One-year survival after prehospital cardiac arrest: The Utstein style applied to a rural-suburban system

Lawrence E. Kass, David R. Eitel, Nancy K. Sabulsky, Cynthia S. Ogden, Dean R. Hess, Kristi L. Peters

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

To evaluate the recently published Utstein algorithm (Ann Emerg Med 1991;20:861), the authors conducted a retrospective review of all advanced life support (ALS) trip sheets and hospital records of patients with prehospital cardiac arrests between January 1988 and December 1989. Telephone follow-up was used to determine 1-year survival rates. Of 713 arrests in the 24-month study period, 601 were of presumed cardiac etiology. Approximately 599 of these charts were available for analysis. One hundred ninety-three (32.2%) of these had return of spontaneous circulation (ROSC), 36 (6.0%) survived to hospital discharge, and 24 were alive at 1-year follow-up (4.0% of total or 67% of survivors to discharge). The Utstein style was found to be a useful algorithmic format for reporting prehospital cardiac arrest data in a manner that should allow direct comparison between emergency medical service (EMS) systems. Existing prehospital record-keeping practices (trip sheets) are easily adapted to this style of data collection, although certain data for the template (eg, resuscitations not attempted and alive at 1-year) are more difficult to ascertain. Additionally, the authors report their own experience during a 2-year period, including data that suggest that the majority of patients with cardiac arrest who survive to hospital discharge are still alive at 1 year.

Original languageEnglish (US)
Pages (from-to)17-20
Number of pages4
JournalAmerican Journal of Emergency Medicine
Volume12
Issue number1
DOIs
StatePublished - Jan 1994

All Science Journal Classification (ASJC) codes

  • Emergency Medicine

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