Epidemiology and outcomes from out-of-hospital cardiac arrests in England

Claire Hawkes; Scott Booth; Chen Ji; Samantha J. Brace-McDonnell; Andrew Whittington; James Mapstone; Matthew W. Cooke; Charles D. Deakin; Chris P. Gale; Rachael Fothergill; Jerry P. Nolan; Nigel Rees; Jasmeet Soar; A. Niroshan Siriwardena; Terry P. Brown; Gavin D. Perkins

doi:10.1016/j.resuscitation.2016.10.030

Epidemiology and outcomes from out-of-hospital cardiac arrests in England

Claire Hawkes, Scott Booth, Chen Ji, Samantha J. Brace-McDonnell, Andrew Whittington, James Mapstone, Matthew W. Cooke, Charles D. Deakin, Chris P. Gale, Rachael Fothergill, Jerry P. Nolan, Nigel Rees, Jasmeet Soar, A. Niroshan Siriwardena, Terry P. Brown, Gavin D. Perkins^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

250 Citations (Scopus)

Abstract

Introduction This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Methods Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. Results 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n = 6302) and survival to hospital discharge was 7.9%. Conclusion Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.

Original language	English
Pages (from-to)	133-140
Number of pages	8
Journal	Resuscitation
Volume	110
DOIs	https://doi.org/10.1016/j.resuscitation.2016.10.030
Publication status	Published - 1 Jan 2017

Bibliographical note

Publisher Copyright:
© 2016

Keywords

Cardiac arrest
Emergency medical services
Out-of-hospital cardiac arrest
Pre-hospital care
Resuscitation

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10.1016/j.resuscitation.2016.10.030

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Hawkes, C., Booth, S., Ji, C., Brace-McDonnell, S. J., Whittington, A., Mapstone, J., Cooke, M. W., Deakin, C. D., Gale, C. P., Fothergill, R., Nolan, J. P., Rees, N., Soar, J., Siriwardena, A. N., Brown, T. P., & Perkins, G. D. (2017). Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation, 110, 133-140. https://doi.org/10.1016/j.resuscitation.2016.10.030

@article{f016ce20b3b245c586db4551411e4b47,

title = "Epidemiology and outcomes from out-of-hospital cardiac arrests in England",

abstract = "Introduction This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Methods Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. Results 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n = 6302) and survival to hospital discharge was 7.9%. Conclusion Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.",

keywords = "Cardiac arrest, Emergency medical services, Out-of-hospital cardiac arrest, Pre-hospital care, Resuscitation",

author = "Claire Hawkes and Scott Booth and Chen Ji and Brace-McDonnell, {Samantha J.} and Andrew Whittington and James Mapstone and Cooke, {Matthew W.} and Deakin, {Charles D.} and Gale, {Chris P.} and Rachael Fothergill and Nolan, {Jerry P.} and Nigel Rees and Jasmeet Soar and Siriwardena, {A. Niroshan} and Brown, {Terry P.} and Perkins, {Gavin D.}",

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AU - Hawkes, Claire

AU - Booth, Scott

AU - Ji, Chen

AU - Brace-McDonnell, Samantha J.

AU - Whittington, Andrew

AU - Mapstone, James

AU - Cooke, Matthew W.

AU - Deakin, Charles D.

AU - Gale, Chris P.

AU - Fothergill, Rachael

AU - Nolan, Jerry P.

AU - Rees, Nigel

AU - Soar, Jasmeet

AU - Siriwardena, A. Niroshan

AU - Brown, Terry P.

AU - Perkins, Gavin D.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Introduction This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Methods Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. Results 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n = 6302) and survival to hospital discharge was 7.9%. Conclusion Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.

AB - Introduction This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Methods Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. Results 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n = 6302) and survival to hospital discharge was 7.9%. Conclusion Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.

KW - Cardiac arrest

KW - Emergency medical services

KW - Out-of-hospital cardiac arrest

KW - Pre-hospital care

KW - Resuscitation

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VL - 110

SP - 133

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JO - Resuscitation

JF - Resuscitation

ER -

Epidemiology and outcomes from out-of-hospital cardiac arrests in England

Abstract

Bibliographical note

Keywords

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