Optimizing Resuscitation After Cardiac Arrest in the Community
This trial is active, not recruiting.
|Condition||cardiopulmonary arrest outcome|
|Sponsor||Shaare Zedek Medical Center|
|Start date||March 2009|
|End date||September 2017|
|Trial size||1600 participants|
|Trial identifier||NCT00998140, NIHPR 08/90/a|
Resuscitative efforts have been shown to be unsuccessful in most cases of out-of-hospital cardiac arrest (OHCA), and survivors who do recover cardiac function often sustain severe hypoxic brain damage. Time to efficacious care is a primary determinant of disability-free survival. In the Jerusalem district, only 9% of OHCA patients present with ventricular tachycardia/ventricular fibrillation (VT/VF) as the primary rhythm, whereas 77% present with asystole; this seems primarily to be the result of long collapse-to-arrival times. Nevertheless, overly zealous resuscitation is undertaken in a high proportion of arrests with a futile prognosis, leading to excessive costs.
1. Subpopulations for whom intervention is futile/counter-productive are identifiable
2. Substantial waste of resources can be avoided
3. Optimization of emergency medical services (EMS) reorganization without adding resources is an achievable goal
Male or female participants at least 18 years old.
Inclusion Criteria: - All victims of non-traumatic out-of hospital cardiopulmonary arrest (defined as the absence of either spontaneous respiration or palpable pulse or both) within the Jerusalem district. Exclusion Criteria: - Patients with do-not-resuscitate orders or an advance directive to that effect.
|Official title||Optimizing Resuscitation After Cardiac Arrest in the Community: Increasing the Probability of Survival While Reducing Costs|
|Principal investigator||Sharon Einav, MD|
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