Long-term survival after out-of-hospital cardiac arrest

Resuscitation. 2007 Oct;75(1):23-8. doi: 10.1016/j.resuscitation.2007.03.015. Epub 2007 May 3.

Abstract

Objective: The purpose of this study was to assess the long-term survival after OHCA.

Methods: All OHCA-calls where the Copenhagen Mobile Emergency Care Unit (MECU) was involved from 1994 to1998 are included in this study. Data were collected prospectively. Data on long-term survival was obtained from the Danish Causes of Death Registry and the Danish Civil Registration System. We conducted a search to find out whether patients were still alive on 31 January 2005.

Results: Resuscitation was indicated and attempted in 1095 cases and 95 patients (8.7%) survived to discharge. Of these 75% had an initial rhythm of VF, 13% had asystole, 10% had PEA and 2% were unknown. Survival was 87% after one year and survival after 10 years was 46% with a significantly lower survival for patients over 60 years.

Conclusion: Long-term survival after out-of-hospital cardiac arrest in a physician-staffed emergency system was comparable to survival after myocardial infarction with 46% being alive after ten years.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Denmark
  • Emergency Service, Hospital
  • Female
  • Follow-Up Studies
  • Heart Arrest / mortality*
  • Heart Arrest / therapy*
  • Hospitalization
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Prospective Studies
  • Resuscitation*
  • Survival Rate