Out-of-hospital cardiac arrests in the older population in Ireland

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dc.contributor.author Tanner, Richard
dc.contributor.author Masterson, Siobhan
dc.contributor.author Jensen, Mette
dc.contributor.author Wright, Peter
dc.contributor.author Hennelly, David
dc.contributor.author O'Reilly, Martin
dc.contributor.author Murphy, Andrew W.
dc.contributor.author Bury, Gerard
dc.contributor.author O'Donnell, Cathal
dc.contributor.author Deasy, Conor
dc.date.accessioned 2017-12-19T12:17:53Z
dc.date.available 2017-12-19T12:17:53Z
dc.date.issued 2017-06-27
dc.identifier.citation Tanner, R., Masterson, S., Jensen, M., Wright, P., Hennelly, D., O’Reilly, M., Murphy, A. W., Bury, G., O’Donnell, C. and Deasy, C. (2017) ‘Out-of-hospital cardiac arrests in the older population in Ireland’, Emergency Medicine Journal, 34(10), pp. 659-664. doi:10.1136/emermed-2016-206041 en
dc.identifier.volume 34 en
dc.identifier.issued 10 en
dc.identifier.startpage 659 en
dc.identifier.endpage 664 en
dc.identifier.issn 1472-0205
dc.identifier.issn 1472-0213
dc.identifier.uri http://hdl.handle.net/10468/5195
dc.identifier.doi 10.1136/emermed-2016-206041
dc.description.abstract Introduction: Age influences survival from an out-of-hospital cardiac arrest (OHCA) but it is unclear to what extent. Improved understanding of the impact of increasing age may be helpful in improving decision making on who should receive attempted resuscitation to optimise outcomes and minimise inappropriate end-of-life management. Our aim is to describe the demographics, characteristics and outcomes following resuscitation attempts in OHCA patients aged 70 years and older in Ireland. Methods: Data were extracted from the national OHCA Register. Patient and event characteristics were compared across three age categories (70-79; 80-89; ≥90 years). Multivariable logistic regression was used to determine the predictors of the primary outcome (survival to hospital discharge). Results: A total of 2281 patients aged 70 years and older were attended by emergency medical services and had resuscitation attempted between 2012 and 2014. Overall survival to hospital discharge was 2.9%. For those aged 70–79 years, 80–89 years, 90 years and older survival to hospital discharge in each age group was 4.0%, 1.8% and 1.4%, respectively. Older age (adjusted OR (AOR) 0.95 95% CI 0.90 to 0.99) and having an arrest in the subjects own home (AOR 0.14 95% CI 0.07 to 0.28) were independent predictor associated with reduced odds of survival to hospital discharge. An initial shockable rhythm (AOR 17.9. 95% CI 8.19 to 39.2) and having a bystander witnessed OHCA (AOR 3.98. 95% CI 1.38 to 11.50) were independent predictors associated with increased odds of survival to hospital discharge. Conclusion: In those aged 70 years and older, the rate of survival to hospital discharge declined with increasing age group. Younger age, an initial shockable rhythm and witnessed arrest were independent predictors of survival to hospital discharge. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ Publishing Group Ltd en
dc.rights © 2017, the Authors. All rights reserved. No commercial use is permitted unless otherwise expressly granted. en
dc.subject Out-of-hospital cardiac arrest en
dc.subject OHCA en
dc.subject Age en
dc.subject Out-of-hospital cardiac arrest registry en
dc.subject Ethics of resuscitation en
dc.subject Older population en
dc.title Out-of-hospital cardiac arrests in the older population in Ireland en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Richard Tanner, Medicine, University College Cork, Cork, Ireland. T: +353-21-490-3000 E: 107577656@umail.ucc.ie en
dc.internal.availability Full text available en
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Emergency Medicine Journal en

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