Cardiac arrest & resuscitation

Prodromal complaints and 30-day survival after emergency medical services-witnessed out-of-hospital cardiac arrest

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Experiencing chest pain or heart palpitations prior to EMS-witnessed OHCA was associated with higher 30-day survival. Conversely, complaints of unresponsiveness or having blue skin or lips implied reduced odds of 30-day survival.

Study context

Population
Emergency Medical Services (EMS)-witnessed Out-of-hospital Cardiac Arrest (OHCAs) in the Capital Region of Denmark, 2016–201879 (25.4%) survived
Participants
311 participants
Exposure
Prodromal complaints before EMS-witnessed OHCA and 30-day survival
Outcome
30-day survival by reported prodromal complaint (OR adjusted for sex and age)
Follow-up
30 days
Methodological detailsCapital Region of Denmark, registry-based, Calls to 1-1-2 and the out-of-hours medical helpline analysed according to the Danish Index; OHCA data from the Danish Cardiac Arrest Registry
  • Capital Region of Denmark
  • Registry-based
  • Calls to 1-1-2 and the out-of-hours medical helpline analysed according to the Danish Index; OHCA data from the Danish Cardiac Arrest Registry

Main finding

As reported in the abstract

30-day survival by prodromal complaint
Odds ratio (95% CI)
Dyspnean = 209
0.79(0.46: 1.36)
Feeling generally unwelln = 185
1.07(0.63: 1.81)
Chest pain
9.16(5.09:16.9)
Heart palpitations
3.15(1.07:9.46)
Unresponsiveness
0.22(0.11:0.43)
Blue skin or lips
0.30(0.09–0.81)

Observational data: associations, not effects.

Original publication

Prodromal complaints and 30-day survival after emergency medical services-witnessed out-of-hospital cardiac arrest. Resuscitation. Published 28 February 2024. doi:10.1016/j.resuscitation.2024.110155

Composed by AI from the published abstract and checked against it. How Briefs are made →

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