ArticleBMJ (Clinical research ed.)1998
Fatality outside hospital from acute coronary events in three British health districts, 1994-5. United Kingdom Heart Attack Study Collaborative Group.
Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 190 citations in OpenAlex.
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- Clinical disease registries in acute myocardial infarction.World journal of cardiology · 2014Review
- Seasonal pattern in admissions and mortality from acute myocardial infarction in elderly patients in Isfahan, Iran.ARYA atherosclerosis · 2014Article
- Incidence and 30-day case fatality for acute myocardial infarction in England in 2010: national-linked database study.European journal of public health · 2012Article
- Constituent country inequalities in myocardial infarction incidence and case fatality in men and women in the United Kingdom, 1996-2005.Journal of public health (Oxford, England) · 2011Article
- Genetic cardiovascular risk prediction: will we get there?Circulation · 2010Review
- First responder resuscitation teams in a rural Norwegian community: sustainability and self-reports of meaningfulness, stress and mastering.Scandinavian journal of trauma, resuscitation and emergency medicine · 2010Article
- Patients with cardiac chest pain should call emergency services.BMJ (Clinical research ed.) · 2007Review
- [Acute coronary syndrome. Guideline-conform management by regional and interregional care concepts].Der Anaesthesist · 2007Article
- Short-term and long-term outcomes in 133,429 emergency patients admitted with angina or myocardial infarction in Scotland, 1990-2000: population-based cohort study.Heart (British Cardiac Society) · 2006Article
- Demographic and temporal trends in out of hospital sudden cardiac death in Belfast.Heart (British Cardiac Society) · 2006Article
- Survival trends among Danish patients undergoing coronary angiography for known or suspected ischaemic heart disease: a population based follow up study, 1992-2000.Heart (British Cardiac Society) · 2006Article
- Circumstances of out of hospital cardiac arrest in patients with ischaemic heart disease.Heart (British Cardiac Society) · 2005Article
- [Acute coronary syndrome in the prehospital phase].Der Anaesthesist · 2005Review
- Pre-hospital resuscitation: breathing life into a stale subject.Heart (British Cardiac Society) · 2004Article
- Surviving out of hospital cardiac arrest at home: a postcode lottery?Emergency medicine journal : EMJ · 2004Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo provide a contemporary account of the treatment and outcomes of acute coronary attacks in England and Wales and to identify strategies that might improve the outcome.
designTwo year community and hospital based study in three British health districts.
settingHealth districts of Brighton (population 282,000), South Glamorgan (408,000), and York (264,000). SUBJECTS: 3523 men and women under 75 years of age who died outside hospital from acute coronary causes, who were admitted to hospital with acute myocardial infarction, or who developed acute infarction or died unexpectedly from acute coronary causes while they were already in hospital.
interventionsAttempted resuscitation in people having a cardiac arrest outside hospital.
main outcome measuresTotal case fatality, case fatality outside and inside hospital, and the effect of resuscitation on case fatality outside hospital.
results1589 patients died within 30 days of the acute event. Case fatality was 45% (95% confidence interval 43% to 47%), rising from 27% (160/595) (23% to 31%) at age < 55 years to 53% (1019/1916) (51% to 55%) at 65-74 years. Overall, 74% (1172/1589) (72% to 76%) of fatal events happened outside hospital, and there was a negative age gradient (P < 0.001) such that 91% (145/160) (87% to 95%) of fatalities occurred outside hospital at age < 55 compared with 70% (710/1019) (67% to 73%) at 65-74 years. Without successful resuscitation of 55 patients outside hospital, total case fatality at 30 days would have risen from 45% to 46.7%.
conclusionOpportunities for reducing fatality from acute coronary attacks lie mainly outside hospital. These results and others imply that survival from cardiac arrest outside hospital might be trebled by improved ambulance and patient response. Proper application of secondary preventive measures for patients with coronary disease could have an even larger impact.
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Identifiers
9552910PMC28511W1576066981What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.