Academic Journal
Incidence and Outcomes After Out-of-Hospital Cardiac Arrest at Train Stations in Denmark
| العنوان: | Incidence and Outcomes After Out-of-Hospital Cardiac Arrest at Train Stations in Denmark |
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| المؤلفون: | Sheikh, Annam Pervez, Grabmayr, Anne Juul, Kjølbye, Julie Samsøe, Ersbøll, Annette Kjær, Hansen, Carolina Malta, Folke, Fredrik |
| المصدر: | Sheikh , A P , Grabmayr , A J , Kjølbye , J S , Ersbøll , A K , Hansen , C M & Folke , F 2024 , ' Incidence and Outcomes After Out-of-Hospital Cardiac Arrest at Train Stations in Denmark ' , Journal of the American Heart Association , vol. 13 , no. 21 , e035733 . https://doi.org/10.1161/JAHA.124.035733 |
| سنة النشر: | 2024 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| مصطلحات موضوعية: | automated external defibrillation, cardiopulmonary resuscitation, defibrillation, out‐of‐hospital cardiac arrest, sudden cardiac death, train station |
| الوصف: | BACKGROUND: Following international guidelines, communities have deployed automated external defibrillators at train stations without substantive evidence. METHODS AND RESULTS: We geocoded public out-of-hospital cardiac arrests (OHCAs) (2016-2020), automated external defibrillators, and train stations. The stations were divided into the following groups according to passenger flow: 1 (0-499), 2 (500-4999), 3 (5000-9999), and 4 (>10 000) passengers per day. Risk ratios (RRs) were calculated using Poisson regression of rates, and odds ratios (ORs) were analyzed through logistic regression. OHCAs at train stations accounted for 102 (2.3%) of 4467 public OHCAs. The incidence rate (IR) and RR for OHCAs were for group 1: IR, 0.02 OHCA per station per year, RR, 1.0 (reference); group 2: IR, 0.07, RR, 4.1 (95% CI, 2.3-7.3); group 3: IR, 0.25, RR, 12.7 (95% CI, 6.2-25.9); and group 4: IR, 0.34, RR, 16.3 (95% CI, 8.6-30.9). Compared with other public OHCAs, OHCAs at train stations were just as likely to receive bystander cardiopulmonary resuscitation (OR, 1.13 [95% CI, 0.60-2.12]). However, they had higher odds of bystander defibrillation (OR, 1.66 [95% CI, 1.06-2.58]), were more likely to achieve return of spontaneous circulation (OR, 1.88 [95% CI, 1.24-2.85]), and survive 30 days (OR, 2.37 [95% CI, 1.57-3.59]). CONCLUSIONS: The incidence of OHCAs at train stations was associated with passenger flow, with the busiest stations having a 16-fold higher risk of OHCAs than the lowest. OHCAs at train stations had better outcomes compared with other public OHCAs. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1161/JAHA.124.035733 |
| الاتاحة: | https://researchprofiles.ku.dk/da/publications/incidence-and-outcomes-after-outofhospital-cardiac-arrest-at-train-stations-in-denmark(58f060cf-1841-4de1-bab0-ed94f6a56b50).html https://doi.org/10.1161/JAHA.124.035733 https://curis.ku.dk/ws/files/412157583/sheikh_et_al_2024_incidence_and_outcomes_after_out_of_hospital_cardiac_arrest_at_train_stations_in_denmark.pdf |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.C1BB665A |
| قاعدة البيانات: | BASE |
| DOI: | 10.1161/JAHA.124.035733 |
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