Details

Autor(en) / Beteiligte

• Bunch, T. Jared
• White, Roger D
• Gersh, Bernard J
• Meverden, Ryan A
• Hodge, David O
• Ballman, Karla V
• Hammill, Stephen C
• Shen, Win-Kuang
• Packer, Douglas L

Titel

Long-Term Outcomes of Out-of-Hospital Cardiac Arrest after Successful Early Defibrillation

Ist Teil von

• The New England journal of medicine, 2003-06, Vol.348 (26), p.2626-2633

Ort / Verlag

Boston, MA: Massachusetts Medical Society

Erscheinungsjahr

2003

Quelle

MEDLINE

Beschreibungen/Notizen

• This study followed patients who underwent rapid defibrillation after out-of-hospital cardiac arrest with ventricular fibrillation through an early-response program in Olmsted County, Minnesota. The five-year survival among these patients was similar to that among age-, sex-, and disease-matched patients who had not had out-of-hospital cardiac arrest, and the quality of life among the majority of survivors was similar to that of the general population. Normal five-year survival and quality of life after out-of-hospital cardiac arrest. Survival after out-of-hospital cardiac arrest depends on a sequence of events termed “the chain of survival,” 1 – 3 which involves rapid access to emergency medical care, cardiopulmonary resuscitation (CPR), defibrillation, and advanced care. 3 Several studies have shown that rapid defibrillation after an out-of-hospital cardiac arrest with ventricular fibrillation is the single most important determinant of outcome. 4 – 10 In most places, survival rates range from 3 to 10 percent because the chain of survival is not promptly implemented, although with the increasing availability of early defibrillation the rates are improving. 4 – 13 The principle of early defibrillation, strongly endorsed by the 1992 National . . .