Contacts with the health care system before out-of-hospital cardiac arrest
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Contacts with the health care system before out-of-hospital cardiac arrest. / Zylyftari, Nertila; Møller, Sidsel G.; Wissenberg, Mads; Folke, Frederik; Barcella, Carlo A.; Møller, Amalie Lykkemark; Gnesin, Filip; Mills, Elisabeth Helen Anna; Jensen, Britta; Lee, Christina Ji Young; Tan, Hanno L.; Køber, Lars; Lippert, Freddy; Gislason, Gunnar H.; Torp-Pedersen, Christian; for the ESCAPE-NET Investigators.
In: Journal of the American Heart Association, Vol. 10, No. 23, e021827, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Contacts with the health care system before out-of-hospital cardiac arrest
AU - Zylyftari, Nertila
AU - Møller, Sidsel G.
AU - Wissenberg, Mads
AU - Folke, Frederik
AU - Barcella, Carlo A.
AU - Møller, Amalie Lykkemark
AU - Gnesin, Filip
AU - Mills, Elisabeth Helen Anna
AU - Jensen, Britta
AU - Lee, Christina Ji Young
AU - Tan, Hanno L.
AU - Køber, Lars
AU - Lippert, Freddy
AU - Gislason, Gunnar H.
AU - Torp-Pedersen, Christian
AU - for the ESCAPE-NET Investigators
N1 - Publisher Copyright: © 2021 The Authors.
PY - 2021
Y1 - 2021
N2 - BACKGROUND: It remains challenging to identify patients at risk of out-of-hospital cardiac arrest (OHCA). We aimed to examine health care contacts in patients before OHCA compared with the general population that did not experience an OHCA. METHODS AND RESULTS: Patients with OHCA with a presumed cardiac cause were identified from the Danish Cardiac Arrest Registry (2001– 2014) and their health care contacts (general practitioner [GP]/hospital) were examined up to 1 year before OHCA. In a case-control study (1:9), OHCA contacts were compared with an age-and sex-matched background population. Separately, patients with OHCA were examined by the contact type (GP/hospital/both/no contact) within 2 weeks before OHCA. We included 28 955 patients with OHCA. The weekly percentages of patient contacts with GP the year before OHCA were constant (25%) until 1 week before OHCA when they markedly increased (42%). Weekly percentages of patient contacts with hospitals the year before OHCA gradually increased during the last 6 months (3.5%– 6.6%), peaking at the second week (6.8%) before OHCA; mostly attributable to cardiovascular diseases (21%). In comparison, there were fewer weekly contacts among controls with 13% for GP and 2% for hospital contacts (P<0.001). Within 2 weeks before OHCA, 57.8% of patients with OHCA had a health care contact, and these patients had more contacts with GP (odds ratio [OR], 3.17; 95% CI, 3.09– 3.26) and hospital (OR, 2.32; 95% CI, 2.21– 2.43) compared with controls. CONCLUSIONS: The health care contacts of patients with OHCA nearly doubled leading up to the OHCA event, with more than half of patients having health care contacts within 2 weeks before arrest. This could have implications for future preventive strategies.
AB - BACKGROUND: It remains challenging to identify patients at risk of out-of-hospital cardiac arrest (OHCA). We aimed to examine health care contacts in patients before OHCA compared with the general population that did not experience an OHCA. METHODS AND RESULTS: Patients with OHCA with a presumed cardiac cause were identified from the Danish Cardiac Arrest Registry (2001– 2014) and their health care contacts (general practitioner [GP]/hospital) were examined up to 1 year before OHCA. In a case-control study (1:9), OHCA contacts were compared with an age-and sex-matched background population. Separately, patients with OHCA were examined by the contact type (GP/hospital/both/no contact) within 2 weeks before OHCA. We included 28 955 patients with OHCA. The weekly percentages of patient contacts with GP the year before OHCA were constant (25%) until 1 week before OHCA when they markedly increased (42%). Weekly percentages of patient contacts with hospitals the year before OHCA gradually increased during the last 6 months (3.5%– 6.6%), peaking at the second week (6.8%) before OHCA; mostly attributable to cardiovascular diseases (21%). In comparison, there were fewer weekly contacts among controls with 13% for GP and 2% for hospital contacts (P<0.001). Within 2 weeks before OHCA, 57.8% of patients with OHCA had a health care contact, and these patients had more contacts with GP (odds ratio [OR], 3.17; 95% CI, 3.09– 3.26) and hospital (OR, 2.32; 95% CI, 2.21– 2.43) compared with controls. CONCLUSIONS: The health care contacts of patients with OHCA nearly doubled leading up to the OHCA event, with more than half of patients having health care contacts within 2 weeks before arrest. This could have implications for future preventive strategies.
KW - ESCAPE-NET
KW - General practitioner
KW - Health care contact
KW - Hospital
KW - Out-of-hospital cardiac arrest
U2 - 10.1161/JAHA.121.021827
DO - 10.1161/JAHA.121.021827
M3 - Journal article
C2 - 34854313
AN - SCOPUS:85121037774
VL - 10
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
SN - 2047-9980
IS - 23
M1 - e021827
ER -
ID: 301805376