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. 1995 Nov 18;311(7016):1332–1336. doi: 10.1136/bmj.311.7016.1332

Success of cardiopulmonary resuscitation after heart attack in hospital and outside hospital.

R F Heller 1, P L Steele 1, J D Fisher 1, H M Alexander 1, A J Dobson 1
PMCID: PMC2551243  PMID: 7496282

Abstract

OBJECTIVES--To determine factors associated with cardiopulmonary resuscitation being attempted after cardiac arrest from myocardial infarction, in or outside hospital, and estimate short term and long term survival rates. DESIGN--Descriptive cross sectional and cohort study. SETTING--Community based register of all suspected heart attacks and sudden cardiac deaths in Lower Hunter region of New South Wales, Australia. SUBJECTS--4924 men and women aged 25-69. MAIN OUTCOME MEASURES--Rates of attempted cardiopulmonary resuscitation and survival after successful resuscitation. RESULTS--Cardiopulmonary resuscitation was attempted in 41% of cases of cardiac arrest after myocardial infarction outside hospital and 63% of cases in hospital. Survival rates at 28 days were 12% and 39% respectively. Among the survivors, although 41% had another myocardial infarction (or coronary death), 81% of both groups were still alive two years later. Younger and better educated people were more likely to receive cardiopulmonary resuscitation in either setting, and being married predicted cardiopulmonary resuscitation being attempted outside hospital. Younger age predicted better survival rates after attempted resuscitation in hospital. CONCLUSIONS--The reasons for better education to predict cardiopulmonary resuscitation being attempted need explanation. The higher survival rate after cardiopulmonary resuscitation in hospital compared with outside hospital and the good long term prognosis for survivors in both settings suggest that attempts to improve success of cardiopulmonary resuscitation outside hospital may be worth while.

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Selected References

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  1. Becker L. B., Han B. H., Meyer P. M., Wright F. A., Rhodes K. V., Smith D. W., Barrett J. Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project. N Engl J Med. 1993 Aug 26;329(9):600–606. doi: 10.1056/NEJM199308263290902. [DOI] [PubMed] [Google Scholar]
  2. Beuret P., Feihl F., Vogt P., Perret A., Romand J. A., Perret C. Cardiac arrest: prognostic factors and outcome at one year. Resuscitation. 1993 Apr;25(2):171–179. doi: 10.1016/0300-9572(93)90093-6. [DOI] [PubMed] [Google Scholar]
  3. Dobson A. J., Alexander H. M., Al-Roomi K., Gibberd R. W., Heller R. F., Leeder S. R., Lloyd D. M., Malcolm J. A., Steele P. L. Coronary events in the Hunter region of New South Wales, Australia: 1984-1986. Acta Med Scand Suppl. 1988;728:84–89. doi: 10.1111/j.0954-6820.1988.tb05558.x. [DOI] [PubMed] [Google Scholar]
  4. Ebell M. H. Prearrest predictors of survival following in-hospital cardiopulmonary resuscitation: a meta-analysis. J Fam Pract. 1992 May;34(5):551–558. [PubMed] [Google Scholar]
  5. Eisenberg M. S., Horwood B. T., Cummins R. O., Reynolds-Haertle R., Hearne T. R. Cardiac arrest and resuscitation: a tale of 29 cities. Ann Emerg Med. 1990 Feb;19(2):179–186. doi: 10.1016/s0196-0644(05)81805-0. [DOI] [PubMed] [Google Scholar]
  6. Hallstrom A., Boutin P., Cobb L., Johnson E. Socioeconomic status and prediction of ventricular fibrillation survival. Am J Public Health. 1993 Feb;83(2):245–248. doi: 10.2105/ajph.83.2.245. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Joslyn S. A., Pomrehn P. R., Brown D. D. Survival from out-of-hospital cardiac arrest: effects of patient age and presence of 911 Emergency Medical Services phone access. Am J Emerg Med. 1993 May;11(3):200–206. doi: 10.1016/0735-6757(93)90124-t. [DOI] [PubMed] [Google Scholar]
  8. Kellermann A. L., Hackman B. B., Somes G. Predicting the outcome of unsuccessful prehospital advanced cardiac life support. JAMA. 1993 Sep 22;270(12):1433–1436. [PubMed] [Google Scholar]
  9. Solomon N. A. What are representative survival rates for out-of-hospital cardiac arrest? Insights from the New Haven (Conn) experience. Arch Intern Med. 1993 May 24;153(10):1218–1221. [PubMed] [Google Scholar]
  10. Tresch D. D., Neahring J. M., Duthie E. H., Mark D. H., Kartes S. K., Aufderheide T. P. Outcomes of cardiopulmonary resuscitation in nursing homes: can we predict who will benefit? Am J Med. 1993 Aug;95(2):123–130. doi: 10.1016/0002-9343(93)90252-k. [DOI] [PubMed] [Google Scholar]
  11. Tunstall-Pedoe H., Bailey L., Chamberlain D. A., Marsden A. K., Ward M. E., Zideman D. A. Survey of 3765 cardiopulmonary resuscitations in British hospitals (the BRESUS Study): methods and overall results. BMJ. 1992 May 23;304(6838):1347–1351. doi: 10.1136/bmj.304.6838.1347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Tunstall-Pedoe H., Kuulasmaa K., Amouyel P., Arveiler D., Rajakangas A. M., Pajak A. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation. 1994 Jul;90(1):583–612. doi: 10.1161/01.cir.90.1.583. [DOI] [PubMed] [Google Scholar]

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