Abstract
Background: Previous research has demonstrated significant relationships between peri-shock pause and survival to discharge from out-of-hospital shockable cardiac arrest (OHCA). Objective: To determine the impact of peri-shock pause on survival from OHCA during the ROC PRIMED randomized controlled trial. Methods: We included patients in the ROC PRIMED trial who suffered OHCA between June 2007 and November 2009, presented with a shockable rhythm and had CPR process data for at least one shock. We used multivariable logistic regression to determine the association between peri-shock pause duration and survival to hospital discharge. Results: Among 2006 patients studied, the median (IQR) shock pause duration was: pre-shock pause 15. s (8, 22); post-shock pause 6. s (4, 9); and peri-shock pause 22.0. s (14, 31). After adjusting for Utstein predictors of survival as well as CPR quality measures, the odds of survival to hospital discharge were significantly higher for patients with pre-shock pause
| Original language | English (US) |
|---|---|
| Pages (from-to) | 336-342 |
| Number of pages | 7 |
| Journal | Resuscitation |
| Volume | 85 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 2014 |
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Keywords
- Cardiopulmonary resuscitation
- Heart arrest
- Resuscitation
- Survival
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Emergency
- Emergency Medicine
- Medicine(all)
Cite this
The impact of peri-shock pause on survival from out-of-hospital shockable cardiac arrest during the Resuscitation Outcomes Consortium PRIMED trial. / Cheskes, Sheldon; Schmicker, Robert H.; Verbeek, P. Richard; Salcido, David D.; Brown, Siobhan P.; Brooks, Steven; Menegazzi, James J.; Vaillancourt, Christian; Powell, Judy; May, Susanne; Berg, Robert A.; Sell, Rebecca; Idris, Ahamed; Kampp, Mike; Schmidt, Terri; Christenson, Jim.
In: Resuscitation, Vol. 85, No. 3, 03.2014, p. 336-342.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The impact of peri-shock pause on survival from out-of-hospital shockable cardiac arrest during the Resuscitation Outcomes Consortium PRIMED trial
AU - Cheskes, Sheldon
AU - Schmicker, Robert H.
AU - Verbeek, P. Richard
AU - Salcido, David D.
AU - Brown, Siobhan P.
AU - Brooks, Steven
AU - Menegazzi, James J.
AU - Vaillancourt, Christian
AU - Powell, Judy
AU - May, Susanne
AU - Berg, Robert A.
AU - Sell, Rebecca
AU - Idris, Ahamed
AU - Kampp, Mike
AU - Schmidt, Terri
AU - Christenson, Jim
PY - 2014/3
Y1 - 2014/3
N2 - Background: Previous research has demonstrated significant relationships between peri-shock pause and survival to discharge from out-of-hospital shockable cardiac arrest (OHCA). Objective: To determine the impact of peri-shock pause on survival from OHCA during the ROC PRIMED randomized controlled trial. Methods: We included patients in the ROC PRIMED trial who suffered OHCA between June 2007 and November 2009, presented with a shockable rhythm and had CPR process data for at least one shock. We used multivariable logistic regression to determine the association between peri-shock pause duration and survival to hospital discharge. Results: Among 2006 patients studied, the median (IQR) shock pause duration was: pre-shock pause 15. s (8, 22); post-shock pause 6. s (4, 9); and peri-shock pause 22.0. s (14, 31). After adjusting for Utstein predictors of survival as well as CPR quality measures, the odds of survival to hospital discharge were significantly higher for patients with pre-shock pause
AB - Background: Previous research has demonstrated significant relationships between peri-shock pause and survival to discharge from out-of-hospital shockable cardiac arrest (OHCA). Objective: To determine the impact of peri-shock pause on survival from OHCA during the ROC PRIMED randomized controlled trial. Methods: We included patients in the ROC PRIMED trial who suffered OHCA between June 2007 and November 2009, presented with a shockable rhythm and had CPR process data for at least one shock. We used multivariable logistic regression to determine the association between peri-shock pause duration and survival to hospital discharge. Results: Among 2006 patients studied, the median (IQR) shock pause duration was: pre-shock pause 15. s (8, 22); post-shock pause 6. s (4, 9); and peri-shock pause 22.0. s (14, 31). After adjusting for Utstein predictors of survival as well as CPR quality measures, the odds of survival to hospital discharge were significantly higher for patients with pre-shock pause
KW - Cardiopulmonary resuscitation
KW - Heart arrest
KW - Resuscitation
KW - Survival
UR - http://www.scopus.com/inward/record.url?scp=84893955937&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893955937&partnerID=8YFLogxK
U2 - 10.1016/j.resuscitation.2013.10.014
DO - 10.1016/j.resuscitation.2013.10.014
M3 - Article
VL - 85
SP - 336
EP - 342
JO - Resuscitation
JF - Resuscitation
SN - 0300-9572
IS - 3
ER -