Level of consciousness on admission to a Heart Attack Centre is a predictor of survival from out-of-hospital cardiac arrest

Resuscitation

Volumn 85, Issue 7, 2014, Pages 905-909

  Deakin, Charles D ^a,b   Fothergill, Rachael ^c   Moore, Fionna ^c   Watson, Lynne ^c   Whitbread, Mark ^c  

^a South Central Ambulance Service   (United Kingdom)

^b UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

^c LONDON AMBULANCE SERVICE NHS TRUST   (United Kingdom)

Author keywords

Ambulance; Cardiac arrest; Level of consciousness; Out of hospital; Outcome; Return of spontaneous circulation; Survival

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL HANDOVER; COMPARATIVE STUDY; CONSCIOUSNESS LEVEL; CORONARY CARE UNIT; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; OUT OF HOSPITAL CARDIAC ARREST; PRIORITY JOURNAL; SURVIVAL PREDICTION; VERY ELDERLY; AMBULANCE; CONSCIOUSNESS; EMERGENCY HEALTH SERVICE; FEMALE; MALE; MIDDLE AGED; OUT-OF-HOSPITAL CARDIAC ARREST; PATHOPHYSIOLOGY; PHYSIOLOGY; RESUSCITATION; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; SURVIVAL RATE; UNITED KINGDOM;

ADULT; AGED; AGED, 80 AND OVER; AMBULANCES; CARDIOPULMONARY RESUSCITATION; CONSCIOUSNESS; EMERGENCY MEDICAL SERVICES; FEMALE; GREAT BRITAIN; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; OUT-OF-HOSPITAL CARDIAC ARREST; PATIENT ADMISSION; RETROSPECTIVE STUDIES; SURVIVAL RATE;

EID: 84902281007     PISSN: 03009572     EISSN: 18731570     Source Type: Journal    
DOI: 10.1016/j.resuscitation.2014.02.020     Document Type: Article

References (24)

1. Wampler D.A., Collett L., Manifold C.A., Velasquez C., McMullan J.T. Cardiac arrest survival is rare without prehospital return of spontaneous circulation. PreHospital Emergency Care 2012, 16:451-455.
2. Olasveengen T.M., Sunde K., Brunborg C., Thowsen J., Steen P.A., Wik L. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA 2009, 302:2222-2229.
3. Tiainen M., Poutiainen E., Kovala T., Takkunen O., Happola O., Roine R.O. Cognitive and neurophysiological outcome of cardiac arrest survivors treated with therapeutic hypothermia. Stroke 2007, 38:2303-2308.
4. Laver S., Farrow C., Turner D., Nolan J. Mode of death after admission to an intensive care unit following cardiac arrest. Intensive Care Medicine 2004, 30:2126-2128.
5. Longstreth W.T., Inui T.S., Cobb L.A., Copass M.K. Neurologic recovery after out-of-hospital cardiac arrest. Annals of Internal Medicine 1983, 98:588-592.
6. Jorgensen E.O., Holm S. The natural course of neurological recovery following cardiopulmonary resuscitation. Resuscitation 1998, 36:111-122.
7. Herlitz J., Bang A., Gunnarsson J., et al. Factors associated with survival to hospital discharge among patients hospitalised alive after out of hospital cardiac arrest: change in outcome over 20 years in the community of Goteborg, Sweden. Heart 2003, 89:25-30.
8. Yi H.J., Kim Y.S., Ko Y., Oh S.J., Kim K.M., Oh S.H. Factors associated with survival and neurological outcome after cardiopulmonary resuscitation of neurosurgical intensive care unit patients. Neurosurgery 2006, 59:838-845. discussion 45-6.
9. Longstreth W.T., Diehr P., Inui T.S. Prediction of awakening after out-of-hospital cardiac arrest. New Eng J Med 1983, 308:1378-1382.
10. Edgren E., Hedstrand U., Kelsey S., Sutton-Tyrrell K., Safar P. Assessment of neurological prognosis in comatose survivors of cardiac arrest. BRCT I Study Group. Lancet 1994, 343:1055-1059.
11. Booth C.M., Boone R.H., Tomlinson G., Detsky A.S. Is this patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest. JAMA 2004, 291:870-879.
12. Mullie A., Verstringe P., Buylaert W., et al. Predictive value of Glasgow coma score for awakening after out-of-hospital cardiac arrest. Cerebral Resuscitation Study Group of the Belgian Society for Intensive Care. Lancet 1988, 1:137-140.
13. Deakin C.D., Nolan J.P., Soar J., et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support. Resuscitation 2010, 81:1305-1352.
14. Myocardial infarction with ST-segment-elevation (STEMI): guideline consultation. National Institution for Health and Care Excellence. http://www.nice.org.uk/guidance/index.jsp%3Faction=folder%26o=62702.
15. The UK Ambulance Service Clinical Practice. Guidelines Resuscitation Supplement. Joint Royal Colleges Ambulance Liaison Committee, London 2010. Accessed 2nd November 2013. http://www2.warwick.ac.uk/fac/med/research/hsri/emergencycare/prehospitalcare/jrcalcstakeholderwebsite/resuscitation_supplement_2010_version_2_-_24th_august_2011.pdf.
16. Nolan J.P., Soar J., Zideman D.A., et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation 2010, 81:1219-1276.
17. McNarry A.F., Goldhill D.R. Simple bedside assessment of level of consciousness: comparison of two simple assessment scales with the Glasgow Coma scale. Anaesthesia 2004, 59:34-37.
18. Gill M., Martens K., Lynch E.L., Salih A., Green S.M. Interrater reliability of 3 simplified neurologic scales applied to adults presenting to the emergency department with altered levels of consciousness. Annals of Emergency Medicine 2007, 49. 403-7, 7 e1.
19. Lindner T., Langorgen J., Sunde K., et al. Factors predicting the use of therapeutic hypothermia and survival in unconscious out-of-hospital cardiac arrest patients admitted to the ICU. Critical Care 2013, 17:R147.
20. Soholm H., Wachtell K., Nielsen S.L., et al. Tertiary centres have improved survival compared to other hospitals in the Copenhagen area after out-of-hospital cardiac arrest. Resuscitation 2013, 84:162-167.
21. Eisenberg M.S., Cummins R.O., Damon S., Larsen M.P., Hearne T.R. Survival rates from out-of-hospital cardiac arrest: recommendations for uniform definitions and data to report. Annals of Emergency Medicine 1990, 19:1249-1259.
22. Kim F., Nichol G., Maynard C., et al. Effect of prehospital induction of mild hypothermia on survival and neurological status among adults with cardiac arrest: a randomized clinical trial. JAMA 2014, 311:45-52.
23. Mateen F.J., Josephs K.A., Trenerry M.R., et al. Long-term cognitive outcomes following out-of-hospital cardiac arrest: a population-based study. Neurology 2011, 77:1438-1445.
24. Cronberg T., Brizzi M., Liedholm L.J., et al. Neurological prognostication after cardiac arrest-Recommendations from the Swedish Resuscitation Council. Resuscitation 2013, 84:867-872.