Abstract:
:Background Should all out-of-hospital cardiac arrest (OHCA) patients be directly transported to cardiac arrest centers (CACs) remains under debate. Our study evaluated the impacts of different transport time and destination hospital on the outcomes of OHCA patients. Methods and Results Data were collected from 6655 OHCA patients recorded in the regional prospective OHCA registry database of Taoyuan City, Taiwan, between January 2012 and December 2016. Patients were matched on propensity score, which left 5156 patients, 2578 each in the CAC and non-CAC groups. Transport time was dichotomized into <8 and ≥8 minutes. The relations between the transport time to CACs and good neurological outcome at discharge and survival to discharge were investigated. Of the 5156 patients, 4215 (81.7%) presented with nonshockable rhythms and 941 (18.3%) presented with shockable rhythms. Regardless of transport time, transportation to a CAC increased the likelihoods of survival to discharge (<8 minutes: adjusted odds ratio [aOR], 1.95; 95% CI, 1.11-3.41; ≥8 minutes: aOR, 1.92; 95% CI, 1.25-2.94) and good neurological outcome at discharge (<8 minutes: aOR, 2.70; 95% CI, 1.40-5.22; ≥8 minutes: aOR, 2.20; 95% CI, 1.29-3.75) in OHCA patients with shockable rhythms but not in patients with nonshockable rhythms. Conclusions OHCA patients with shockable rhythms transported to CACs demonstrated higher probabilities of survival to discharge and a good neurological outcome at discharge. Direct ambulance delivery to CACs should thus be considered, particularly when OHCA patients present with shockable rhythms.
journal_name
J Am Heart Assocjournal_title
Journal of the American Heart Associationauthors
Chien CY,Tsai SL,Tsai LH,Chen CB,Seak CJ,Weng YM,Lin CC,Ng CJ,Chien WC,Huang CH,Lin CY,Chaou CH,Liu PH,Tseng HJ,Fang CTdoi
10.1161/JAHA.119.015544subject
Has Abstractpub_date
2020-06-02 00:00:00pages
e015544issue
11issn
2047-9980journal_volume
9pub_type
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pub_type: 杂志文章,随机对照试验
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更新日期:2020-02-04 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章
doi:10.1161/JAHA.115.002012
更新日期:2015-06-15 00:00:00
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章
doi:10.1161/JAHA.116.004278
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journal_title:Journal of the American Heart Association
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更新日期:2018-11-06 00:00:00
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更新日期:2015-05-20 00:00:00
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pub_type: 杂志文章
doi:10.1161/JAHA.118.009600
更新日期:2018-11-06 00:00:00
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章,多中心研究
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更新日期:2018-06-22 00:00:00
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journal_title:Journal of the American Heart Association
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pub_type: 杂志文章
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更新日期:2018-08-21 00:00:00
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更新日期:2016-11-07 00:00:00
abstract::Background This study was performed to characterize the metabolic, functional, and structural cardiac changes in a canine model of radiation-induced heart disease by serial in vivo imaging and ex vivo analyses. Methods and Results Thirty-six dogs were randomly assigned to control or irradiated groups at 3 time points ...
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pub_type: 杂志文章
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更新日期:2020-09-15 00:00:00
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章,多中心研究
doi:10.1161/JAHA.115.002949
更新日期:2016-09-14 00:00:00
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journal_title:Journal of the American Heart Association
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更新日期:2016-07-27 00:00:00
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journal_title:Journal of the American Heart Association
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journal_title:Journal of the American Heart Association
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更新日期:2018-12-04 00:00:00
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journal_title:Journal of the American Heart Association
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doi:10.1161/JAHA.119.016461
更新日期:2020-09-01 00:00:00
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journal_title:Journal of the American Heart Association
pub_type: 杂志文章,多中心研究
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更新日期:2020-02-18 00:00:00