Prospective performance evaluation of emergency medical services for cardiac arrest in Lombardia: Is something moving forward?

Giuseppe Citerio, Ilaria Buquicchio, Gian Piera Rossi, Mario Landriscina, Maurizio Raimondi, Lorenzo Petrovich, Antonio Pesenti

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Limited data are available in our region on out-of-hospital treatment of cardiac arrest. The aim of this study is to evaluate whether the changes implemented in the emergency system (i.e. an increased number of basic life support and advance life support crews that were dispatched) produced the expected outcome improvements. METHODS: (a) Experimental design: data were prospectively collected on patients with sudden out-of-hospital cardiac arrest in three emergency dispatch centers for 3 months during two study periods, year 2000 and year 2003, differentiated only by the increase of qualified crews. Outcomes and survival were evaluated at 24 h and 1 month after the event. (b) Setting: out-of-hospital treatment. (c) Patients: 352 (174 in the second study period) patients suffering cardiac arrest. (d) Interventions: the study was observational. RESULTS: We could document, between the two study periods, stable 24 h (12.6 vs 9.1%) and 1 month survival (3.4 vs 5.8%, NS). Nevertheless, arrival time on site was significantly higher in the second period (from 8.3±3.3 to 10.1±5.4 min, P

Original languageEnglish
Pages (from-to)192-196
Number of pages5
JournalEuropean Journal of Emergency Medicine
Volume13
Issue number4
DOIs
Publication statusPublished - Aug 2006

Keywords

  • Cardiac arrest
  • Emergency medical services
  • Outcome
  • Resuscitation

ASJC Scopus subject areas

  • Emergency Medicine

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