Matches in SemOpenAlex for { <https://semopenalex.org/work/W2614883984> ?p ?o ?g. }
Showing items 1 to 71 of
71
with 100 items per page.
- W2614883984 endingPage "S92" @default.
- W2614883984 startingPage "S92" @default.
- W2614883984 abstract "Introduction: When ventricular fibrillation (VF) cannot be terminated with conventional external defibrillation, it is classified as refractory VF (RVF). There is a paucity of information regarding prehospital or patient factors that may be associated with RVF. The objectives of this study were to determine factors that may be associated with RVF, the initial ED rhythm for patients with prehospital RVF, and the incidence of survival in patients who had RVF and were transported to hospital. Methods: Ambulance Call Records (ACRs) of patients with out of hospital cardiac arrest between Mar. 1 2012 and Apr. 1 2016 were reviewed. Cases of RVF (≥5 consecutive shocks delivered) were determined by manual review of the ACR. ED and hospital records were analyzed to determine outcomes of patients who were in RVF and transported to hospital. Descriptive statistics were calculated and all variables were tested for an association with initial ED rhythm, survival to admission, and survival to discharge. Results: Eighty-five cases of RVF were identified. A history of coronary artery disease (47.10%) and hypertension (50.60%) were the most common comorbidities in patients transported to the ED with RVF. Upon arrival to the ED, 24 (28.2%) remained in RVF, 38 (44.7%) had a non-shockable rhythm, and 23 (27.1%) had return of spontaneous circulation. Thirty-four (40%) survived to admission, while only 18 (21.2%) survived to discharge. Pre-existing comorbidities, time to first shock, time on scene, and transport time were not statistically associated with initial ED rhythm, survival to admission or discharge. Patient age was statistically associated with improved rhythm on ED arrival (p=0.013) and survival to discharge (58.24 yrs vs 67.40 yrs, Δ9.17, 95% CI 1.82 to 16.52, p=0.015). Conclusion: The majority of patients with prehospital RVF have a rhythm deterioration by the time care is transferred to the ED. Of these patients with a rhythm deterioration, few survive to hospital discharge. Younger patients are more likely to remain in RVF and survive to discharge. Further research is required to determine prehospital treatment strategies for RVF, as well as patient populations that may benefit from those treatments." @default.
- W2614883984 created "2017-05-26" @default.
- W2614883984 creator A5020073392 @default.
- W2614883984 creator A5023435253 @default.
- W2614883984 creator A5031697913 @default.
- W2614883984 creator A5048182322 @default.
- W2614883984 creator A5058172196 @default.
- W2614883984 date "2017-05-01" @default.
- W2614883984 modified "2023-09-27" @default.
- W2614883984 title "P043: Outcomes associated with prehospital refractory ventricular fibrillation" @default.
- W2614883984 doi "https://doi.org/10.1017/cem.2017.245" @default.
- W2614883984 hasPublicationYear "2017" @default.
- W2614883984 type Work @default.
- W2614883984 sameAs 2614883984 @default.
- W2614883984 citedByCount "0" @default.
- W2614883984 crossrefType "journal-article" @default.
- W2614883984 hasAuthorship W2614883984A5020073392 @default.
- W2614883984 hasAuthorship W2614883984A5023435253 @default.
- W2614883984 hasAuthorship W2614883984A5031697913 @default.
- W2614883984 hasAuthorship W2614883984A5048182322 @default.
- W2614883984 hasAuthorship W2614883984A5058172196 @default.
- W2614883984 hasBestOaLocation W26148839841 @default.
- W2614883984 hasConcept C120665830 @default.
- W2614883984 hasConcept C121332964 @default.
- W2614883984 hasConcept C126322002 @default.
- W2614883984 hasConcept C127413603 @default.
- W2614883984 hasConcept C164705383 @default.
- W2614883984 hasConcept C194828623 @default.
- W2614883984 hasConcept C195910791 @default.
- W2614883984 hasConcept C2777795826 @default.
- W2614883984 hasConcept C2778213512 @default.
- W2614883984 hasConcept C2780645631 @default.
- W2614883984 hasConcept C2781005686 @default.
- W2614883984 hasConcept C61511704 @default.
- W2614883984 hasConcept C71924100 @default.
- W2614883984 hasConcept C78519656 @default.
- W2614883984 hasConceptScore W2614883984C120665830 @default.
- W2614883984 hasConceptScore W2614883984C121332964 @default.
- W2614883984 hasConceptScore W2614883984C126322002 @default.
- W2614883984 hasConceptScore W2614883984C127413603 @default.
- W2614883984 hasConceptScore W2614883984C164705383 @default.
- W2614883984 hasConceptScore W2614883984C194828623 @default.
- W2614883984 hasConceptScore W2614883984C195910791 @default.
- W2614883984 hasConceptScore W2614883984C2777795826 @default.
- W2614883984 hasConceptScore W2614883984C2778213512 @default.
- W2614883984 hasConceptScore W2614883984C2780645631 @default.
- W2614883984 hasConceptScore W2614883984C2781005686 @default.
- W2614883984 hasConceptScore W2614883984C61511704 @default.
- W2614883984 hasConceptScore W2614883984C71924100 @default.
- W2614883984 hasConceptScore W2614883984C78519656 @default.
- W2614883984 hasIssue "S1" @default.
- W2614883984 hasLocation W26148839841 @default.
- W2614883984 hasOpenAccess W2614883984 @default.
- W2614883984 hasPrimaryLocation W26148839841 @default.
- W2614883984 hasRelatedWork W1965887404 @default.
- W2614883984 hasRelatedWork W1991669304 @default.
- W2614883984 hasRelatedWork W2000491259 @default.
- W2614883984 hasRelatedWork W2031119379 @default.
- W2614883984 hasRelatedWork W2044942305 @default.
- W2614883984 hasRelatedWork W2053620651 @default.
- W2614883984 hasRelatedWork W2136015758 @default.
- W2614883984 hasRelatedWork W2139605608 @default.
- W2614883984 hasRelatedWork W2347523641 @default.
- W2614883984 hasRelatedWork W2398206901 @default.
- W2614883984 hasVolume "19" @default.
- W2614883984 isParatext "false" @default.
- W2614883984 isRetracted "false" @default.
- W2614883984 magId "2614883984" @default.
- W2614883984 workType "article" @default.