• Login
    View Item 
    •   Home
    • Yorkshire Ambulance Service [YAS]
    • Publications - Yorkshire Ambulance Service
    • View Item
    •   Home
    • Yorkshire Ambulance Service [YAS]
    • Publications - Yorkshire Ambulance Service
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of amberCommunitiesPublication DateAuthorsTitlesSubjectsJournal TitleThis CollectionPublication DateAuthorsTitlesSubjectsJournal TitleProfilesView

    My Account

    LoginRegister

    About amber

    About amberGeneral Policies Terms of DepositSuggest an addition to amberamber Advisory Note

    Statistics

    Display statistics

    A service evaluation of transport destination and outcome of patients with post-ROSC STEMI in an English ambulance service

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Average rating
     
       votes
    Cast your vote
    You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
    Star rating
     
    Your vote was cast
    Thank you for your feedback
    Author
    Platt, Anthony
    Keyword
    Out-of-Hospital Cardiac Arrest (OHCA)
    Pre-hospital Care
    Emergency Medical Services
    ST-segment Elevation Myocardial Infarction (STEMI)
    Return of Spontaneous Circulation (ROSC)
    Journal title
    British Paramedic Journal
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/832
    DOI
    10.29045/14784726.2020.06.5.1.32
    Abstract
    Background: In the UK, there are approximately 60,000 cases of out-of-hospital cardiac arrest (OHCA) each year. There is mounting evidence that post-resuscitation care should include early angiography and primary percutaneous coronary intervention (pPCI) in cases of OHCA where a cardiac cause is suspected. Yorkshire Ambulance Service (YAS) staff can transport patients with a return of spontaneous circulation (ROSC) directly to a pPCI unit if their post-ROSC ECG shows evidence of ST elevation myocardial infarction (STEMI). This service evaluation aimed to determine the factors that affect the transport destination, hospital characteristics and 30-day survival rates of post-ROSC patients with presumed cardiac aetiology. Methods: All patient care records (PCRs) previously identified for the AIRWAYS-2 trial between January and July 2017 were reviewed. Patients were eligible for inclusion if they were an adult non-traumatic OHCA, achieved ROSC on scene and were treated and transported by (YAS). Descriptive statistics were used to analyse the data. Results: 478 patients met the inclusion criteria. 361/478 (75.6%) patients had a post-ROSC ECG recorded, with 149/361 (41.3%) documented cases of STEMI and 88/149 (59.1%) referred to a pPCI unit by the attending clinicians. 40/88 (45.5%) of referrals made were accepted by the pPCI units. Patients taken directly to pPCI were most likely to survive to 30 days (25/39, 53.8%), compared to patients taken to an emergency department (ED) at a pPCI-capable hospital (34/126, 27.0%), or an ED at a non-pPCI-capable hospital (50/310, 16.1%). Conclusion: Staff should be encouraged to record a 12-lead ECG on all post-ROSC patients, and make a referral to the regional pPCI-capable centre if there is evidence of a STEMI, or a cardiac cause is likely, since 30-day survival is highest for patients who are taken directly for pPCI. Ambulance services should continue to work with regional pPCI-capable centres to ensure that suitable patients are accepted to maximise potential for survival. Abstract published with permission.
    ae974a485f413a2113503eed53cd6c53
    10.29045/14784726.2020.06.5.1.32
    Scopus Count
    Collections
    Publications - Yorkshire Ambulance Service

    entitlement

     

    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.