A Geospatial Assessment of Transport Distance and Survival to Discharge In Out Of Hospital Cardiac Arrest Patients: Implications for Resuscitation Centers
作者： Michael T Cudnik , Robert H Schmicker , Christian Vaillancourt , Craig D Newgard , James M Christenson
DOI: 10.1016/J.RESUSCITATION.2009.12.030
关键词:
摘要: Abstract Objectives National leaders have suggested that patients with an out of hospital cardiac arrest (OOHCA) may benefit from transport to specialized hospitals. We sought assess the survival OOHCA by distance and proximity. Methods Prospective, cohort study in 11 Resuscitation Outcomes Consortium (ROC) sites across North America. Transport proximity was calculated using weighted centroid census tract location Geographic Information Systems (GIS). Patients were stratified into quartiles based on receiving via GIS. Descriptive statistics used describe characteristics compare other Multivariate logistic regression evaluate impact survival. Results 26,628 identified, 7540 (28%) transported EMS included final analysis. The median time 6.3 min (IQR 5.4); being 2.4 miles (3.9 km). Most taken closest (71.7%; N = 5412). However, unadjusted discharge lower for those compared further hospitals (12.1% vs. 16.5%) despite similar patient characteristics. not associated analysis (OR 1.00; 95% CI 0.99–1.01). Conclusions Survival higher located than while This suggests longer distance/time might adversely affect outcome. Further studies are needed inform policy decisions regarding best destination post-cardiac arrest.
elsevier.com
sci-hub.se 参考文章(33)
Johan Engdahl, Putte Abrahamsson, Angela Bång, Jonny Lindqvist, Thomas Karlsson, Johan Herlitz, Is hospital care of major importance for outcome after out-of-hospital cardiac arrest? Experience acquired from patients with out-of-hospital cardiac arrest resuscitated by the same Emergency Medical Service and admitted to one of two hospitals over a 16-year period in the municipality of Göteborg. Resuscitation. ,vol. 43, pp. 201- 211 ,(2000) , 10.1016/S0300-9572(99)00154-9
Lydia Voti, Lisa C. Richardson, Isildinha M. Reis, Lora E. Fleming, Jill MacKinnon, Jan Willem W. Coebergh, Treatment of local breast carcinoma in Florida: the role of the distance to radiation therapy facilities. Cancer. ,vol. 106, pp. 201- 207 ,(2006) , 10.1002/CNCR.21557
Joseph R. Sharkey, Scott Horel, Neighborhood Socioeconomic Deprivation and Minority Composition Are Associated with Better Potential Spatial Access to the Ground-Truthed Food Environment in a Large Rural Area Journal of Nutrition. ,vol. 138, pp. 620- 627 ,(2008) , 10.1093/JN/138.3.620
Laurie J Morrison, Graham Nichol, Thomas D Rea, Jim Christenson, Clifton W Callaway, Shannon Stephens, Ronald G Pirrallo, Dianne L Atkins, Daniel P Davis, Ahamed H Idris, Craig Newgard, ROC Investigators, None, Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry—Cardiac Arrest Resuscitation. ,vol. 78, pp. 161- 169 ,(2008) , 10.1016/J.RESUSCITATION.2008.02.020
Daniel W. Spaite, Ben J. Bobrow, Tyler F. Vadeboncoeur, Vatsal Chikani, Lani Clark, Terry Mullins, Arthur B. Sanders, The impact of prehospital transport interval on survival in out-of-hospital cardiac arrest: Implications for regionalization of post-resuscitation care☆☆☆ Resuscitation. ,vol. 79, pp. 61- 66 ,(2008) , 10.1016/J.RESUSCITATION.2008.05.006
Mickey S. Eisenberg, Improving Survival From Out-of-Hospital Cardiac Arrest: Back to the Basics Annals of Emergency Medicine. ,vol. 49, pp. 314- 316 ,(2007) , 10.1016/J.ANNEMERGMED.2006.07.008
Carı́si A Polanczyk, Anthereca Lane, Michelle Coburn, Edward F Philbin, G.William Dec, Thomas G DiSalvo, Hospital Outcomes in Major Teaching, Minor Teaching, and Nonteaching Hospitals in New York State The American Journal of Medicine. ,vol. 112, pp. 255- 261 ,(2002) , 10.1016/S0002-9343(01)01112-3
Robert L. Wears, Advanced statistics: statistical methods for analyzing cluster and cluster-randomized data. Academic Emergency Medicine. ,vol. 9, pp. 330- 341 ,(2002) , 10.1197/AEMJ.9.4.330
Philippe Apparicio, Mohamed Abdelmajid, Mylène Riva, Richard Shearmur, Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues International Journal of Health Geographics. ,vol. 7, pp. 7- 7 ,(2008) , 10.1186/1476-072X-7-7
Joshua C. Reynolds, Clifton W. Callaway, Samar R. El Khoudary, Charity G. Moore, René J. Alvarez, Jon C. Rittenberger, Coronary angiography predicts improved outcome following cardiac arrest: propensity-adjusted analysis. Journal of Intensive Care Medicine. ,vol. 24, pp. 179- 186 ,(2009) , 10.1177/0885066609332725