Survival of resuscitated cardiac arrest patients with ST-elevation myocardial infarction (STEMI) conveyed directly to a Heart Attack Centre by ambulance clinicians
被引:34
作者:
Fothergill, Rachael T.
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机构:
London Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, EnglandLondon Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
Fothergill, Rachael T.
[1
]
Watson, Lynne R.
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London Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, EnglandLondon Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
Watson, Lynne R.
[1
]
Virdi, Gurkamal K.
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London Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, EnglandLondon Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
Virdi, Gurkamal K.
[1
]
Moore, Fionna P.
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London Ambulance Serv NHS Trust, Med Directorate, London SE1 8SD, EnglandLondon Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
Moore, Fionna P.
[2
]
Whitbread, Mark
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London Ambulance Serv NHS Trust, Med Directorate, London SE1 8SD, EnglandLondon Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
Whitbread, Mark
[2
]
机构:
[1] London Ambulance Serv NHS Trust, Clin Audit & Res Unit, London SE1 0BW, England
[2] London Ambulance Serv NHS Trust, Med Directorate, London SE1 8SD, England
Objective: This study reports survival outcomes for patients resuscitated from out-of-hospital cardiac arrest (OHCA) subsequent to ST-elevation myocardial infarction ( STEMI), and who were conveyed directly by ambulance clinicians to a specialist Heart Attack Centre for expert cardiology assessment, angiography and possible percutaneous coronary intervention (PCI). Methods: This is a retrospective descriptive review of data sourced from the London Ambulance Service's OHCA registry over a one-year period. Results: We observed excellent survival rates for our cohort of patients with 66% of patients surviving to be discharged from hospital, the majority of whom were still alive after one year. Those who survived tended to be younger, to have had a witnessed arrest in a public place with an initial cardiac rhythm of VF/VT, and to have been transported to the specialist centre more quickly than those who did not. Conclusion: A system allowing ambulance clinicians to autonomously convey OHCA STEMI patients who achieve a return of spontaneous circulation directly to a Heart Attack Centre is highly effective and yields excellent survival outcomes. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
机构:
Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Gorjup, Vojka
;
Radsel, Peter
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Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Radsel, Peter
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Kocjancic, Spela Tadel
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Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Kocjancic, Spela Tadel
;
Erzen, Damjan
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Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Erzen, Damjan
;
Noc, Marko
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Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
机构:
Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Gorjup, Vojka
;
Radsel, Peter
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机构:
Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Radsel, Peter
;
Kocjancic, Spela Tadel
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Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Kocjancic, Spela Tadel
;
Erzen, Damjan
论文数: 0引用数: 0
h-index: 0
机构:
Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia
Erzen, Damjan
;
Noc, Marko
论文数: 0引用数: 0
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机构:
Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, SloveniaUniv Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia