ArticleBMC emergency medicine2021
Association between prehospital prognostic factors on out-of-hospital cardiac arrest in different age groups.
Article in BMC emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 44 citations in OpenAlex.
- Impact of staff turnover on extracorporeal cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a nationwide registry-based analysis in Japan.Resuscitation plus · 2025Article
- Pre-hospital Associated Factors of Survival in Traumatic Out-of-hospital Cardiac Arrests: An 11-Year Retrospective Cohort Study.Archives of academic emergency medicine · 2025Article
- Close-Up on Ambulance Service Estimation in Indonesia: Monte Carlo Simulation Study.Interactive journal of medical research · 2024Article
- The impact of smartphone-dispatched CPR-trained volunteers on OHCA outcomes is influenced by patient age.Scientific reports · 2024Article
- Article
- Out-of-hospital cardiac arrest research progress and challenges in Lithuania.Resuscitation plus · 2024Review
- Association between sub-phenotypes identified using latent class analysis and neurological outcomes in patients with out-of-hospital cardiac arrest in Japan.BMC cardiovascular disorders · 2024Article
- Analysis of Out-of-Hospital First Aid for Recovery of Spontaneous Circulation after Cardiac Arrest in Korea.Diagnostics (Basel, Switzerland) · 2024Article
- The Influence of Cardiac Arrest Floor-Level Location within a Building on Survival Outcomes.Journal of personalized medicine · 2023Article
- Optimizing Operation Time and Travel Distance for Motorcycle Ambulances in Emergency Medical Services.Prehospital and disaster medicine · 2023Article
- Emergency services utilization in Jakarta (Indonesia): a cross-sectional study of patients attending hospital emergency departments.BMC health services research · 2022Article
- Clinical Validation of Cardiac Arrest Hospital Prognosis (CAHP) Score and MIRACLE2 Score to Predict Neurologic Outcomes after Out-of-Hospital Cardiac Arrest.Healthcare (Basel, Switzerland) · 2022Article
- A retrospective multi-centre cohort study: Pre-hospital survival factors of out-of-hospital cardiac arrest (OHCA) patients in Thailand.Resuscitation plus · 2022Article
- Trend in survival after out-of-hospital cardiac arrest and its relationship with bystander cardiopulmonary resuscitation: a six-year prospective observational study in Beijing.BMC cardiovascular disorders · 2021Observational
- The ED-PLANN Score: A Simple Risk Stratification Tool for Out-of-Hospital Cardiac Arrests Derived from Emergency Departments in Korea.Journal of clinical medicine · 2021Article
- Barrier resuscitation by lay rescuers during COVID-19 pandemic.Medical hypotheses · 2021Article
- Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest.International journal of environmental research and public health · 2021Article
- The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan.International journal of environmental research and public health · 2021Article
- Pre-hospital Prognostic Factors of Out-of-Hospital Cardiac Arrest: The Difference Between Pediatric and Adult.Frontiers in pediatrics · 2021Article
- Response Time Threshold for Predicting Outcomes of Patients with Out-of-Hospital Cardiac Arrest.Emergency medicine international · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prognosis of out-of-hospital cardiac arrest (OHCA) is very poor. While several prehospital factors are known to be associated with improved survival, the impact of prehospital factors on different age groups is unclear. The objective of the study was to access the impact of prehospital factors and pre-existing comorbidities on OHCA outcomes in different age groups.
methodsA retrospective observational analysis was conducted using the emergency medical service (EMS) database from January 2015 to December 2019. We collected information on prehospital factors, underlying diseases, and outcome of OHCAs in different age groups. Kaplan-Meier type survival curves and multivariable logistic regression were used to analyze the association between modifiable pre-hospital factors and outcomes.
resultsA total of 4188 witnessed adult OHCAs were analyzed. For the age group 1 (age ≦75 years old), after adjustment for confounding factors, EMS response time (odds ratio [OR] = 0.860, 95% confidence interval [CI]: 0.811-0.909, p < 0.001), public location (OR = 1.843, 95% CI: 1.179-1.761, p < 0.001), bystander CPR (OR = 1.329, 95% CI: 1.007-1.750, p = 0.045), attendance by an EMT-Paramedic (OR = 1.666, 95% CI: 1.277-2.168, p < 0.001), and prehospital defibrillation by automated external defibrillator (AED)(OR = 1.666, 95% CI: 1.277-2.168, p < 0.001) were prognostic factors for survival to hospital discharge in OHCA patients. For the age group 2 (age > 75 years old), age (OR = 0.924, CI:0.880-0.966, p = 0.001), EMS response time (OR = 0.833, 95% CI: 0.742-0.928, p = 0.001), public location (OR = 4.290, 95% CI: 2.450-7.343, p < 0.001), and attendance by an EMT-Paramedic (OR = 2.702, 95% CI: 1.704-4.279, p < 0.001) were independent prognostic factors for survival to hospital discharge in OHCA patients.
conclusionsThere were variations between younger and older OHCA patients. We found that bystander CPR and prehospital defibrillation by AED were independent prognostic factors for younger OHCA patients but not for the older group.
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