Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study
The incidence of cardiac arrest (CA) in nursing homes is rising. Our objective was to compare nursing home CAs with at-home CAs in patients aged 65 and over with regard to the CAs’ characteristics, the use and characteristics of cardiopulmonary resuscitation (CPR), and the outcome. We performed an a...
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| Veröffentlicht in: | Resuscitation 2019-07, Vol.140, p.86-92 |
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| creator | Vaux, Julien Lecarpentier, Eric Heidet, Matthieu Oubaya, Nadia Hubert, Hervé Baert, Valentine Segal, Nicolas Mansouri, Nadia Gueugniaud, Pierre-Yves Bertrand, Catherine Canoui-Poitrine, Florence |
| description | The incidence of cardiac arrest (CA) in nursing homes is rising. Our objective was to compare nursing home CAs with at-home CAs in patients aged 65 and over with regard to the CAs’ characteristics, the use and characteristics of cardiopulmonary resuscitation (CPR), and the outcome.
We performed an ancillary analysis of a French nationwide cohort of over-65 patients having experienced an out-of-hospital CA (at home or in a nursing home) treated by a physician-manned mobile intensive care unit (MICU) between July 2011 and September 2015.
Out of 21,720 CAs, 1907 (9%) occurred in a nursing home. The presence of a witness was more frequent in the nursing home than at home (77% vs. 62%, respectively; p |
| doi_str_mv | 10.1016/j.resuscitation.2019.05.016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03486887v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0300957219301856</els_id><sourcerecordid>2231851352</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-30bbe9786028bfab03915a241cee2963a4e14d69531a65d9dbc533dc959b85143</originalsourceid><addsrcrecordid>eNqNkVFvFCEUhYnR2LX6FwyJL_ow4wWGmUGfNk1rTdb4oo-GMHC3y2YHKjA1_feybm3im08k3O-eA-cQ8oZBy4D17_dtwrxk64spPoaWA1MtyLbOnpAVGwfRMDnAU7ICAdAoOfAz8iLnPQAIqYbn5EwwxhXn44r8-GKCucEZQ6EmOBqXYuOMmcYttSY5byw1qRqWTE2hYUnZhxu6OzIf6JpeJQx2R8Ofp_zyDqmNu5gKzWVx9y_Js605ZHz1cJ6T71eX3y6um83XT58v1pvGdgOURsA0oRrGHvg4bc0EQjFpeMcsIle9MB2yzvVKCmZ66ZSbrBTCWSXVNErWiXPy7qS7Mwd9m_xs0r2Oxuvr9UYf70B0Yz-Owx2r7NsTe5viz6V-TM8-WzwcTMC4ZM25YFVUSF7RjyfUpphzwu2jNgN97ELv9T9d6GMXGqSus7r9-sFomWZ0j7t_w6_A5QnAGs2dx6SrUI0TnU9oi3bR_5fRbyxMomM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2231851352</pqid></control><display><type>article</type><title>Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study</title><source>Elsevier ScienceDirect Journals</source><creator>Vaux, Julien ; Lecarpentier, Eric ; Heidet, Matthieu ; Oubaya, Nadia ; Hubert, Hervé ; Baert, Valentine ; Segal, Nicolas ; Mansouri, Nadia ; Gueugniaud, Pierre-Yves ; Bertrand, Catherine ; Canoui-Poitrine, Florence</creator><creatorcontrib>Vaux, Julien ; Lecarpentier, Eric ; Heidet, Matthieu ; Oubaya, Nadia ; Hubert, Hervé ; Baert, Valentine ; Segal, Nicolas ; Mansouri, Nadia ; Gueugniaud, Pierre-Yves ; Bertrand, Catherine ; Canoui-Poitrine, Florence ; on behalf GR-RéAC</creatorcontrib><description>The incidence of cardiac arrest (CA) in nursing homes is rising. Our objective was to compare nursing home CAs with at-home CAs in patients aged 65 and over with regard to the CAs’ characteristics, the use and characteristics of cardiopulmonary resuscitation (CPR), and the outcome.
We performed an ancillary analysis of a French nationwide cohort of over-65 patients having experienced an out-of-hospital CA (at home or in a nursing home) treated by a physician-manned mobile intensive care unit (MICU) between July 2011 and September 2015.
Out of 21,720 CAs, 1907 (9%) occurred in a nursing home. The presence of a witness was more frequent in the nursing home than at home (77% vs. 62%, respectively; p < 0.001) and bystander-initiated CPR was more frequent (62% vs. 34%, respectively; p < 0.001). CPR by a MICU was less likely in the nursing home than at home — even after adjustment for the patients’ and CAs’ characteristics (adjusted odds ratio (aOR) [95% confidence interval] = 0.49 [0.42–0.57]). A return of spontaneous circulation was less frequent in the nursing home than at home (14% vs. 16%, respectively; OR = 0.86 [0.75–0.99]; p = 0.03) except when CPR was performed by the MICU (31% vs. 26%, respectively; OR = 1.25 [1.07–1.47]; p = 0.005). There was no intergroup difference in the CA outcome at day 30.
