• Eur J Emerg Med · Apr 2007

    Multicenter Study

    Adherence to resuscitation guidelines during prehospital care of cardiac arrest patients.

    • Hetti Kirves, Markus B Skrifvars, Marko Vähäkuopus, Kaj Ekström, Matti Martikainen, and Maaret Castren.
    • Department of Anesthesiology and Intensive Care Medicine, Helsinki University Hospital, 00029 HUS, Helsinki, Finland. Hetti.Kirves@hus.fi
    • Eur J Emerg Med. 2007 Apr 1;14(2):75-81.

    ObjectiveThe impact of prehospital care after the return of spontaneous circulation in out-of-hospital cardiac arrest patients is not known. This study describes adherence to the resuscitation guidelines, factors associated with poor adherence and possible impact of prehospital postresuscitation care on the outcome of out-of-hospital cardiac arrest.MethodsOne hundred and fifty-seven Finnish out-of-hospital cardiac arrest patients hospitalized during 1 year, were analyzed retrospectively. Patient and arrest characteristics, prehospital postresuscitation care and survival to hospital discharge were analyzed using multivariate logistic regression.ResultsForty percent of the patients received care accordant with the guidelines. Male sex (P=0.045), witnessed arrest (P=0.031), initial ventricular fibrillation/ventricular tachycardia rhythm (P=0.007) and the presence of an emergency physician (P=0.017) were associated with care in line with the current guidelines. In multivariate logistic regression analysis, age over median (odds ratio=3.6, 95% confidence interval 1.5-8.6), nonventricular fibrillation/ventricular tachycardia initial rhythm (odds ratio=4.0, 95% confidence interval 1.6-9.8), administration of adrenaline (odds ratio=7.0, 95% confidence interval 2.3-21.4) and unsatisfactory prehospital postresuscitation care (odds ratio=2.5, 95% confidence interval 1.1-6.3) were associated with a failure to survive up to hospital discharge.ConclusionsLess than 50% of out-of-hospital cardiac arrest patients received prehospital postresuscitation care compatible with the current guidelines. Markers of poor prognosis were associated with unsatisfactory care, which in turn was more frequent among the patients who did not survive to hospital discharge. The importance of the guidelines should be highlighted in the future.

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