Universität zu Köln

Jorge-Perez, Pablo ORCID: 0000-0002-5411-3700, Nikolaou, Nikolaos, Donadello, Katia, Khoury, Abdo, Behringer, Wilhelm, Hassager, Christian, Boettiger, Bernd, Sionis, Alessandro, Nolan, Jerry, Combes, Alain, Quinn, Tom ORCID: 0000-0002-5116-0034, Price, Susanna and Grand, Johannes ORCID: 0000-0002-5511-4668 (2023). Management of comatose survivors of out-of-hospital cardiac arrest in Europe: current treatment practice and adherence to guidelines. A joint survey by the Association for Acute CardioVascular Care (ACVC) of the ESC, the European Resuscitation Council (ERC), the European Society for Emergency Medicine (EUSEM), and the European Society of Intensive Care Medicine (ESICM). Eur. Heart J.-Acute Cardiovasc. Care, 12 (2). S. 96 - 106. OXFORD: OXFORD UNIV PRESS. ISSN 2048-8734

Full text not available from this repository.

Abstract

Aims International guidelines give recommendations for the management of comatose out-of-hospital cardiac arrest (OHCA) survivors. We aimed to investigate adherence to guidelines and disparities in the treatment of OHCA in hospitals in Europe. Methods and results A web-based, multi-institutional, multinational survey in Europe was conducted using an electronic platform with a predefined questionnaire developed by experts in post-resuscitation care. The survey was disseminated to all members of the societies via email, social media, websites, and newsletters in June 2021. Of 252 answers received, 237 responses from different units were included and 166 (70%) were from cardiac arrest centres. First-line vasopressor used was noradrenaline in 195 (83%) and the first-line inotrope was dobutamine in 148 (64%) of the responses. Echocardiography is available 24/7 in 204 (87%) institutions. Targeted temperature management was used in 160 (75%) institutions for adult comatose survivors of OHCA with an initial shockable rhythm. Invasive or external cooling methods with feedback were used in 72 cardiac arrest centres (44%) and 17 (24%) non-cardiac arrest centres (P < 0.0003). A target temperature between 32 and 34 degrees C was preferred by 46 centres (21%); a target between 34 and 36 degrees C by 103 centres (52%); and <37.5 degrees C by 35 (16%). Multimodal neuroprognostication was poorly implemented and a follow-up at 3 months after discharge was done in 71 (30%) institutions. Conclusion Post-resuscitation care is not well established and varies among centres in European hospitals. Cardiac arrest centres have a higher coherence with guidelines compared with respondents from non-cardiac arrest centres. The overall inconsistency in approaches and deviation from recommendations could be a focus for improvement.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Jorge-Perez, Pablo UNSPECIFIED orcid.org/0000-0002-5411-3700 UNSPECIFIED Nikolaou, Nikolaos UNSPECIFIED UNSPECIFIED UNSPECIFIED Donadello, Katia UNSPECIFIED UNSPECIFIED UNSPECIFIED Khoury, Abdo UNSPECIFIED UNSPECIFIED UNSPECIFIED Behringer, Wilhelm UNSPECIFIED UNSPECIFIED UNSPECIFIED Hassager, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Sionis, Alessandro UNSPECIFIED UNSPECIFIED UNSPECIFIED Nolan, Jerry UNSPECIFIED UNSPECIFIED UNSPECIFIED Combes, Alain UNSPECIFIED UNSPECIFIED UNSPECIFIED Quinn, Tom UNSPECIFIED orcid.org/0000-0002-5116-0034 UNSPECIFIED Price, Susanna UNSPECIFIED UNSPECIFIED UNSPECIFIED Grand, Johannes UNSPECIFIED orcid.org/0000-0002-5511-4668 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-696855
DOI:	10.1093/ehjacc/zuac153
Journal or Publication Title:	Eur. Heart J.-Acute Cardiovasc. Care
Volume:	12
Number:	2
Page Range:	S. 96 - 106
Date:	2023
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	2048-8734
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TARGETED TEMPERATURE MANAGEMENT; ST-SEGMENT ELEVATION; THERAPEUTIC HYPOTHERMIA; CLINICAL PAPER; POST-HOC; 36-DEGREES-C; 33-DEGREES-C; ADMISSION; COUNTRIES; OUTCOMES Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69685