Titre :

Age discrimination in out-of-hospital cardiac arrest care: a case-control study

Auteur(s) :

WIEL, Eric [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Di Pompeo, Christophe [Auteur]
Segal, Nicolas [Auteur]
Luc, Gerald [Auteur]
Marc, Jean-Baptiste [Auteur]
Vanderstraeten, Carine [Auteur]
El Khoury, Carlos [Auteur]
Escutnaire, Josephine [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Santé publique : épidémiologie et qualité des soins - EA 2694
Tazarourte, Karim [Auteur]
Gueugniaud, Pierre-Yves [Auteur]
Hubert, Hervé [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Titre de la revue :

European journal of cardiovascular nursing . journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

Nom court de la revue :

Eur J Cardiovasc Nurs

Pagination :

1,47451511774633E+015

Date de publication :

2017-12-01

ISSN :

1873-1953

Mot(s)-clé(s) en anglais :

care discrimination
cardiopulmonary resuscitation
Age
elderly
epidemiology
out-of-hospital cardiac arrest

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Although some studies have questioned whether cardiopulmonary resuscitation (CPR) in older people could be futile, age is not considered an essential out-of-hospital cardiac arrest (OHCA) prognostic factor. However, in the ...
Lire la suite >Although some studies have questioned whether cardiopulmonary resuscitation (CPR) in older people could be futile, age is not considered an essential out-of-hospital cardiac arrest (OHCA) prognostic factor. However, in the daily clinical practice of mobile medical teams (MMTs), age seems to be an important factor affecting OHCA care. The purpose of this study was to compare OHCA care and outcomes between young patients (<65 years old) and older patients. We performed a case-control study based on data extracted from the French National Cardiac Arrest (CA) registry. All adult patients with CA recorded between July 2011 and May 2014 were included. Each older patient was matched on three criteria: sex, initial cardiac rhythm and no-flow duration. We studied 4347 pairs. We found significantly less basic life support initiation, shorter advanced cardiac life support duration, less MMT automated chest compression, less MMT ventilation and less MMT epinephrine injection in the older patients. Significant differences were also observed for return of spontaneous circulation (odds ratio (OR)=0.84, 95% confidence interval (CI) 0.77-0.92, p<0.001), transport to hospital (OR=0.58, 95% CI 0.51-0.61, p<0.001), vital status at hospital admission (OR=0.55, 95% CI 0.50-0.60, p<0.001) and vital status 30 days after CA (OR=0.42, 95% CI 0.35-0.50, p<0.001). All OHCA guidelines, ethical statements and clinical procedures do not propose age as a discrimination criterion in OHCA care. However, in our case-control study, we notice a shorter duration and less intensive care among older patients. This finding may partly explain the lower survival rate compared with younger people.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 :

2019-12-09T18:18:52Z