1. Outcomes of out-of-hospital cardiac arrests after a decade of system-wide initiatives optimising community chain of survival in Taipei city.
- Author
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Lin, Hao-Yang, Chien, Yu-Chun, Lee, Bin-Chou, Wu, Yung-Lung, Liu, Yueh-Ping, Wang, Tzong-Luen, Ko, Patrick Chow-In, Chong, Kah-Meng, Wang, Hui-Chih, Huang, Edward Pei-Chuan, Sun, Jen-Tang, Hsieh, Ming-Ju, Hou, Sheng-Wen, Yang, Wen-Shuo, Wang, Yao-Cheng, Huang, Chien-Hua, Chiang, Wen-Chu, Ma, Matthew Huei-Ming, and Taipei City Fire Department Quality Assurance Team
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CARDIAC arrest , *RETURN of spontaneous circulation , *EMERGENCY medical services , *LOGISTIC regression analysis , *CARDIOPULMONARY resuscitation - Abstract
Objective: A strengthened chain of survival benefits patient outcomes after out-of-hospital cardiac arrest (OHCA).2 Over the past decade, the Taipei Fire Department (TFD) has continuously implemented system-wide initiatives on this issue.We hypothesised that for adult, non-trauma OHCA patients, the bundle of these system-wide initiatives are associated with better outcomes.Methods: We conducted a registry-based, retrospective study to examine the association between consecutive system-level initiatives and OHCA survival on a two-yearly basis using trend analysis and multivariable logistic regression. The primary outcome was survival to hospital discharge (STHD) and favourable neurological status.Results: We analysed 18,076 cases from 2008 to 2017. The numbers of two-yearly cases of OHCA with resuscitation attempts from 2008 to 2017 were 3,576, 3,456, 3,822, 3,811, and 3,411. There was a significant trend of improved STHD (Two-fold) and favourable neurological outcome (Six-fold) over the past decade. Similar trends were observed in the shockable and non-shockable groups. Considering the first 2 years as baseline, the odds of STHD and favourable neurological status in the end of the initiatives increased significantly after adjusting for universally recognised predictors for OHCA survival.Conclusion: For non-trauma adult OHCA in Taipei, continuous, multifaceted system-wide initiatives on the community chain of survival were associated with improved odds of STHD and favourable neurologic outcomes. [ABSTRACT FROM AUTHOR]- Published
- 2022
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