The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Continuous Improvements in “Chain of Survival” Increased Survival After Out-of-Hospital Cardiac Arrests: A Large-Scale Population-Based Study
Open accessAbstract
Background— The impact of ongoing efforts to improve the “chain of survival” for out-of-hospital cardiac arrest (OHCA) is unclear. The objective of this study was to evaluate the incremental effect of changes in prehospital emergency care on survival after OHCA. Methods and Results— This prospective, population-based observational study involved consecutive patients with OHCA from May 1998 through December 2006. The primary outcome measure was 1-month survival with favorable neurological outcome. Multiple logistic regression analysis was used to assess factors that were potentially associated with better neurological outcome. Among 42 873 resuscitation-attempted adult OHCAs, 8782 bystander-witnessed arrests of presumed cardiac origin were analyzed. The median time interval from collapse to call for medical help, first cardiopulmonary resuscitation, and first shock shortened from 4 (interquartile range [IQR] 2 to 11) to 2 (IQR 1 to 5) minutes, from 9 (IQR 5 to 13) to 7 (IQR 3 to 11) minutes, and from 19 (IQR 13 to 22) to 9 (IQR 7 to 12) minutes, respectively. Neurologically intact 1-month survival after witnessed ventricular fibrillation increased from 6% (6/96) to 16% (49/297; P <0.001). Among all witnessed OHCAs, earlier cardiopulmonary resuscitation (odds ratio per minute 0.89, 95% confidence interval 0.85 to 0.93) and earlier intubation (odds ratio per minute 0.96, 95% confidence interval 0.94 to 0.99) were associated with better neurological outcome. For ventricular fibrillation, only earlier shock was associated with better outcome (odds ratio 0.84, 95% confidence interval 0.80 to 0.88). Conclusions— Data from a large, population-based cohort demonstrate a continuous increase in OHCA survival with improvement in the chain of survival. The incremental benefit of early advanced care on OHCA survival is also suggested.
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Jacobs, I., Nadkarni, V., the ILCOR Task Force on Cardiac Arrest and Cardiopulmonary Resuscitation Outcomes, PARTICIPANTS, C., Bahr, J., Berg, R. A., Billi, J. E., Bossaert, L., Cassan, P., Coovadia, A., et al. (2004) · Circulation · doi:10.1161/01.cir.0000147236.85306.15 · Cited by 2,560
Self-citationRegional Variation in Out-of-Hospital Cardiac Arrest Incidence and Outcome
Nichol, G. (2008) · JAMA · doi:10.1001/jama.300.12.1423 · Cited by 1,961
Self-citationWeb-based Injury Statistics Query and Reporting System (WISQARS)
Unav (2009) · Harvard Dataverse · doi:10.7910/dvn/n8emxe · Cited by 1,801
Sudden Cardiac Death in the United States, 1989 to 1998
Zheng, Z.-J., Croft, J. B., Giles, W. H., & Mensah, G. A. (2001) · Circulation · doi:10.1161/hc4301.098254 · Cited by 1,596
Cummins, R. O., Ornato, J. P., Thies, W. H., & Pepe, P. E. (1991) · Circulation · doi:10.1161/01.cir.83.5.1832 · Cited by 1,521
Outcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos
Valenzuela, T. D., Roe, D. J., Nichol, G., Clark, L. L., Spaite, D. W., & Hardman, R. G. (2000) · New England Journal of Medicine · doi:10.1056/nejm200010263431701 · Cited by 1,485
Self-citationPublic-Access Defibrillation and Survival after Out-of-Hospital Cardiac Arrest
(2004) · New England Journal of Medicine · doi:10.1056/nejmoa040566 · Cited by 1,130
(2005) · Circulation · doi:10.1161/circulationaha.105.166550 · Cited by 1,000
Estimating Effectiveness of Cardiac Arrest Interventions: A Logistic Regression Survival Model
Valenzuela, T. D., Roe, D. J., Cretin, S., Spaite, D. W., & Larsen, M. P. (1997) · Circulation · doi:10.1161/01.cir.96.10.3308 · Cited by 839
Advanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest
Stiell, I. G., Wells, G. A., Field, B., Spaite, D. W., Nesbitt, L. P., De Maio, V. J., Nichol, G., Cousineau, D., Blackburn, J., Munkley, D., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040325 · Cited by 835
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Cited by
Wissenberg, M., Lippert, F. K., Folke, F., Weeke, P., Hansen, C. M., Christensen, E. F., Jans, H., Hansen, P. A., Lang-Jensen, T., Olesen, J. B., et al. (2013) · JAMA · doi:10.1001/jama.2013.278483 · Cited by 1,191
Field, J. M., Hazinski, M. F., Sayre, M. R., Chameides, L., Schexnayder, S. M., Hemphill, R., Samson, R. A., Kattwinkel, J., Berg, R. A., Bhanji, F., et al. (2010) · Circulation · doi:10.1161/circulationaha.110.970889 · Cited by 1,050
Nichol, G., Aufderheide, T. P., Eigel, B., Neumar, R. W., Lurie, K. G., Bufalino, V. J., Callaway, C. W., Menon, V., Bass, R. R., Abella, B. S., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181cdb7db · Cited by 323
Self-citationAre trained individuals more likely to perform bystander CPR? An observational study
Tanigawa, K., Iwami, T., Nishiyama, C., Nonogi, H., & Kawamura, T. (2011) · Resuscitation · doi:10.1016/j.resuscitation.2011.01.027 · Cited by 141
Self-citationTiainen, M., Vaahersalo, J., Skrifvars, M. B., Hästbacka, J., Grönlund, J., & Pettilä, V. (2018) · Resuscitation · doi:10.1016/j.resuscitation.2018.05.011 · Cited by 43
Metadata
- Authors
- Iwami, T., Nichol, G., Hiraide, A., Hayashi, Y., Nishiuchi, T., Kajino, K., Morita, H., Yukioka, H., Ikeuchi, H., Sugimoto, H., Nonogi, H., & Kawamura, T.
- Venue
- Circulation
- Published
- 2009-02-10
- Volume
- 119
- Issue
- 5
- Pages
- 728-734
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2050957972
- Cited by
- 353
- References
- 34
- FWCI
- 29.79
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Iwami, T., Nichol, G., Hiraide, A., Hayashi, Y., Nishiuchi, T., Kajino, K., Morita, H., Yukioka, H., Ikeuchi, H., Sugimoto, H., Nonogi, H., & Kawamura, T. (2009). Continuous Improvements in “Chain of Survival” Increased Survival After Out-of-Hospital Cardiac Arrests: A Large-Scale Population-Based Study. Circulation. https://doi.org/10.1161/circulationaha.108.802058
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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