Establishing Arizona's statewide cardiac arrest reporting and educational network

Bentley J Bobrow, Tyler F. Vadeboncoeur, Lani Clark, Vatsal Chikani

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Background. Only a few large cities have published their out-of-hospital cardiac arrest (OHCA) survival statistics using the Utstein style reporting method. To date, to the best of our knowledge there has been no published OHCA survival data for a state. Objective. To describe the process, benefits, and challenges of establishing a statewide OHCA database and educational network. Methods. Arizona's Bureau of Emergency Medical Services and Trauma System initiated a statewide, prospective, observational cohort review of all OHCA victims on whom resuscitation was attempted in the field. Emergency medical services (EMS) first care reports, voluntarily submitted by 35 departments in Arizona, were analyzed. We chronicled the development of our data-collection process along with how we obtained patient outcomes and delivered feedback to field providers. Entry data included time intervals and nodal events conforming to the Utstein style template. Results. In data collected between January 1, 2005, and April 1, 2006, there were 1,484 OHCAs reported, of which 1,104 were of presumed cardiac etiology occurring prior to EMS arrival. The OHCA incidence was approximately 0.44 per 1,000 population per year. In our database, bystander CPR provided an odds ratio of 3.0 for survival (95% confidence interval 1.3, 6.7). Outcomes for 1,076 patients were obtained. Thirty-seven (3.4%) of the 1,076 cardiac arrest victims survived to hospital discharge. Twenty-seven (8.6%) of the 331 ventricular fibrillation cardiac arrest victims survived to hospital discharge. Conclusion. It is feasible for a public health agency to implement a voluntary, statewide data-collection system and educational network to determine and improve survival from OHCA.

Original languageEnglish (US)
Pages (from-to)381-387
Number of pages7
JournalPrehospital Emergency Care
Volume12
Issue number3
DOIs
StatePublished - Jul 2008

Fingerprint

Out-of-Hospital Cardiac Arrest
Heart Arrest
Emergency Medical Services
Survival
Databases
Cardiopulmonary Resuscitation
Ventricular Fibrillation
Information Systems
Resuscitation
Public Health
Odds Ratio
Confidence Intervals
Incidence
Wounds and Injuries
Population

Keywords

  • Cardiac arrest
  • CPR
  • EMS systems
  • Utstein style reporting

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Establishing Arizona's statewide cardiac arrest reporting and educational network. / Bobrow, Bentley J; Vadeboncoeur, Tyler F.; Clark, Lani; Chikani, Vatsal.

In: Prehospital Emergency Care, Vol. 12, No. 3, 07.2008, p. 381-387.

Research output: Contribution to journalArticle

Bobrow, Bentley J ; Vadeboncoeur, Tyler F. ; Clark, Lani ; Chikani, Vatsal. / Establishing Arizona's statewide cardiac arrest reporting and educational network. In: Prehospital Emergency Care. 2008 ; Vol. 12, No. 3. pp. 381-387.
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