Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

Marianne Pape; Shahzleen Rajan; Steen Møller Hansen; Rikke Nørmark Mortensen; Signe Riddersholm; Fredrik Folke; Lena Karlsson; Freddy Lippert; Lars Køber; Gunnar Gislason; Helle Søholm; Mads Wissenberg; Thomas A. Gerds; Christian Torp-Pedersen; Kristian Kragholm

doi:10.1016/j.resuscitation.2018.02.004

Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

Marianne Pape, Shahzleen Rajan, Steen Møller Hansen, Rikke Nørmark Mortensen, Signe Riddersholm, Fredrik Folke, Lena Karlsson, Freddy Lippert, Lars Køber, Gunnar Gislason, Helle Søholm, Mads Wissenberg, Thomas A. Gerds, Christian Torp-Pedersen, Kristian Kragholm

15 Citationer (Scopus)

Abstract

Background: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents. Methods: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately. Results: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1–Q3: 75–89) vs. 71 (Q1–Q3: 61–80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007–2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2–2.2%] vs. 4.9% [95%CI: 4.6–5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5–11.9%] vs. 24.2% [95%CI: 22.5–25.9%] in nursing vs. private home residents. Conclusions: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.

Originalsprog	Engelsk
Tidsskrift	Resuscitation
Vol/bind	125
Sider (fra-til)	90-98
Antal sider	9
ISSN	0300-9572
DOI	https://doi.org/10.1016/j.resuscitation.2018.02.004
Status	Udgivet - apr. 2018

Adgang til dokumentet

10.1016/j.resuscitation.2018.02.004

Citationsformater

Pape, M., Rajan, S., Hansen, S. M., Mortensen, R. N., Riddersholm, S., Folke, F., Karlsson, L., Lippert, F., Køber, L., Gislason, G., Søholm, H., Wissenberg, M., Gerds, T. A., Torp-Pedersen, C., & Kragholm, K. (2018). Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study. Resuscitation, 125, 90-98. https://doi.org/10.1016/j.resuscitation.2018.02.004

@article{9620de16027a47f5871ca167f6f25dde,

title = "Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study",

abstract = "Background: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents. Methods: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately. Results: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1–Q3: 75–89) vs. 71 (Q1–Q3: 61–80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007–2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2–2.2%] vs. 4.9% [95%CI: 4.6–5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5–11.9%] vs. 24.2% [95%CI: 22.5–25.9%] in nursing vs. private home residents. Conclusions: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.",

author = "Marianne Pape and Shahzleen Rajan and Hansen, {Steen M{\o}ller} and Mortensen, {Rikke N{\o}rmark} and Signe Riddersholm and Fredrik Folke and Lena Karlsson and Freddy Lippert and Lars K{\o}ber and Gunnar Gislason and Helle S{\o}holm and Mads Wissenberg and Gerds, {Thomas A.} and Christian Torp-Pedersen and Kristian Kragholm",

year = "2018",

month = apr,

doi = "10.1016/j.resuscitation.2018.02.004",

language = "English",

volume = "125",

pages = "90--98",

journal = "Resuscitation",

issn = "0300-9572",

publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

AU - Pape, Marianne

AU - Rajan, Shahzleen

AU - Hansen, Steen Møller

AU - Mortensen, Rikke Nørmark

AU - Riddersholm, Signe

AU - Folke, Fredrik

AU - Karlsson, Lena

AU - Lippert, Freddy

AU - Køber, Lars

AU - Gislason, Gunnar

AU - Søholm, Helle

AU - Wissenberg, Mads

AU - Gerds, Thomas A.

AU - Torp-Pedersen, Christian

AU - Kragholm, Kristian

PY - 2018/4

Y1 - 2018/4

N2 - Background: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents. Methods: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately. Results: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1–Q3: 75–89) vs. 71 (Q1–Q3: 61–80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007–2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2–2.2%] vs. 4.9% [95%CI: 4.6–5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5–11.9%] vs. 24.2% [95%CI: 22.5–25.9%] in nursing vs. private home residents. Conclusions: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.

AB - Background: Survival among nursing home residents who suffers out-of-hospital cardiac arrest (OHCA) is sparsely studied. Deployment of automated external defibrillators (AEDs) in nursing home facilities in Denmark is unknown. We examined 30-day survival following OHCA in nursing and private home residents. Methods: This register-based, nationwide, follow-up study identified OHCA-patients ≥18 years of age with a resuscitation attempt in nursing homes and private homes using Danish Cardiac Arrest Register data from June 1, 2001 to December 31, 2014. The primary outcome measure was 30-day survival. Multiple logistic regression analyses were used to assess factors potentially associated with survival among nursing and private home residents separately. Results: Of 26,999 OCHAs, 2516 (9.3%) occurred in nursing homes, and 24,483 (90.7%) in private homes. Nursing home residents were older (median 83 (Q1–Q3: 75–89) vs. 71 (Q1–Q3: 61–80) years), had more witnessed arrest (55.4% vs. 43.4%), received more bystander cardiopulmonary resuscitation (CPR) (49.7% vs. 35.3%), but less pre-hospital defibrillation (15.1% vs. 29.8%). Registered AEDs increased in the period 2007–2014 from 1 to 211 in nursing homes vs. 1 to 488 in private homes. Average 30-day survival in nursing homes was 1.7% [95%CI: 1.2–2.2%] vs. 4.9% [95%CI: 4.6–5.2%] in private homes (P < 0.001). If bystanders witnessed the arrest, performed CPR, and pre-hospital defibrillation was performed, 30-day survival was 7.7% [95%CI: 3.5–11.9%] vs. 24.2% [95%CI: 22.5–25.9%] in nursing vs. private home residents. Conclusions: Average 30-day survival after OHCA was very low in nursing home residents, but those who received early resuscitative efforts had higher chance of survival.

U2 - 10.1016/j.resuscitation.2018.02.004

DO - 10.1016/j.resuscitation.2018.02.004

M3 - Journal article

C2 - 29425977

SN - 0300-9572

VL - 125

SP - 90

EP - 98

JO - Resuscitation

JF - Resuscitation

ER -

Survival after out-of-hospital cardiac arrest in nursing homes - A nationwide study

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