Resuscitation highlights in 2016
Resuscitation highlights in 2016
J.P. Nolan, J.P. Ornato, M.J.A. Parr, G.D. Perkins, J. Soar
Introduction
The number and quality of manuscripts submitted to Resuscitation continues to rise and in 2016, for the first time, exceeded 1000. The editors have highlighted some of the key papers published in the Journal in 2016.
Epidemiology and outcome
The EuReCa ONE study documented over one month the incidence, process, and outcome for out-of-hospital cardiac arrest (OHCA) throughout Europe. Data were included on 10,682 confirmed OHCAs from 248 regions in 27 countries, covering an estimated population of 174 million. The incidence of cardiopulmonary resuscitation (CPR) attempts ranged from 19.0 to 104.0 per 100,000 population per year. Overall, 662/6414 (10.3%) in all treated cases survived to 30?days or hospital discharge.
An analysis of the U.S. Kids’ Inpatient Database documented 29,577 paediatric in-hospital cardiac arrests out of 38,035,077 hospitalisations during the period 1997–2012, resulting in an overall incidence of 0.78 cardiac arrests for every 1000 discharges and mortality of 46%. The incidence of paediatric in-hospital cardiac arrest increased while the mortality decreased. The incidence of in-hospital cardiac arrest (IHCA) was higher in males, infants, black children, children from metropolitan regions and children from regions with lower household incomes.
In an analysis of a Korean nationwide OHCA registry, during 2008–2014, 511 OHCAs (73% judged to be of cardiac cause) occurred in schools, leading to an annual incidence of 5.72 per 1000 schools. Most victims were unwitnessed adult visitors who had a non-shockable initial documented cardiac arrest rhythm, although most received bystander CPR. One third of the arrests occurred during sports activity or at a sports facility. One hundred patients (19.6%) survived to discharge, 66 (12.9%) with a good neurological outcome.
In a study from the Resuscitation Outcomes Consortium (ROC), among 14,690 OHCA victims treated between 2005–2007, women had lower rates of survival than men. However, when survival was adjusted for Utstein predictors, survival was similar between genders except in younger women…. (ver el artículo completo en pdf)
