Forskning ved Københavns Universitet - Københavns Universitet

Forside

Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Standard

Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital. / Kjaergaard, Jesper; Bro-Jeppesen, John; Rasmussen, Lars Simon; Nielsen, Søren Loumann; Folke, Fredrik; Lippert, Freddy; Wanscher, Michael C; Hassager, Christian.

I: Ugeskrift for læger, Bind 171, Nr. 26, 2009, s. 2169-73.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Kjaergaard, J, Bro-Jeppesen, J, Rasmussen, LS, Nielsen, SL, Folke, F, Lippert, F, Wanscher, MC & Hassager, C 2009, 'Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital', Ugeskrift for læger, bind 171, nr. 26, s. 2169-73.

APA

Kjaergaard, J., Bro-Jeppesen, J., Rasmussen, L. S., Nielsen, S. L., Folke, F., Lippert, F., Wanscher, M. C., & Hassager, C. (2009). Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital. Ugeskrift for læger, 171(26), 2169-73.

Vancouver

Kjaergaard J, Bro-Jeppesen J, Rasmussen LS, Nielsen SL, Folke F, Lippert F o.a. Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital. Ugeskrift for læger. 2009;171(26):2169-73.

Author

Kjaergaard, Jesper ; Bro-Jeppesen, John ; Rasmussen, Lars Simon ; Nielsen, Søren Loumann ; Folke, Fredrik ; Lippert, Freddy ; Wanscher, Michael C ; Hassager, Christian. / Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital. I: Ugeskrift for læger. 2009 ; Bind 171, Nr. 26. s. 2169-73.

Bibtex

@article{27a217f064ca11df928f000ea68e967b,
title = "Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital",
abstract = "INTRODUCTION: There are substantial differences in long-term survival of patients resuscitated from out-of-hospital cardiac arrest, and the level of care during hospitalization may be a contributing factor. The purpose of this study was to determine if a difference in long-term prognosis between hospitals could be detected in patients surviving cardiac arrest in Copenhagen. MATERIAL AND METHODS: The mobile emergency care unit attempted resuscitation in 1,098 patients with out-of-hospital cardiac arrest in the period 2002 to 2006, among whom return of spontaneous circulation occurred in 336 (30%) of the patients admitted to hospital. Survival was determined using the Central Population Registry through Statistics Denmark. RESULTS: Patients admitted to a tertiary facility were younger, more frequently male, they had more commonly ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) as their initial rhythm, and they had more frequently received bystander cardiopulmonary resuscitation. Survival at 4.6 years was 41% in patients admitted to the tertiary hospital and 10% in patients admitted to other hospitals, p < 0.0001. After adjustment for other known risk factors, patients admitted to other hospitals had a hazard ratio of 1.8 for death (95% confidence interval: 1,4-2,5) compared with patients admitted to a tertiary facility. CONCLUSION: The survival rate after out-of-hospital cardiac arrest was significantly higher in patients admitted to a tertiary facility than among patients admitted to less specialized hospitals. Further studies are needed to identify causal factors. Udgivelsesdato: 2009-Jun-22",
author = "Jesper Kjaergaard and John Bro-Jeppesen and Rasmussen, {Lars Simon} and Nielsen, {S{\o}ren Loumann} and Fredrik Folke and Freddy Lippert and Wanscher, {Michael C} and Christian Hassager",
note = "Keywords: Adult; Aged; Ambulances; Cardiology Service, Hospital; Cardiopulmonary Resuscitation; Denmark; Emergency Medical Services; Female; Heart Arrest; Humans; Male; Middle Aged; Patient Admission; Prognosis; Registries; Risk Factors; Time Factors",
year = "2009",
language = "Dansk",
volume = "171",
pages = "2169--73",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Almindelige Danske Laegeforening",
number = "26",

}

RIS

TY - JOUR

T1 - Forskelle mellem hospitaler i prognose efter hjertestop uden for hospital

AU - Kjaergaard, Jesper

AU - Bro-Jeppesen, John

AU - Rasmussen, Lars Simon

AU - Nielsen, Søren Loumann

AU - Folke, Fredrik

AU - Lippert, Freddy

AU - Wanscher, Michael C

AU - Hassager, Christian

N1 - Keywords: Adult; Aged; Ambulances; Cardiology Service, Hospital; Cardiopulmonary Resuscitation; Denmark; Emergency Medical Services; Female; Heart Arrest; Humans; Male; Middle Aged; Patient Admission; Prognosis; Registries; Risk Factors; Time Factors

PY - 2009

Y1 - 2009

N2 - INTRODUCTION: There are substantial differences in long-term survival of patients resuscitated from out-of-hospital cardiac arrest, and the level of care during hospitalization may be a contributing factor. The purpose of this study was to determine if a difference in long-term prognosis between hospitals could be detected in patients surviving cardiac arrest in Copenhagen. MATERIAL AND METHODS: The mobile emergency care unit attempted resuscitation in 1,098 patients with out-of-hospital cardiac arrest in the period 2002 to 2006, among whom return of spontaneous circulation occurred in 336 (30%) of the patients admitted to hospital. Survival was determined using the Central Population Registry through Statistics Denmark. RESULTS: Patients admitted to a tertiary facility were younger, more frequently male, they had more commonly ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) as their initial rhythm, and they had more frequently received bystander cardiopulmonary resuscitation. Survival at 4.6 years was 41% in patients admitted to the tertiary hospital and 10% in patients admitted to other hospitals, p < 0.0001. After adjustment for other known risk factors, patients admitted to other hospitals had a hazard ratio of 1.8 for death (95% confidence interval: 1,4-2,5) compared with patients admitted to a tertiary facility. CONCLUSION: The survival rate after out-of-hospital cardiac arrest was significantly higher in patients admitted to a tertiary facility than among patients admitted to less specialized hospitals. Further studies are needed to identify causal factors. Udgivelsesdato: 2009-Jun-22

AB - INTRODUCTION: There are substantial differences in long-term survival of patients resuscitated from out-of-hospital cardiac arrest, and the level of care during hospitalization may be a contributing factor. The purpose of this study was to determine if a difference in long-term prognosis between hospitals could be detected in patients surviving cardiac arrest in Copenhagen. MATERIAL AND METHODS: The mobile emergency care unit attempted resuscitation in 1,098 patients with out-of-hospital cardiac arrest in the period 2002 to 2006, among whom return of spontaneous circulation occurred in 336 (30%) of the patients admitted to hospital. Survival was determined using the Central Population Registry through Statistics Denmark. RESULTS: Patients admitted to a tertiary facility were younger, more frequently male, they had more commonly ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT) as their initial rhythm, and they had more frequently received bystander cardiopulmonary resuscitation. Survival at 4.6 years was 41% in patients admitted to the tertiary hospital and 10% in patients admitted to other hospitals, p < 0.0001. After adjustment for other known risk factors, patients admitted to other hospitals had a hazard ratio of 1.8 for death (95% confidence interval: 1,4-2,5) compared with patients admitted to a tertiary facility. CONCLUSION: The survival rate after out-of-hospital cardiac arrest was significantly higher in patients admitted to a tertiary facility than among patients admitted to less specialized hospitals. Further studies are needed to identify causal factors. Udgivelsesdato: 2009-Jun-22

M3 - Tidsskriftartikel

C2 - 19671397

VL - 171

SP - 2169

EP - 2173

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 26

ER -

ID: 19868270