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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

Authors

Archibald Coulter

Jonathan Benger jonathan.benger@uwe.ac.uk



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
Publication Date Jan 1, 2015
Journal Resuscitation
Print ISSN 0300-9572
Electronic ISSN 1873-1570
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 96
Pages 290-295
APA6 Citation von Vopelius-Feldt, J., Coulter, A., & Benger, J. (2015). The impact of a pre-hospital critical care team on survival from out-of-hospital cardiac arrest. Resuscitation, 96, 290-295. https://doi.org/10.1016...suscitation.2015.08.020
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
Publisher URL http://dx.doi.org/10.1016/j.resuscitation.2015.08.020

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