the CCT group, compared to the ALS paramedic group (15.8% and 6.5%, respectively, p

• Journal Article Type: Article
• Acceptance Date: Sep 1, 2015
• Publication Date: Jan 1, 2015
• Deposit Date: Aug 2, 2016
• Publicly Available Date: Sep 12, 2016
• Journal: Resuscitation
• Print ISSN: 0300-9572
• Electronic ISSN: 1873-1570
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 96
• Pages: 290-295
• DOI: https://doi.org/10.1016/j.resuscitation.2015.08.020
• Keywords: out-of-hospital cardiac arrest, emergency medical systems, pre-hospital critical care, advanced life support
• Public URL: https://uwe-repository.worktribe.com/output/845531
• Publisher URL: http://dx.doi.org/10.1016/j.resuscitation.2015.08.020
• Contract Date: Aug 2, 2016