Nursing home residents who experience a CA are less likely to receive CPR from a MICU. If CPR is performed, however, the residents’ prognosis is no worse than that of patients treated at home.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2019.05.016</identifier><identifier>PMID: 31129228</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Cardiac arrest ; Cardiopulmonary resuscitation ; Emergency medical services ; Life Sciences ; Medical practices ; Nursing home</subject><ispartof>Resuscitation, 2019-07, Vol.140, p.86-92</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-30bbe9786028bfab03915a241cee2963a4e14d69531a65d9dbc533dc959b85143</citedby><cites>FETCH-LOGICAL-c470t-30bbe9786028bfab03915a241cee2963a4e14d69531a65d9dbc533dc959b85143</cites><orcidid>0000-0002-0507-6181 ; 0000-0002-0715-9730 ; 0000-0003-1571-1094 ; 0000-0001-9970-6051</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.resuscitation.2019.05.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31129228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03486887$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Vaux, Julien</creatorcontrib><creatorcontrib>Lecarpentier, Eric</creatorcontrib><creatorcontrib>Heidet, Matthieu</creatorcontrib><creatorcontrib>Oubaya, Nadia</creatorcontrib><creatorcontrib>Hubert, Hervé</creatorcontrib><creatorcontrib>Baert, Valentine</creatorcontrib><creatorcontrib>Segal, Nicolas</creatorcontrib><creatorcontrib>Mansouri, Nadia</creatorcontrib><creatorcontrib>Gueugniaud, Pierre-Yves</creatorcontrib><creatorcontrib>Bertrand, Catherine</creatorcontrib><creatorcontrib>Canoui-Poitrine, Florence</creatorcontrib><creatorcontrib>on behalf GR-RéAC</creatorcontrib><title>Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>The incidence of cardiac arrest (CA) in nursing homes is rising. Our objective was to compare nursing home CAs with at-home CAs in patients aged 65 and over with regard to the CAs’ characteristics, the use and characteristics of cardiopulmonary resuscitation (CPR), and the outcome.
We performed an ancillary analysis of a French nationwide cohort of over-65 patients having experienced an out-of-hospital CA (at home or in a nursing home) treated by a physician-manned mobile intensive care unit (MICU) between July 2011 and September 2015.
Out of 21,720 CAs, 1907 (9%) occurred in a nursing home. The presence of a witness was more frequent in the nursing home than at home (77% vs. 62%, respectively; p < 0.001) and bystander-initiated CPR was more frequent (62% vs. 34%, respectively; p < 0.001). CPR by a MICU was less likely in the nursing home than at home — even after adjustment for the patients’ and CAs’ characteristics (adjusted odds ratio (aOR) [95% confidence interval] = 0.49 [0.42–0.57]). A return of spontaneous circulation was less frequent in the nursing home than at home (14% vs. 16%, respectively; OR = 0.86 [0.75–0.99]; p = 0.03) except when CPR was performed by the MICU (31% vs. 26%, respectively; OR = 1.25 [1.07–1.47]; p = 0.005). There was no intergroup difference in the CA outcome at day 30.
Nursing home residents who experience a CA are less likely to receive CPR from a MICU. If CPR is performed, however, the residents’ prognosis is no worse than that of patients treated at home.</description><subject>Cardiac arrest</subject><subject>Cardiopulmonary resuscitation</subject><subject>Emergency medical services</subject><subject>Life Sciences</subject><subject>Medical practices</subject><subject>Nursing home</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqNkVFvFCEUhYnR2LX6FwyJL_ow4wWGmUGfNk1rTdb4oo-GMHC3y2YHKjA1_feybm3im08k3O-eA-cQ8oZBy4D17_dtwrxk64spPoaWA1MtyLbOnpAVGwfRMDnAU7ICAdAoOfAz8iLnPQAIqYbn5EwwxhXn44r8-GKCucEZQ6EmOBqXYuOMmcYttSY5byw1qRqWTE2hYUnZhxu6OzIf6JpeJQx2R8Ofp_zyDqmNu5gKzWVx9y_Js605ZHz1cJ6T71eX3y6um83XT58v1pvGdgOURsA0oRrGHvg4bc0EQjFpeMcsIle9MB2yzvVKCmZ66ZSbrBTCWSXVNErWiXPy7qS7Mwd9m_xs0r2Oxuvr9UYf70B0Yz-Owx2r7NsTe5viz6V-TM8-WzwcTMC4ZM25YFVUSF7RjyfUpphzwu2jNgN97ELv9T9d6GMXGqSus7r9-sFomWZ0j7t_w6_A5QnAGs2dx6SrUI0TnU9oi3bR_5fRbyxMomM</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Vaux, Julien</creator><creator>Lecarpentier, Eric</creator><creator>Heidet, Matthieu</creator><creator>Oubaya, Nadia</creator><creator>Hubert, Hervé</creator><creator>Baert, Valentine</creator><creator>Segal, Nicolas</creator><creator>Mansouri, Nadia</creator><creator>Gueugniaud, Pierre-Yves</creator><creator>Bertrand, Catherine</creator><creator>Canoui-Poitrine, Florence</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-0507-6181</orcidid><orcidid>https://orcid.org/0000-0002-0715-9730</orcidid><orcidid>https://orcid.org/0000-0003-1571-1094</orcidid><orcidid>https://orcid.org/0000-0001-9970-6051</orcidid></search><sort><creationdate>20190701</creationdate><title>Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study</title><author>Vaux, Julien ; Lecarpentier, Eric ; Heidet, Matthieu ; Oubaya, Nadia ; Hubert, Hervé ; Baert, Valentine ; Segal, Nicolas ; Mansouri, Nadia ; Gueugniaud, Pierre-Yves ; Bertrand, Catherine ; Canoui-Poitrine, Florence</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-30bbe9786028bfab03915a241cee2963a4e14d69531a65d9dbc533dc959b85143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cardiac arrest</topic><topic>Cardiopulmonary resuscitation</topic><topic>Emergency medical services</topic><topic>Life Sciences</topic><topic>Medical practices</topic><topic>Nursing home</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vaux, Julien</creatorcontrib><creatorcontrib>Lecarpentier, Eric</creatorcontrib><creatorcontrib>Heidet, Matthieu</creatorcontrib><creatorcontrib>Oubaya, Nadia</creatorcontrib><creatorcontrib>Hubert, Hervé</creatorcontrib><creatorcontrib>Baert, Valentine</creatorcontrib><creatorcontrib>Segal, Nicolas</creatorcontrib><creatorcontrib>Mansouri, Nadia</creatorcontrib><creatorcontrib>Gueugniaud, Pierre-Yves</creatorcontrib><creatorcontrib>Bertrand, Catherine</creatorcontrib><creatorcontrib>Canoui-Poitrine, Florence</creatorcontrib><creatorcontrib>on behalf GR-RéAC</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vaux, Julien</au><au>Lecarpentier, Eric</au><au>Heidet, Matthieu</au><au>Oubaya, Nadia</au><au>Hubert, Hervé</au><au>Baert, Valentine</au><au>Segal, Nicolas</au><au>Mansouri, Nadia</au><au>Gueugniaud, Pierre-Yves</au><au>Bertrand, Catherine</au><au>Canoui-Poitrine, Florence</au><aucorp>on behalf GR-RéAC</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>140</volume><spage>86</spage><epage>92</epage><pages>86-92</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>The incidence of cardiac arrest (CA) in nursing homes is rising. Our objective was to compare nursing home CAs with at-home CAs in patients aged 65 and over with regard to the CAs’ characteristics, the use and characteristics of cardiopulmonary resuscitation (CPR), and the outcome.
We performed an ancillary analysis of a French nationwide cohort of over-65 patients having experienced an out-of-hospital CA (at home or in a nursing home) treated by a physician-manned mobile intensive care unit (MICU) between July 2011 and September 2015.
Out of 21,720 CAs, 1907 (9%) occurred in a nursing home. The presence of a witness was more frequent in the nursing home than at home (77% vs. 62%, respectively; p < 0.001) and bystander-initiated CPR was more frequent (62% vs. 34%, respectively; p < 0.001). CPR by a MICU was less likely in the nursing home than at home — even after adjustment for the patients’ and CAs’ characteristics (adjusted odds ratio (aOR) [95% confidence interval] = 0.49 [0.42–0.57]). A return of spontaneous circulation was less frequent in the nursing home than at home (14% vs. 16%, respectively; OR = 0.86 [0.75–0.99]; p = 0.03) except when CPR was performed by the MICU (31% vs. 26%, respectively; OR = 1.25 [1.07–1.47]; p = 0.005). There was no intergroup difference in the CA outcome at day 30.
Nursing home residents who experience a CA are less likely to receive CPR from a MICU. If CPR is performed, however, the residents’ prognosis is no worse than that of patients treated at home.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31129228</pmid><doi>10.1016/j.resuscitation.2019.05.016</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0507-6181</orcidid><orcidid>https://orcid.org/0000-0002-0715-9730</orcidid><orcidid>https://orcid.org/0000-0003-1571-1094</orcidid><orcidid>https://orcid.org/0000-0001-9970-6051</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Cardiac arrest Cardiopulmonary resuscitation Emergency medical services Life Sciences Medical practices Nursing home |
| title | Management and outcomes of cardiac arrests at nursing homes: A French nationwide cohort study |
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