P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon
Introduction : One in nine (11.7%) people in Saskatchewan identifies as First Nations. In Canada, First Nations people experience a higher burden of cardiovascular disease when compared to the general population, but it is unknown whether they have different outcomes in out of hospital cardiac arres...
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crspringernat:10.1017/cem.2019.306 2023-05-15T16:13:53+02:00 P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon Scheirer, O. Leach, A. Netherton, S. Mondal, P. Hillier, T. Davis, P. 2019 http://dx.doi.org/10.1017/cem.2019.306 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803519003063 en eng Springer Science and Business Media LLC https://www.cambridge.org/core/terms CJEM volume 21, issue S1, page S105-S106 ISSN 1481-8035 1481-8043 Emergency Medicine journal-article 2019 crspringernat https://doi.org/10.1017/cem.2019.306 2022-01-04T14:42:07Z Introduction : One in nine (11.7%) people in Saskatchewan identifies as First Nations. In Canada, First Nations people experience a higher burden of cardiovascular disease when compared to the general population, but it is unknown whether they have different outcomes in out of hospital cardiac arrest (OHCA). Methods : We reviewed pre-hospital and inpatient records of patients sustaining an OHCA between January 1st, 2015 and December 31st, 2017. The population consisted of patients aged 18 years or older with OHCA of presumed cardiac origin occurring in the catchment area of Saskatoon's EMS service. Variables of interest included, age, gender, First Nations status (as identified by treaty number), EMS response times, bystander CPR, and shockable rhythm. Outcomes of interest included return of spontaneous circulation (ROSC), survival to hospital admission, and survival to hospital discharge. Results : In all, 372 patients sustained OHCA, of which 27 were identified as First Nations. First Nations patients with OHCA tended to be significantly younger (mean age 46 years vs. 65 years, p < 0.0001) and had shorter EMS response times (median times 5.3 minutes vs. 6.2 minutes, p = 0.01). There were no differences between First Nations and non-First Nations patients in terms of incidence of shockable rhythms (24% vs. 26%, p = 0.80), ROSC (42% vs. 41%, p = 0.87), survival to admission (27% vs 33%, p = 0.53), and survival to hospital discharge (15% vs. 12%, p = 0.54). Conclusion : In Saskatoon, First Nations patients sustaining OHCA appear to have similar survival rates when compared with non-First Nations patients, suggesting similar baseline care. Interestingly, First Nations patients sustaining OHCA were significantly younger than their non-First Nations counterparts. This may reflect a higher burden of cardiovascular disease, suggesting a need improved prevention strategies. Article in Journal/Newspaper First Nations Springer Nature (via Crossref) Canada CJEM 21 S1 S105 S106 |
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Springer Nature (via Crossref) |
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English |
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Emergency Medicine |
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Emergency Medicine Scheirer, O. Leach, A. Netherton, S. Mondal, P. Hillier, T. Davis, P. P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
topic_facet |
Emergency Medicine |
description |
Introduction : One in nine (11.7%) people in Saskatchewan identifies as First Nations. In Canada, First Nations people experience a higher burden of cardiovascular disease when compared to the general population, but it is unknown whether they have different outcomes in out of hospital cardiac arrest (OHCA). Methods : We reviewed pre-hospital and inpatient records of patients sustaining an OHCA between January 1st, 2015 and December 31st, 2017. The population consisted of patients aged 18 years or older with OHCA of presumed cardiac origin occurring in the catchment area of Saskatoon's EMS service. Variables of interest included, age, gender, First Nations status (as identified by treaty number), EMS response times, bystander CPR, and shockable rhythm. Outcomes of interest included return of spontaneous circulation (ROSC), survival to hospital admission, and survival to hospital discharge. Results : In all, 372 patients sustained OHCA, of which 27 were identified as First Nations. First Nations patients with OHCA tended to be significantly younger (mean age 46 years vs. 65 years, p < 0.0001) and had shorter EMS response times (median times 5.3 minutes vs. 6.2 minutes, p = 0.01). There were no differences between First Nations and non-First Nations patients in terms of incidence of shockable rhythms (24% vs. 26%, p = 0.80), ROSC (42% vs. 41%, p = 0.87), survival to admission (27% vs 33%, p = 0.53), and survival to hospital discharge (15% vs. 12%, p = 0.54). Conclusion : In Saskatoon, First Nations patients sustaining OHCA appear to have similar survival rates when compared with non-First Nations patients, suggesting similar baseline care. Interestingly, First Nations patients sustaining OHCA were significantly younger than their non-First Nations counterparts. This may reflect a higher burden of cardiovascular disease, suggesting a need improved prevention strategies. |
format |
Article in Journal/Newspaper |
author |
Scheirer, O. Leach, A. Netherton, S. Mondal, P. Hillier, T. Davis, P. |
author_facet |
Scheirer, O. Leach, A. Netherton, S. Mondal, P. Hillier, T. Davis, P. |
author_sort |
Scheirer, O. |
title |
P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
title_short |
P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
title_full |
P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
title_fullStr |
P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
title_full_unstemmed |
P115: Outcomes of out of hospital cardiac arrest in First Nations vs. non-First Nations patients in Saskatoon |
title_sort |
p115: outcomes of out of hospital cardiac arrest in first nations vs. non-first nations patients in saskatoon |
publisher |
Springer Science and Business Media LLC |
publishDate |
2019 |
url |
http://dx.doi.org/10.1017/cem.2019.306 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1481803519003063 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
CJEM volume 21, issue S1, page S105-S106 ISSN 1481-8035 1481-8043 |
op_rights |
https://www.cambridge.org/core/terms |
op_doi |
https://doi.org/10.1017/cem.2019.306 |
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CJEM |
container_volume |
21 |
container_issue |
S1 |
container_start_page |
S105 |
op_container_end_page |
S106 |
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1765999742609784832 |