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Improvement in the hospital organisation of CPR training and outcome after cardiac arrest in Sweden during a 10-year period
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2011 (Engelska)Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, ISSN 0300-9572, Vol. 82, nr 4, s. 431-435Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim To describe (a) changes in the organisation of training in cardiopulmonary resuscitation (CPR) and the treatment of cardiac arrest in hospital in Sweden and (b) the clinical achievement, i.e. survival and cerebral function, among survivors after in-hospital cardiac arrest (IHCA) in Sweden. Methods Aspects of CPR training among health care providers (HCPs) and treatment of IHCA in Sweden were evaluated in 3 national surveys (1999, 2003 and 2008). Patients with IHCA are recorded in a National Register covering two thirds of Swedish hospitals. Results The proportion of hospitals with a CPR coordinator increased from 45% in 1999 to 93% in 2008. The majority of co-ordinators are nurses. The proportions of hospitals with local guidelines for acceptable delays from cardiac arrest to the start of CPR and defibrillation increased from 48% in 1999 to 88% in 2008. The proportion of hospitals using local defibrillation outside intensive care units prior to arrival of rescue team increased from 55% in 1999 to 86% in 2008. During the past 4 years in Sweden, survival to hospital discharge has been 29%. Among survivors, 93% have a cerebral performance category (CPC) score of I or II, indicating acceptable cerebral function. Conclusion During the last 10 years, there was a marked improvement in CPR training and treatment of IHCA in Sweden. During the past 4 years, survival after IHCA is high and the majority of survivors have acceptable cerebral function.

Ort, förlag, år, upplaga, sidor
Elsevier Ireland Ltd , 2011. Vol. 82, nr 4, s. 431-435
Nationell ämneskategori
Medicin och hälsovetenskap
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URN: urn:nbn:se:hb:diva-8138DOI: 10.1016/j.resuscitation.2010.11.021Lokalt ID: 2320/9860OAI: oai:DiVA.org:hb-8138DiVA, id: diva2:889021
Tillgänglig från: 2015-12-22 Skapad: 2015-12-22 Senast uppdaterad: 2017-12-01Bibliografiskt granskad

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