Epidemiology and outcomes from out-of-hospital cardiac arrests in England

Claire Hawkes, Scott Booth, Chen Ji, Samantha J. Brace-McDonnell, Andrew Whittington, James Mapstone, Matthew W. Cooke, Charles D. Deakin, Chris P. Gale, Rachael Fothergill, Jerry P. Nolan, Nigel Rees, Jasmeet Soar, A. Niroshan Siriwardena, Terry P. Brown, Gavin D. Perkins*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    130 Citations (Scopus)

    Abstract

    Introduction This study reports the epidemiology and outcomes from out-of-hospital cardiac arrest (OHCA) in England during 2014. Methods Prospective observational study from the national OHCA registry. The incidence, demographic and outcomes of patients who were treated for an OHCA between 1st January 2014 and 31st December 2014 in 10 English ambulance service (EMS) regions, serving a population of almost 54 million, are reported in accordance with Utstein recommendations. Results 28,729 OHCA cases of EMS treated cardiac arrests were reported (53 per 100,000 of resident population). The mean age was 68.6 (SD = 19.6) years and 41.3% were female. Most (83%) occurred in a place of residence, 52.7% were witnessed by either the EMS or a bystander. In non-EMS witnessed cases, 55.2% received bystander CPR whilst public access defibrillation was used rarely (2.3%). Cardiac aetiology was the leading cause of cardiac arrest (60.9%). The initial rhythm was asystole in 42.4% of all cases and was shockable (VF or pVT) in 20.6%. Return of spontaneous circulation at hospital transfer was evident in 25.8% (n = 6302) and survival to hospital discharge was 7.9%. Conclusion Cardiac arrest is an important cause of death in England. With less than one in ten patients surviving, there is scope to improve outcomes. Survival rates were highest amongst those who received bystander CPR and public access defibrillation.

    Original languageEnglish
    Pages (from-to)133-140
    Number of pages8
    JournalResuscitation
    Volume110
    DOIs
    Publication statusPublished - 1 Jan 2017

    Bibliographical note

    Funding Information:
    The study is supported by research grants from the British Heart Foundation and Resuscitation Council (UK). Gavin Perkins is supported as NIHR Senior Investigator and Director of Research for the Intensive Care Foundation. Samantha Brace-McDonnell is supported by a NIHR Clinical Doctoral Fellowship.

    Funding Information:
    Claire Hawkes, Scott Booth, Chen Ji, Samantha Brace-McDonnell, Terry Brown and Gavin Perkins are employed by the University of Warwick, which receives grants from the British Heart Foundation and the Resuscitation Council (UK) for the conduct of the OHCAO project.

    Publisher Copyright:
    © 2016

    Keywords

    • Cardiac arrest
    • Emergency medical services
    • Out-of-hospital cardiac arrest
    • Pre-hospital care
    • Resuscitation

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