Titre :

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

Auteur(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]

Titre de la revue :

Resuscitation

Nom court de la revue :

Resuscitation

Numéro :

116

Pagination :

105-108

Date de publication :

2017-07-01

ISSN :

0300-9572

Mot(s)-clé(s) en anglais :

Registry
Out-of-hospital cardiac arrest
Advance directives
Ethics

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [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 ...
Lire la suite >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.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Université de Lille

Collections :

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

Date de dépôt :

2019-12-09T18:16:52Z