Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/26862
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dc.contributor.authorMasterson, Siobhanen_UK
dc.contributor.authorMcNally, Bryanen_UK
dc.contributor.authorCullinan, Johnen_UK
dc.contributor.authorVellano, Kimberlyen_UK
dc.contributor.authorEscutnaire, Josephineen_UK
dc.contributor.authorFitzpatrick, Daviden_UK
dc.contributor.authorPerkins, Gavinen_UK
dc.contributor.authorKoster, Rudolphen_UK
dc.contributor.authorNakajima, Yukoen_UK
dc.contributor.authorPemberton, Katherineen_UK
dc.contributor.authorQuinn, Martinen_UK
dc.contributor.authorSmith, Karenen_UK
dc.contributor.authorBergbor, Jonssonen_UK
dc.contributor.authorStromsoe, Annelien_UK
dc.contributor.authorTandan, Meeraen_UK
dc.contributor.authorVellinga, Akkeen_UK
dc.date.accessioned2018-05-11T22:27:03Z-
dc.date.available2018-05-11T22:27:03Z-
dc.date.issued2018-06-30en_UK
dc.identifier.urihttp://hdl.handle.net/1893/26862-
dc.description.abstractBackground  The highest achievable survival rate following out-of-hospital cardiac arrest is unknown. Data from airports serving international destinations (international airports) provide the opportunity to evaluate the success of pre-hospital resuscitation in a relatively controlled but real-life environment.  Methods  This retrospective cohort study included all cases of out-of-hospital cardiac arrest at international airports with resuscitation attempted between January 1st, 2013 and December 31st, 2015. Crude incidence, patient, event characteristics and survival to hospital discharge/survival to 30 days (survival) were calculated. Mixed effect logistic regression analyses were performed to identify predictors of survival. Variability in survival between airports/countries was quantified using the median odds ratio.  Results  There were 800 cases identified, with an average of 40 per airport. Incidence was 0.024/100,000 passengers per year. Percentage survival for all patients was 32%, and 58% for patients with an initial shockable heart rhythm.  In adjusted analyses, initial shockable heart rhythm was the strongest predictor of survival (odds ratio, 36.7; 95% confidence interval [CI], 15.5 to 87.0). In the bystander-witnessed subgroup, delivery of a defibrillation shock by a bystander was a strong predictor of survival (odds ratio 4.8; 95% CI, 3.0 to 7.8). Grouping of cases was significant at country level and survival varied between countries.  Conclusions  In international airports, there was 32% of patients survived an out-of-hospital cardiac arrest, substantially more than in the general population. Our analysis suggested similarity between airports within countries, but differences between countries. Systematic data collection and reporting is essential to ensure international airports continually maximise activities to increase survival.en_UK
dc.language.isoenen_UK
dc.publisherElsevieren_UK
dc.relationMasterson S, McNally B, Cullinan J, Vellano K, Escutnaire J, Fitzpatrick D, Perkins G, Koster R, Nakajima Y, Pemberton K, Quinn M, Smith K, Bergbor J, Stromsoe A, Tandan M & Vellinga A (2018) Out-of-hospital cardiac arrest survival in international airports. Resuscitation, 127, pp. 58-62. https://doi.org/10.1016/j.resuscitation.2018.03.024en_UK
dc.rightsThis item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. Accepted refereed manuscript of: Masterson S, McNally B, Cullinan J, Vellano K, Escutnaire J, Fitzpatrick D, Perkins G, Koster R, Nakajima Y, Pemberton K, Quinn M, Smith K, Bergbor J, Stromsoe A, Tandan M & Vellinga A (2018) Out-of-hospital cardiac arrest survival in international airports, Resuscitation, 127, pp. 58-62. DOI: 10.1016/j.resuscitation.2018.03.024 ©2018, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/en_UK
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en_UK
dc.subjectout-of-hospital cardiac arrest resuscitation internationalen_UK
dc.subjectepidemiology survivalen_UK
dc.titleOut-of-hospital cardiac arrest survival in international airportsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Resuscitation.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.identifier.doi10.1016/j.resuscitation.2018.03.024en_UK
dc.identifier.pmid29550496en_UK
dc.citation.jtitleResuscitationen_UK
dc.citation.issn0300-9572en_UK
dc.citation.volume127en_UK
dc.citation.spage58en_UK
dc.citation.epage62en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.author.emaildavid.fitzpatrick@stir.ac.uken_UK
dc.citation.date14/03/2018en_UK
dc.contributor.affiliationNational University of Ireland - Galwayen_UK
dc.contributor.affiliationEmory Universityen_UK
dc.contributor.affiliationEmory Universityen_UK
dc.contributor.affiliationEmory Universityen_UK
dc.contributor.affiliationLille 2 University of Health and Lawen_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationUniversity of Warwicken_UK
dc.contributor.affiliationAcademisch Medisch Centrumen_UK
dc.contributor.affiliationEmory Universityen_UK
dc.contributor.affiliationQueensland Ambulance Serviceen_UK
dc.contributor.affiliationNational University of Ireland - Galwayen_UK
dc.contributor.affiliationAmbulance Victoria Centre for Research and Evaluationen_UK
dc.contributor.affiliationAkureyri Hospitalen_UK
dc.contributor.affiliationMalarden Universityen_UK
dc.contributor.affiliationNational University of Ireland - Galwayen_UK
dc.contributor.affiliationNational University of Ireland - Galwayen_UK
dc.identifier.isiWOS:000433579800021en_UK
dc.identifier.scopusid2-s2.0-85045244203en_UK
dc.identifier.wtid879074en_UK
dc.contributor.orcid0000-0003-0653-8445en_UK
dc.date.accepted2018-03-13en_UK
dcterms.dateAccepted2018-03-13en_UK
dc.date.filedepositdate2018-03-17en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionAMen_UK
local.rioxx.authorMasterson, Siobhan|en_UK
local.rioxx.authorMcNally, Bryan|en_UK
local.rioxx.authorCullinan, John|en_UK
local.rioxx.authorVellano, Kimberly|en_UK
local.rioxx.authorEscutnaire, Josephine|en_UK
local.rioxx.authorFitzpatrick, David|0000-0003-0653-8445en_UK
local.rioxx.authorPerkins, Gavin|en_UK
local.rioxx.authorKoster, Rudolph|en_UK
local.rioxx.authorNakajima, Yuko|en_UK
local.rioxx.authorPemberton, Katherine|en_UK
local.rioxx.authorQuinn, Martin|en_UK
local.rioxx.authorSmith, Karen|en_UK
local.rioxx.authorBergbor, Jonsson|en_UK
local.rioxx.authorStromsoe, Anneli|en_UK
local.rioxx.authorTandan, Meera|en_UK
local.rioxx.authorVellinga, Akke|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2019-03-15en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||2019-03-14en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by-nc-nd/4.0/|2019-03-15|en_UK
local.rioxx.filenameResuscitation.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0300-9572en_UK
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