Cardiac arrest & resuscitation
Increased survival for resuscitated Utstein-comparator group patients conveyed directly to cardiac arrest centres in a large rural and suburban population in England
Main finding · Survival to dischargeResult — go to the resultAdjusted odds ratio 1.44 95% CI 1.07–1.94Authors' conclusion
Direct transport to a cardiac arrest centre was associated with a 44% increase in the odds of survival compared to conveyance to a non-specialist centre for resuscitated adult patients presenting with witnessed collapse and initial shockable OHCA rhythm.
Study context
- Population
- Adults (≥18 years) with resuscitated Utstein-comparator out-of-hospital cardiac arrest (OHCA) (witnessed collapse, initial shockable rhythm), East of England Ambulance Service registry, 2018–2022per protocol
- Participants
- 1,151 adults
- Exposure
- Direct conveyance to cardiac arrest centres (CAC) vs non-specialist centre
- CACn = 768
- Non-specialist centresn = 383reference
- Outcome
- Survival to hospital discharge
Methodological detailsregistry-based, consecutive sample
- Registry-based
- Consecutive sample
Main finding
Survival to discharge
Adjusted odds ratio
1.44
95% CI 1.07–1.94
P = 0.017
By group
CAC vs Non-specialist centres
adjusted OR 1.44 (95% CI 1.07–1.94); P = 0.017
As reported in the abstract
Observational data: associations, not effects.
Further findings
Inter-hospital variability in survival between CACs
- Significant inter-hospital variability in survival between CACs
- P = 0.017
Patient volume and survival
- No association between patient volume and survival
- P = 0.850
Original publication
Increased survival for resuscitated Utstein-comparator group patients conveyed directly to cardiac arrest centres in a large rural and suburban population in England. Resuscitation. Published 14 June 2024. doi:10.
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