Cardiac Arrest, Out-Of-Hospital, End-Tidal Carbon Dioxide, Prehospital Emergency Medical Services, Prehospital Resuscitation
Conditions
Brief summary
The investigators aim to assess the relationship between patient characteristics, prehospital treatments, and vital signs to determine if a threshold EtCO2 value, a change in EtCO2 value (final - initial), or a trend in EtCO2 (positive/negative) is a better predictor of patient survival to discharge. The secondary aim of this project is to identify significant predictors of neurologically intact patient survival as indicated by a cerebral performance category (CPC) score of 1-2.
Interventions
None listed
Sponsors
Office of the Medical Director for EMS in Oklahoma City and Tulsa
Medtronic
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* EHR's resulting from 9-1-1 response * Adult patients (aged 18+ at time of cardiac event) * experiencing out-of-hospital cardiac arrest (OHCA) * transported by an agency under OMD oversight * must have at least 2 EtCO2 values captured during care
Exclusion criteria
* EHR's resulting from inter-facility scheduled or unscheduled medical transfers * pediatric patients (those aged \<18 at time of incident) or unknown age * ROSC obtained prior to arrival of EMS * insufficient vital sign data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival to Hospital Discharge | 90 days | lack of terminiation of CPR during prehospital or in hospital care |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neurologically Intact Patient Survival | 90 days | Based on Gasgow-Pittsburgh Cerebral Performance Category (CPC) score which ranges from 1 (best) to 5 (worst). Neurologically intact is defined as a score of 1-2 among survivors |
Countries
United States
Outcome results
None listed