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Incidence and outcomes of out‐of‐hospital cardiac arrest in Singapore and Victoria: A collaborative study

Journal of the American Heart Association Nov 01, 2020

Lim SL, Smith K, Dyson K, et al. - Given that communities differ in incidence and outcomes of out‐of‐hospital cardiac arrest (OHCA), researchers sought to ascertain disparities in patient characteristics, prehospital care, and outcomes in Singapore and Victoria. They assessed 11,061 and 32,003 emergency medical services‐attended adult OHCAs between 2011 and 2016 using the prospective Singapore Pan‐Asian Resuscitation Outcomes Study and Victorian Ambulance Cardiac Arrest Registry, respectively. Among these patients, 11,054 (99.9%) and 5,595 (37.7%) were transported, and 440 (4.0%) and 2,009 (13.6%) survived, respectively. Overall findings suggest increasing OHCA incidence and survival rates between 2011 and 2016 in Singapore, compared with stable, albeit higher, rates in Victoria. Different emergency medical service practices including patient selection for resuscitation and transport might explain the survival differences.

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