Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study
Abstract Background Aim of this study was to compare post resuscitation care of out-of-hospital cardiac arrest (OHCA) patients in Nordic (Denmark, Finland, Iceland, Norway, Sweden) intensive care units (ICUs). Methods An online questionnaire was sent to Nordic ICUs in 2012 and was complemented by an...
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ftdatacite:10.6084/m9.figshare.c.3638276.v1 2023-05-15T16:51:37+02:00 Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study Saarinen, Sini Castrén, Maaret Virkkunen, Ilkka Kämäräinen, Antti 2015 https://dx.doi.org/10.6084/m9.figshare.c.3638276.v1 https://figshare.com/collections/Post_resuscitation_care_of_out-of-hospital_cardiac_arrest_patients_in_the_Nordic_countries_a_questionnaire_study/3638276/1 unknown Figshare https://dx.doi.org/10.1186/s13049-015-0141-z https://dx.doi.org/10.6084/m9.figshare.c.3638276 CC BY 4.0 https://creativecommons.org/licenses/by/4.0 CC-BY Medicine Microbiology FOS Biological sciences Immunology FOS Clinical medicine 69999 Biological Sciences not elsewhere classified Cancer 60506 Virology Collection article 2015 ftdatacite https://doi.org/10.6084/m9.figshare.c.3638276.v1 https://doi.org/10.1186/s13049-015-0141-z https://doi.org/10.6084/m9.figshare.c.3638276 2021-11-05T12:55:41Z Abstract Background Aim of this study was to compare post resuscitation care of out-of-hospital cardiac arrest (OHCA) patients in Nordic (Denmark, Finland, Iceland, Norway, Sweden) intensive care units (ICUs). Methods An online questionnaire was sent to Nordic ICUs in 2012 and was complemented by an additional one in 2014. Results The first questionnaire was sent to 188 and the second one to 184 ICUs. Response rates were 51 % and 46 %. In 2012, 37 % of the ICUs treated all patients resuscitated from OHCA with targeted temperature management (TTM) at 33 °C. All OHCA patients admitted to the ICU were treated with TTM at 33 °C more often in Norway (69 %) compared to Finland (20 %) and Sweden (25 %), p 0.02 and 0.014. In 2014, 63 % of the ICUs still use TTM at 33 °C, but 33 % use TTM at 36 °C. Early coronary angiography (CAG) and possible percutaneous coronary intervention (PCI) was routinely provided for all survivors of OHCA in 39 % of the hospitals in 2012 and in 28 % of the hospitals in 2014. Routine CAG for all actively treated victims of OHCA was performed more frequently in Sweden (51 %) and in Norway (54 %) compared to Finland (13 %), p 0.014 and 0.042. Conclusions Since 2012, TTM at 36 °C has been implemented in some ICUs, but TTM at 33 °C is used in majority of the ICUs. TTM at 33 or 36 °C and primary CAG are not routinely provided for all OHCA survivors and the criteria for these and ICU admission are variable. Best practices as a uniform approach to the optimal care of the resuscitated patient should be sought in the Nordic Countries. Article in Journal/Newspaper Iceland DataCite Metadata Store (German National Library of Science and Technology) Norway |
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collection |
DataCite Metadata Store (German National Library of Science and Technology) |
op_collection_id |
ftdatacite |
language |
unknown |
topic |
Medicine Microbiology FOS Biological sciences Immunology FOS Clinical medicine 69999 Biological Sciences not elsewhere classified Cancer 60506 Virology |
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Medicine Microbiology FOS Biological sciences Immunology FOS Clinical medicine 69999 Biological Sciences not elsewhere classified Cancer 60506 Virology Saarinen, Sini Castrén, Maaret Virkkunen, Ilkka Kämäräinen, Antti Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
topic_facet |
Medicine Microbiology FOS Biological sciences Immunology FOS Clinical medicine 69999 Biological Sciences not elsewhere classified Cancer 60506 Virology |
description |
Abstract Background Aim of this study was to compare post resuscitation care of out-of-hospital cardiac arrest (OHCA) patients in Nordic (Denmark, Finland, Iceland, Norway, Sweden) intensive care units (ICUs). Methods An online questionnaire was sent to Nordic ICUs in 2012 and was complemented by an additional one in 2014. Results The first questionnaire was sent to 188 and the second one to 184 ICUs. Response rates were 51 % and 46 %. In 2012, 37 % of the ICUs treated all patients resuscitated from OHCA with targeted temperature management (TTM) at 33 °C. All OHCA patients admitted to the ICU were treated with TTM at 33 °C more often in Norway (69 %) compared to Finland (20 %) and Sweden (25 %), p 0.02 and 0.014. In 2014, 63 % of the ICUs still use TTM at 33 °C, but 33 % use TTM at 36 °C. Early coronary angiography (CAG) and possible percutaneous coronary intervention (PCI) was routinely provided for all survivors of OHCA in 39 % of the hospitals in 2012 and in 28 % of the hospitals in 2014. Routine CAG for all actively treated victims of OHCA was performed more frequently in Sweden (51 %) and in Norway (54 %) compared to Finland (13 %), p 0.014 and 0.042. Conclusions Since 2012, TTM at 36 °C has been implemented in some ICUs, but TTM at 33 °C is used in majority of the ICUs. TTM at 33 or 36 °C and primary CAG are not routinely provided for all OHCA survivors and the criteria for these and ICU admission are variable. Best practices as a uniform approach to the optimal care of the resuscitated patient should be sought in the Nordic Countries. |
format |
Article in Journal/Newspaper |
author |
Saarinen, Sini Castrén, Maaret Virkkunen, Ilkka Kämäräinen, Antti |
author_facet |
Saarinen, Sini Castrén, Maaret Virkkunen, Ilkka Kämäräinen, Antti |
author_sort |
Saarinen, Sini |
title |
Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
title_short |
Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
title_full |
Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
title_fullStr |
Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
title_full_unstemmed |
Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries: a questionnaire study |
title_sort |
post resuscitation care of out-of-hospital cardiac arrest patients in the nordic countries: a questionnaire study |
publisher |
Figshare |
publishDate |
2015 |
url |
https://dx.doi.org/10.6084/m9.figshare.c.3638276.v1 https://figshare.com/collections/Post_resuscitation_care_of_out-of-hospital_cardiac_arrest_patients_in_the_Nordic_countries_a_questionnaire_study/3638276/1 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
https://dx.doi.org/10.1186/s13049-015-0141-z https://dx.doi.org/10.6084/m9.figshare.c.3638276 |
op_rights |
CC BY 4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.6084/m9.figshare.c.3638276.v1 https://doi.org/10.1186/s13049-015-0141-z https://doi.org/10.6084/m9.figshare.c.3638276 |
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1766041728678100992 |