Prehospital Double Sequential Defibrillation: A Matched Case–Control Study.
Objectives: The goal of our study was to determine whether prehospital double sequential defibrillation (DSD) is associated with improved survival to hospital admission in the setting of refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT). Methods: This project is a matche...
| Publicado en: | Academic Emergency Medicine Vol. 26; no. 9; pp. 994 - 1002 |
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| Autores principales: | , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138498511&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138498511 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10696563 Z27 jtl: Academic Emergency Medicine issn: 10696563 maglogo: Y pubinfo: dt: Sep2019 vid: 26 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 138498511 138498511 138498511 10.1111/acem.13672 138498511 ppf: 994 ppct: 8 formats: tig: atl: Prehospital Double Sequential Defibrillation: A Matched Case–Control Study. aug: au: Mapp, Julian G. Hans, Alan J. Darrington, Anthony M. Ross, Elliot M. Ho, Calvin C. Miramontes, David A. Harper, Stephen A. Wampler, David A. Braithwaite, Sabina A. affil: San Antonio Uniformed Services Health Education Consortium, JBSA Fort Sam Houston, TX sug: subj: Defibrillation Methods Prehospital Care Ventricular Fibrillation Prognosis Tachycardia, Ventricular Prognosis Human Case Control Studies Ventricular Fibrillation Therapy Tachycardia, Ventricular Therapy Prospective Studies Patient Admission Algorithms Odds Ratio Confidence Intervals ab: Objectives: The goal of our study was to determine whether prehospital double sequential defibrillation (DSD) is associated with improved survival to hospital admission in the setting of refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT). Methods: This project is a matched case–control study derived from prospectively collected quality assurance/quality improvement data obtained from the San Antonio Fire Department out‐of‐hospital cardiac arrest (OHCA) database between January 2013 and December 2015. The cases were defined as OHCA patients with refractory VF/pVT who survived to hospital admission. The control group was defined as OHCA patients with refractory VF/pVT who did not survive to hospital admission. The primary variable in our study was prehospital DSD. The primary outcome of our study was survival to hospital admission. Results: Of 3,469 consecutive OHCA patients during the study period, 205 OHCA patients met the inclusion criterion of refractory VF/pVT. Using a predefined algorithm, two blinded researchers identified 64 unique cases and matched them with 64 unique controls. Survival to hospital admission occurred in 48.0% of DSD patients and 50.5% of the conventional therapy patients (p > 0.99; odds ratio = 0.91, 95% confidence interval = 0.40–2.1). Conclusion: Our matched case–control study on the prehospital use of DSD for refractory VF/pVT found no evidence of associated improvement in survival to hospital admission. Our current protocol of considering prehospital DSD after the third conventional defibrillation in OHCA is ineffective. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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