Out of hospital cardiac arrest in Vienna: Incidence and outcome
Open accessAbstract
Aim of the study To determine the incidence of out-of-hospital cardiac arrest and the survival rate of those patients who received CPR in the city of Vienna.Methods A cohort of patients with out-of-hospital cardiac arrests and who were treated by the Vienna Ambulance Service between January 1, 2009, and December 31, 2010, were followed up until either death or hospital discharge. The associations of survival and neurological outcome with their potential predictors were analysed using simple logistic regression models. Odds ratios were estimated for each factor.Results During the observation period, a total of 7030 (206.8/100,000 inhabitants/year) patients without signs of circulation were assessed by teams of the Vienna Ambulance Service, and 1448 adult patients were resuscitated by emergency medical service personnel. A sustained return of spontaneous circulation was reported in 361 (24.9%) of the treated patients, and in all 479 (33.0%) of the patients were taken to the emergency department. A total of 164 (11.3%) of the patients were discharged from the hospital alive, and 126 (8.7%) of the patients showed cerebral performance categories of 1 or 2 at the time of discharge. Younger age, an arrest in a public area, a witnessed arrest and a shockable rhythm were associated with a higher probability of survival to hospital discharge.Conclusion Survival rates for out-of-hospital cardiac arrests remain low. Efforts should be focused on rapidly initiating basic life support, early defibrillation, and high-quality CPR by emergency medical services and state-of-the art post-resuscitation care.
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Early CPR and defibrillation improve outcome after out-of-hospital cardiac arrests.
“Early CPR and defibrillation have been shown to be effective to improve outcome after out-of-hospital cardiac arrests [6–13].”
From Recruiting Medical Students for a First Responder Project in the Social Age: Direct Contact Still Outperforms Social Media (2020) · cites this paper as [13]
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- Authors
- Nürnberger, A., Sterz, F., Malzer, R., Warenits, A., Girsa, M., Stöckl, M., Hlavin, G., Magnet, I. A. M., Weiser, C., Zajicek, A., Glück, H., Grave, M. S., Müller, V., Benold, N., Hubner, P., & Kaff, A.
- Affiliations
- Medical University of Vienna (AT)
- Emergency Medical Service Vienna (AT)
- Corresponding author
- Sterz, Fritz
- Venue
- Resuscitation
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 84
- Issue
- 1
- Pages
- 42-47
- ISSN
- 0300-9572 (ISSN-L)
- OpenAlex
- W2093759577
- Cited by
- 81
- References
- 16
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 9 · 2017: 8 · 2016: 9 · 2015: 12 · 2014: 4 · 2013: 9
- FWCI
- 8.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Resuscitation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centre International de Recherche sur le Cancer
- ZOLL Medical Corporation
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- out-of-hospital cardiac arrest, incidence, survival to hospital discharge, cardiopulmonary resuscitation, emergency medical services, return of spontaneous circulation, neurological outcome, cerebral performance category, early defibrillation, shockable rhythm, witnessed arrest
- MeSH terms
- Aged, Austria, Emergency Medical Services, Female, Humans, Male, Middle Aged, Incidence, Survival Rate, Logistic Models, Out-of-Hospital Cardiac Arrest
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