Regional Variation in the Characteristics, Incidence and Outcomes of Out-of-hospital Cardiac Arrest in Australia and New Zealand: Results from the Aus-ROC Epistry

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aut.relation.endpage57
aut.relation.journalResuscitationen_NZ
aut.relation.startpage49
aut.relation.volume126en_NZ
aut.researcherDicker, Bridget
dc.contributor.authorBeck, Ben_NZ
dc.contributor.authorBray, Jen_NZ
dc.contributor.authorCameron, Pen_NZ
dc.contributor.authorSmith, Ken_NZ
dc.contributor.authorWalker, Ten_NZ
dc.contributor.authorGrantham, Hen_NZ
dc.contributor.authorHein, Cen_NZ
dc.contributor.authorThorrowgood, Men_NZ
dc.contributor.authorSmith, Aen_NZ
dc.contributor.authorInoue, Men_NZ
dc.contributor.authorSmith, Ten_NZ
dc.contributor.authorDicker, Ben_NZ
dc.contributor.authorSwain, Aen_NZ
dc.contributor.authorBosley, Een_NZ
dc.contributor.authorPemberton, Ken_NZ
dc.contributor.authorMcKay, Men_NZ
dc.contributor.authorJohnston-Leek, Men_NZ
dc.contributor.authorPerkins, GDen_NZ
dc.contributor.authorNichol, Gen_NZ
dc.contributor.authorFinn, Jen_NZ
dc.date.accessioned2018-09-26T04:59:18Z
dc.date.available2018-09-26T04:59:18Z
dc.date.copyright2018-05-01en_NZ
dc.date.issued2018-05-01en_NZ
dc.description.abstractIntroduction: The aim of this study was to investigate regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest (OHCA) in Australia and New Zealand. Methods: This was a population-based cohort study of OHCA using data from the Aus-ROC Australian and New Zealand OHCA Epistry over the period of 01 January 2015–31 December 2015. Seven ambulance services contributed data to the Epistry with a capture population of 19.8 million people. All OHCA attended by ambulance, regardless of aetiology or patient age, were included. Results: In 2015, there were 19,722 OHCA cases recorded in the Aus-ROC Epistry with an overall crude incidence of 102.5 cases per 100,000 population (range: 51.0–107.7 per 100,000 population). Of all OHCA cases attended by EMS (excluding EMS-witnessed cases), bystander CPR was performed in 41% of cases (range: 36%–50%). Resuscitation was attempted (by EMS) in 48% of cases (range: 40%–68%). The crude incidence for attempted resuscitation cases was 47.6 per 100,000 population (range: 34.7–54.1 per 100,000 population). Of cases with attempted resuscitation, 28% survived the event (range: 21%–36%) and 12% survived to hospital discharge or 30 days (range: 9%–17%; data provided by five ambulance services). Conclusion: In the first results of the Aus-ROC Australian and New Zealand OHCA Epistry, significant regional variation in the incidence, characteristics and outcomes was observed. Understanding the system-level and public health drivers of this variation will assist in optimisation of the chain of survival provided to OHCA patients with the aim of improving outcomes.en_NZ
dc.identifier.citationResuscitation, Volume 126, May 2018, Pages 49-57
dc.identifier.doi10.1016/j.resuscitation.2018.02.029en_NZ
dc.identifier.issn0300-9572en_NZ
dc.identifier.issn1873-1570en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/11828
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0300957218301060?via%3Dihub#!
dc.rights© 2018 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/)
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectOut-of-hospital cardiac arrest; Emergency medical service; Epidemiology; Registry
dc.titleRegional Variation in the Characteristics, Incidence and Outcomes of Out-of-hospital Cardiac Arrest in Australia and New Zealand: Results from the Aus-ROC Epistryen_NZ
dc.typeJournal Article
pubs.elements-id328955
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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