Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia
Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registr...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Published: |
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/34844 |
| _version_ | 1848754333568466944 |
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| author | Deasy, C. Bray, Janet Smith, K. Harriss, L. Bernard, S. Davidson, P. Cameron, P. |
| author_facet | Deasy, C. Bray, Janet Smith, K. Harriss, L. Bernard, S. Davidson, P. Cameron, P. |
| author_sort | Deasy, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for all OHCAs occurring in RACFs in Melbourne. The characteristics and outcomes were compared to non-RACF patients in the VACAR. Results: Between 2000 and 2009 there were 30,006 OHCAs, 2350 (7.8%) occurring in a RACF.A shockable rhythm was present in 179 (7.6%) patients on arrival of paramedics of whom bystander CPR had been performed in 118 (66%); 173 (97%) received an EMS attempted resuscitation. ROSC was achieved in 71 (41%) patients and 15 (8.7%) patients survived to leave hospital. Non shockable rhythm was present in 2171 patients (92%) of whom 804 (37%) had an attempted resuscitation by paramedics. ROSC was achieved in 176 patients (22%) and 10 patients (1.2%) were discharged alive. Survival from OHCA occurring in a RACF was less than survival in those aged >70 years of age who suffered OHCA in their own homes (1.8% vs. 4.7%, p=0.001). On multivariable analysis, witnessed OHCA (OR 3.0, 95% CI 2.4-3.7) and the presence of bystander CPR (OR 4.6, 95% CI 3.7-5.8) was associated with the paramedic decision to resuscitate. Conclusion: Resuscitation of patients in RACF is not futile. However, informed decisions concerning resuscitation status should be made by patients and their families on entry to a RACF. Where it is appropriate to perform resuscitation, outcomes may be improved by the provision of BLS training and possibly AED equipment to RACF staff. © 2011 Elsevier Ireland Ltd. |
| first_indexed | 2025-11-14T08:38:45Z |
| format | Journal Article |
| id | curtin-20.500.11937-34844 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:38:45Z |
| publishDate | 2012 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-348442017-09-13T15:22:41Z Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia Deasy, C. Bray, Janet Smith, K. Harriss, L. Bernard, S. Davidson, P. Cameron, P. Introduction: CPR in patients in residential aged care facilities (RACF) deserves careful consideration. We examined the characteristics, management and outcomes of out-of-hospital cardiac arrest (OHCA) in RACF patients in Melbourne, Australia. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for all OHCAs occurring in RACFs in Melbourne. The characteristics and outcomes were compared to non-RACF patients in the VACAR. Results: Between 2000 and 2009 there were 30,006 OHCAs, 2350 (7.8%) occurring in a RACF.A shockable rhythm was present in 179 (7.6%) patients on arrival of paramedics of whom bystander CPR had been performed in 118 (66%); 173 (97%) received an EMS attempted resuscitation. ROSC was achieved in 71 (41%) patients and 15 (8.7%) patients survived to leave hospital. Non shockable rhythm was present in 2171 patients (92%) of whom 804 (37%) had an attempted resuscitation by paramedics. ROSC was achieved in 176 patients (22%) and 10 patients (1.2%) were discharged alive. Survival from OHCA occurring in a RACF was less than survival in those aged >70 years of age who suffered OHCA in their own homes (1.8% vs. 4.7%, p=0.001). On multivariable analysis, witnessed OHCA (OR 3.0, 95% CI 2.4-3.7) and the presence of bystander CPR (OR 4.6, 95% CI 3.7-5.8) was associated with the paramedic decision to resuscitate. Conclusion: Resuscitation of patients in RACF is not futile. However, informed decisions concerning resuscitation status should be made by patients and their families on entry to a RACF. Where it is appropriate to perform resuscitation, outcomes may be improved by the provision of BLS training and possibly AED equipment to RACF staff. © 2011 Elsevier Ireland Ltd. 2012 Journal Article http://hdl.handle.net/20.500.11937/34844 10.1016/j.resuscitation.2011.06.030 restricted |
| spellingShingle | Deasy, C. Bray, Janet Smith, K. Harriss, L. Bernard, S. Davidson, P. Cameron, P. Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title | Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title_full | Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title_fullStr | Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title_full_unstemmed | Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title_short | Resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in Melbourne, Australia |
| title_sort | resuscitation of out-of-hospital cardiac arrests in residential aged care facilities in melbourne, australia |
| url | http://hdl.handle.net/20.500.11937/34844 |