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dc.contributor.authorBoyde, Mary S
dc.contributor.authorPadget, Michelle
dc.contributor.authorBurmeister, Elizabeth
dc.contributor.authorAitken, Leanne M
dc.date.accessioned2017-05-03T13:22:50Z
dc.date.available2017-05-03T13:22:50Z
dc.date.issued2013
dc.date.modified2014-05-22T22:17:42Z
dc.identifier.issn0156-5788
dc.identifier.doi10.1071/AH11112
dc.identifier.urihttp://hdl.handle.net/10072/55597
dc.description.abstractObjective To evaluate cardiac arrest outcomes following the introduction of the Australian Resuscitation Council (ARC) 2006 amended guidelines for basic and advanced life support. Methods A retrospective study of all consecutive cardiac arrests during a 3-year phase pre-implementation (2004-06) and a 3-year phase post-implementation (2007-09) of the ARC 2006 guidelines was conducted at a tertiary referral hospital in Brisbane, Australia. Results Over the 6-year study phase 690 cardiac arrests were reported. Resuscitation was attempted in 248 patients pre-implementation and 271 patients post-implementation of the ARC 2006 guidelines. After adjusting for significant prognostic factors we found no significant change in return of spontaneous circulation (ROSC) (odds ratio 1.21, 95% confidence interval 0.80-1.85, P = 0.37) or survival to discharge (odds ratio 1.49, 95% confidence interval 0.94-2.37, P = 0.09) after the implementation of the ARC 2006 guidelines. Factors that remained significant in the final model for both outcomes included having an initial shockable rhythm, a shorter length of time from collapse to arrival of cardiac arrest team, location of the patient in a critical-care area, shorter length of resuscitation and a day-time arrest (0700-2259 hours). In addition the arrest being witnessed was significant for ROSC and younger age was significant for survival to discharge. Conclusions There are multiple factors that influence clinical outcomes following an in-hospital cardiac arrest and further research to refine these significant variables will assist in the future management of cardiac arrests.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent80254 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherC S I R O Publishing
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom178
dc.relation.ispartofpageto184
dc.relation.ispartofissue2
dc.relation.ispartofjournalAustralian health review
dc.relation.ispartofvolume37
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode320299
dc.subject.fieldofresearchcode420501
dc.titleIn-hospital cardiac arrests: effect of amended Australian Resuscitation Council 2006 guidelines
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2013 AHHA. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2013
gro.hasfulltextFull Text
gro.griffith.authorAitken, Leanne M.
gro.griffith.authorBurmeister, Elizabeth


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