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The role of accidental hypothermia in drowning patients with out-of-hospital cardiac arrest: A nationwide registry-based cohort study.
Resuscitation
January 2025
Prehospital Center Region Zealand, Ringstedgade 61, 13th floor, 4700 Naestved, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Aim: This study aimed to investigate the associations between hypothermia and mortality or poor neurological outcome in a nationwide cohort of drowning patients with out-of-hospital cardiac arrest (OHCA).
Methods: This nationwide, registry-based cohort study reported in-hospital data on drowning patients with OHCA following the Utstein Style For Drowning. Drowning patients with OHCA were identified in the Danish Cardiac Arrest Registry from 2016 to 2021.
Association between emergency medical services' response times, low socioeconomic status, and poorer outcomes in out-of-hospital cardiac arrest: the MEDIC multicenter retrospective cohort study for disparities in access to prehospital critical care in the Paris metropolitan area.
Eur J Emerg Med
February 2025
AP-HP, Département de santé publique, Hôpital universitaire Henri Mondor.
Background And Importance: Prolonged emergency medical services' response times (EMS-RT) are associated with poorer outcomes in out-of-hospital cardiac arrest (OHCA). The patient access time interval (PATI), from vehicle stop until contact with patient, may be increased in areas with low socioeconomic status (SES).
Objectives: The objective of this study is to identify predictors of prolonged EMS-RT intervals, and to evaluate associations with clinical outcomes in OHCAs occurring in the largest metropolitan area in France.
Bystander Response and Out-of-Hospital Cardiac Arrest Outcomes (Bro. Study) in 3 Gulf Countries: Protocol for a Prospective, Observational, International Collaboration Study.
JMIR Res Protoc
November 2024
Clinical Academic Education, Qatar University, Doha, Qatar.
Background: : Globally, there is significant variation in the out-of-hospital cardiac arrest (OHCA) survival rate. Early links in the chain of survival, including bystander cardiopulmonary resuscitation (CPR) and the use of an automated external defibrillator at the scene, are known to be of crucial importance, with strong evidence of increased survival rate with good neurological outcomes. The data from the Middle East are limited and report variable rates of bystander CPR and survival.
View Article and Find Full Text PDFImplementing an intelligent diagnosis and treatment system for in-hospital cardiac arrest in the Utstein style: a multi-center case study.
J Transl Med
November 2024
Department of Emergency, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Article Synopsis
- Cardiac arrest's varied causes make it hard to create precise treatment plans, but this study presents an intelligent system to improve in-hospital cardiac arrest (IHCA) management and increase CPR success rates.
- The researchers used a hybrid method to generate virtual patient samples and employed a deep reinforcement learning module for better diagnosis and treatment, analyzing data from multiple hospitals in China.
- Results showed the system outperformed others, especially when real data was lacking, achieving higher average reward scores that indicate improved efficacy in the treatment of IHCA.
Validation of CASPRI, GO-FAR, PIHCA scores in predicting favorable neurological outcomes after in-hospital cardiac arrest; A five-year three center retrospective study in IRAN.
BMC Cardiovasc Disord
October 2024
Social Determinants of Health Research Center, , Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Article Synopsis
- This study aimed to validate prediction tools (CASPRI, GO-FAR, and PIHCA) for determining favorable neurological outcomes following in-hospital cardiac arrests by analyzing patient data from 2018 to 2023.
- Out of 1,100 patients, only 42 (3.8%) had favorable outcomes; factors like age and respiratory failure were linked to better outcomes, with CASPRI showing the highest predictive ability.
- The findings suggest that CASPRI and GO-FAR could be effectively integrated into clinical practices in Iran to improve treatment strategies for cardiac arrest patients.
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