Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries : a questionnaire study
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 additi...
Published in: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/162671 2024-01-07T09:44:19+01:00 Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries : a questionnaire study Saarinen, Sini Castren, Maaret Virkkunen, Ilkka Kamarainen, Antti Department of Diagnostics and Therapeutics Clinicum HUS Emergency Medicine and Services 2016-05-20T12:12:01Z 6 application/pdf http://hdl.handle.net/10138/162671 eng eng BMC 10.1186/s13049-015-0141-z Saarinen , S , Castren , M , Virkkunen , I & Kamarainen , A 2015 , ' Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries : a questionnaire study ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 23 , 60 . https://doi.org/10.1186/s13049-015-0141-z 84941063116 68643909-0ae0-4bc0-a594-6a009cb4f2a9 http://hdl.handle.net/10138/162671 000361448700001 cc_by openAccess info:eu-repo/semantics/openAccess PERCUTANEOUS CORONARY INTERVENTION THERAPEUTIC HYPOTHERMIA TARGETED TEMPERATURE COUNCIL GUIDELINES COMATOSE SURVIVORS METAANALYSIS MANAGEMENT LIFE PROGNOSTICATION PROGNOSIS 3126 Surgery anesthesiology intensive care radiology Article publishedVersion 2016 ftunivhelsihelda 2023-12-14T00:13:50Z 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 degrees C. All OHCA patients admitted to the ICU were treated with TTM at 33 degrees 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 degrees C, but 33 % use TTM at 36 degrees 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 degrees C has been implemented in some ICUs, but TTM at 33 degrees C is used in majority of the ICUs. TTM at 33 or 36 degrees 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. Peer reviewed Article in Journal/Newspaper Iceland HELDA – University of Helsinki Open Repository Norway Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 23 1 |
institution |
Open Polar |
collection |
HELDA – University of Helsinki Open Repository |
op_collection_id |
ftunivhelsihelda |
language |
English |
topic |
PERCUTANEOUS CORONARY INTERVENTION THERAPEUTIC HYPOTHERMIA TARGETED TEMPERATURE COUNCIL GUIDELINES COMATOSE SURVIVORS METAANALYSIS MANAGEMENT LIFE PROGNOSTICATION PROGNOSIS 3126 Surgery anesthesiology intensive care radiology |
spellingShingle |
PERCUTANEOUS CORONARY INTERVENTION THERAPEUTIC HYPOTHERMIA TARGETED TEMPERATURE COUNCIL GUIDELINES COMATOSE SURVIVORS METAANALYSIS MANAGEMENT LIFE PROGNOSTICATION PROGNOSIS 3126 Surgery anesthesiology intensive care radiology Saarinen, Sini Castren, Maaret Virkkunen, Ilkka Kamarainen, Antti Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries : a questionnaire study |
topic_facet |
PERCUTANEOUS CORONARY INTERVENTION THERAPEUTIC HYPOTHERMIA TARGETED TEMPERATURE COUNCIL GUIDELINES COMATOSE SURVIVORS METAANALYSIS MANAGEMENT LIFE PROGNOSTICATION PROGNOSIS 3126 Surgery anesthesiology intensive care radiology |
description |
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 degrees C. All OHCA patients admitted to the ICU were treated with TTM at 33 degrees 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 degrees C, but 33 % use TTM at 36 degrees 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 degrees C has been implemented in some ICUs, but TTM at 33 degrees C is used in majority of the ICUs. TTM at 33 or 36 degrees 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. Peer reviewed |
author2 |
Department of Diagnostics and Therapeutics Clinicum HUS Emergency Medicine and Services |
format |
Article in Journal/Newspaper |
author |
Saarinen, Sini Castren, Maaret Virkkunen, Ilkka Kamarainen, Antti |
author_facet |
Saarinen, Sini Castren, Maaret Virkkunen, Ilkka Kamarainen, 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 |
BMC |
publishDate |
2016 |
url |
http://hdl.handle.net/10138/162671 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
10.1186/s13049-015-0141-z Saarinen , S , Castren , M , Virkkunen , I & Kamarainen , A 2015 , ' Post resuscitation care of out-of-hospital cardiac arrest patients in the Nordic countries : a questionnaire study ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 23 , 60 . https://doi.org/10.1186/s13049-015-0141-z 84941063116 68643909-0ae0-4bc0-a594-6a009cb4f2a9 http://hdl.handle.net/10138/162671 000361448700001 |
op_rights |
cc_by openAccess info:eu-repo/semantics/openAccess |
container_title |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
container_volume |
23 |
container_issue |
1 |
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1787425679688597504 |