TY - JOUR
T1 - Prospective performance evaluation of emergency medical services for cardiac arrest in Lombardia
T2 - Is something moving forward?
AU - Citerio, Giuseppe
AU - Buquicchio, Ilaria
AU - Rossi, Gian Piera
AU - Landriscina, Mario
AU - Raimondi, Maurizio
AU - Petrovich, Lorenzo
AU - Pesenti, Antonio
PY - 2006/8
Y1 - 2006/8
N2 - 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
AB - 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
KW - Cardiac arrest
KW - Emergency medical services
KW - Outcome
KW - Resuscitation
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U2 - 10.1097/01.mej.0000209053.63010.c6
DO - 10.1097/01.mej.0000209053.63010.c6
M3 - Article
C2 - 16816581
AN - SCOPUS:33749435595
VL - 13
SP - 192
EP - 196
JO - European Journal of Emergency Medicine
JF - European Journal of Emergency Medicine
SN - 0969-9546
IS - 4
ER -