Copyright (c) 1997 Elsevier Science Ireland Ltd.
All rights reserved.
The pre-hospital care provided by emergency response systems will have an effect on the outcome of patients who have sustained an out of hospital cardiac arrest.
This study compares the results of resuscitation in two centres, one in the UK (Edinburgh) and the other in the USA (Milwaukee), and examines the demographics in both centres.
An overall greater proportion of patients survived to hospital discharge in Edinburgh, 12.4%, compared with 7.2% in Milwaukee (P<0.01).
However patients were more likely to have a witnessed collapse in Edinburgh 65.7%, compared with 25% (P<0.001) and significantly more of those patients received bystander cardiopulmonary resuscitation (CPR) 42.3%, compared with 27.1% (P<0.005).
When these two effects are accounted for there is no difference in outcome.
The importance of early alerting of emergency services and early bystander CPR should not be underestimated. 1997 Elsevier Science Ireland Ltd.
Mots-clés Pascal : Arrêt cardiocirculatoire, Période préhospitalière, Secours première urgence, Service urgence, Réanimation cardiocirculatoire, Réanimation respiratoire, Organisation santé, Survie, Evaluation, Etude comparative, Homme, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Cardiocirculatory arrest, Prehospital period, First emergency care, Emergency department, Intensive cardiocirculatory care, Respiratory intensive care, Public health organization, Survival, Evaluation, Comparative study, Human, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0053368
Code Inist : 002B27B01. Création : 14/05/1998.