Bypassing out-of-hospital cardiac arrest patients to a regional cardiac center: Impact on hemodynamic parameters and outcomes
The American Journal of Emergency Medicine Feb 04, 2021
Karasek J, Seiner J, Renza M, et al. - As per current guidelines, systematic care for patients who experience out-of-hospital cardiac arrest (OHCA) and the development of cardiac arrest centers (CACs) are recommended. Researchers sought to obtain data concerning prolonged transport time of these often hemodynamically unstable patients via analyzing a prospective OHCA registry of a regional CAC obtained between 2013 and 2017, when all OHCA patients from the district were necessitated to be transferred directly to the CAC. During the study period, a total of 258 individuals experienced OHCA. Excluding 27 individuals due to insufficient data and 17 for secondary transfer to CAC, 214 patients remained for analysis, 111 in the CAC group and 103 in the bypass group. Significantly prolonged transport times were reported for individuals who experienced OHCA and taken to a CAC; however, no effect on hemodynamic parameters and/or outcomes was observed. Findings thereby indicate the safety of bypassing local hospitals for a CAC.
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