Title :

Prevalence of advance directives and impact on advanced life support in out-of-hospital cardiac arrest victims

Author(s) :

Reuter, Paul-Georges [Auteur]
Agostinucci, Jean-Marc [Auteur]
Bertrand, Philippe [Auteur]
Gonzalez, Geraldine [Auteur]
De Stefano, Carla [Auteur]
Hennequin, Brigitte [Auteur]
Nadiras, Pierre [Auteur]
Biens, Didier [Auteur]
Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Gueugniaud, Pierre-Yves [Auteur]
Adnet, Frédéric [Auteur]
Lapostolle, Frédéric [Auteur]

Journal title :

Resuscitation

Abbreviated title :

Resuscitation

Volume number :

116

Pages :

105-108

Publication date :

2017-07-01

ISSN :

0300-9572

English keyword(s) :

Registry
Out-of-hospital cardiac arrest
Advance directives
Ethics

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

To evaluate the prevalence of advance directives and their impact on the management of out-of-hospital cardiac arrest (OHCA) victims. We analyzed data extracted from the French national registry of adult OHCA patients ...
Show more >To evaluate the prevalence of advance directives and their impact on the management of out-of-hospital cardiac arrest (OHCA) victims. We analyzed data extracted from the French national registry of adult OHCA patients (RéAC). The data concerned the emergency medical services (EMS) of a Paris suburb over the period 01/01/2013 to 30/11/2015. The primary endpoint was the prevalence of advance directives. Secondary endpoints were the characteristics of the population, of cardiac arrest, and of basic life support as well as outcomes in patients with or without advance directives. Advance directives were available for 148/1985 (7.5%) of OHCA patients. Advanced life support was given to 35 patients with directives and 941 patients without (24% vs. 51%, p <0.0001) with no significant difference in the characteristics of the support provided. Spontaneous recovery of cardiac activity was observed in 5 patients with directives and in 217 patients without (14% vs. 23%, p=0.3). Among patients with advance directives, only one was admitted to hospital. He/she died within 24h of admission. Advance directives were accessed by EMS for 7.5% OHCA patients. Despite their availability, advanced life support was provided to 24% of patients.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T18:16:52Z