Abstract
Healthcare professionals who practise resuscitation come from many disciplines, organisations and backgrounds. In addition, the emergency medical service (EMS) systems in which they work differ in different parts of the world. Survival rates following out-of-hospital cardiac arrest (OHCA) vary substantially between health care systems. A review of EMS with a defibrillation capability that included 33,124 patients reported a median rate of 6.4% for survival to hospital discharge, with a range of 0–20.7% [1]. Summary data from 37 communities in Europe indicate that survival to hospital discharge after EMS-treated OHCA is 10.7% [2]. After in-hospital cardiac arrest (IHCA), the reported survival to 24 h rates range from 13% to 59% and survival to discharge rates from 0% to 42%, although major studies report a survival to discharge of approximately 20% [3]—[7]. The main reasons for this variation are the many confounders that influence outcome following cardiac arrest (Table 1) and the lack of uniformity in cardiac arrest reporting. This lack of uniformity in reporting pertains to both the process and the results of resuscitation attempts; for example, the definition of survival is reported variously as return of spontaneous circulation (ROSC) and as survival at 5 min, 1 h, 24 h, and discharge from hospital.
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Nolan, J.P., Gwinnutt, C.L. (2007). The Utstein style for the reporting of data from cardiac arrest. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-0571-6_22
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DOI: https://doi.org/10.1007/978-88-470-0571-6_22
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