|Appears in Collections:||Faculty of Health Sciences and Sport Journal Articles|
|Peer Review Status:||Refereed|
|Title:||Out-of-hospital cardiac arrest survival in international airports|
|Keywords:||out-of-hospital cardiac arrest resuscitation international|
|Citation:||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. https://doi.org/10.1016/j.resuscitation.2018.03.024.|
|Abstract:||Background 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.|
|Rights:||This 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/|
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