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LO71: For patients suffering from out-of-hospital cardiac arrest, is survival influenced by the capabilities of the receiving hospital?

Published online by Cambridge University Press:  15 May 2017

A. Cournoyer*
Affiliation:
Université de Montréal, Montréal, QC
E. Notebaert
Affiliation:
Université de Montréal, Montréal, QC
L. De Montigny
Affiliation:
Université de Montréal, Montréal, QC
M. Iseppon
Affiliation:
Université de Montréal, Montréal, QC
S. Cossette
Affiliation:
Université de Montréal, Montréal, QC
L. Londei-Leduc
Affiliation:
Université de Montréal, Montréal, QC
Y. Lamarche
Affiliation:
Université de Montréal, Montréal, QC
D. Larose
Affiliation:
Université de Montréal, Montréal, QC
F. de Champlain
Affiliation:
Université de Montréal, Montréal, QC
J. Morris
Affiliation:
Université de Montréal, Montréal, QC
A. Vadeboncoeur
Affiliation:
Université de Montréal, Montréal, QC
E. Piette
Affiliation:
Université de Montréal, Montréal, QC
R. Daoust
Affiliation:
Université de Montréal, Montréal, QC
J. Chauny
Affiliation:
Université de Montréal, Montréal, QC
C. Sokoloff
Affiliation:
Université de Montréal, Montréal, QC
D. Ross
Affiliation:
Université de Montréal, Montréal, QC
Y. Cavayas
Affiliation:
Université de Montréal, Montréal, QC
J. Paquet
Affiliation:
Université de Montréal, Montréal, QC
A. Denault
Affiliation:
Université de Montréal, Montréal, QC
*
*Corresponding authors

Abstract

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Introduction: Patients suffering from out-of-hospital cardiac arrest (OHCA) are frequently transported to the closest hospital after return of spontaneous circulation (ROSC). Percutaneous coronary intervention (PCI) is often indicated as a diagnostic and therapeutic procedure following OHCA. This study aimed to determine the association between the type of destination hospital (PCI-capable or not) and survival to discharge for patients with OHCA and prehospital ROSC. We hypothesized that being transported to a PCI-capable hospital would be associated with a higher survival to discharge. Methods: The present study used a registry of adult OHCA between 2010 and 2015 in Montréal, Canada. We included adult patients with non-traumatic OHCA and prehospital ROSC. The association of interest was evaluated with a multivariate logistic regression model to control for demographic and clinical variables (age, gender, time of day, initial rhythm, witnessed arrest, bystander CPR, presence of first responders or advanced care paramedics, prehospital supraglottic airway placement, delay before paramedics’ arrival). Assuming a survival rate of 40% and 75% of the variability explained by other factors included in the model, more than 1200 patients needed to be included to detect an absolute difference of 10% in survival between both groups with a power of more than 90%. Results: A total of 1691 patients (1140 men and 551 women) with a mean age of 64 years (standard deviation 17) were included, of which 1071 (63%) were transported to a PCI-capable hospital. Among all patients, 704 patients (42%) survived to hospital discharge. We observed a significant independent association between survival to discharge and being transported to a PCI-capable hospital (adjusted odds ratio [AOR] 1.46 [95% confidence interval 1.09-1.96]) after controlling for confounding variables. Having an initial shockable rhythm and presence of first responders also increased survival to discharge (AORs 3.67 [95% confidence interval 2.75-4.88] and 1.53 [95% confidence interval 1.12-2.09], respectively). Conclusion: Patients experiencing ROSC after OHCA could benefit from a direct transport to a PCI-capable hospital. This benefit might also be related to unmeasured interventions other than PCI these hospitals can provide (e.g. high-level intensive care or cardiovascular surgery).

Type
Oral Presentations
Copyright
Copyright © Canadian Association of Emergency Physicians 2017