Long-term outcomes of out-of-hospital cardiac arrest after successful early defibrillation.

@article{Bunch2003LongtermOO,
  title={Long-term outcomes of out-of-hospital cardiac arrest after successful early defibrillation.},
  author={Thomas Jared Bunch and Roger D. White and Bernard J. Gersh and Ryan A. Meverden and David O. Hodge and Karla V. Ballman and Stephen C. Hammill and Win Kuang Shen and Douglas L. Packer},
  journal={The New England journal of medicine},
  year={2003},
  volume={348 26},
  pages={
          2626-33
        }
}
BACKGROUND Mortality after out-of-hospital cardiac arrest from ventricular fibrillation is high. Programs focusing on early defibrillation have improved the rate of survival to hospital discharge. We conducted a population-based analysis of the long-term outcome and quality of life of survivors. METHODS All patients who had an out-of-hospital cardiac arrest between November 1990 and January 2001 who received early defibrillation for ventricular fibrillation in Olmsted County, Minnesota, were… 
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TLDR
The ICD insertion rate among survivors of out-of-hospital cardiac arrest was determined to be low and it is unclear whether this low usage rate reflects referral bias, selection bias by electrophysiologists, supply constraint or patient preference.
Long-Term Outcome After Out-of-Hospital Cardiac Arrest: An Utstein-Based Analysis
  • E. Baldi, S. Compagnoni, +14 authors Guido Francesco Guido Maurizio Andrea Fabrizio Antonella Villa Matiz Migliori Pagliosa Canevari Brancaglion
  • Medicine
    Frontiers in Cardiovascular Medicine
  • 2021
TLDR
The mortality of OHCA patients discharged alive from the hospital is higher than the Italian standard population, also considering those with the most favorable OHCA characteristics and those discharged with good neurological outcome.
Outcomes and in-hospital treatment of out-of-hospital cardiac arrest patients resuscitated from ventricular fibrillation by early defibrillation.
TLDR
The VF OHCA survival rate is high in the setting of rapid defibrillation, with 40% of patients being discharged from the hospital and more patients receiving antiarrhythmic therapy, in particular ICD implantation, after hospital admission.
Outcomes after ventricular fibrillation out-of-hospital cardiac arrest: expanding the chain of survival.
TLDR
Broadening the focus of the chain of survival to include in-hospital and long-term care will further improve favorable outcomes achieved in an early defibrillation program.
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