Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Out-of-hospital cardiac arrests in young adults in Melbourne, Australia-Adding coronial data to a cardiac arrest registry

    Access Status
    Fulltext not available
    Authors
    Deasy, C.
    Bray, Janet
    Smith, K.
    Harriss, L.
    Bernard, S.
    Cameron, P.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Deasy, C. and Bray, J. and Smith, K. and Harriss, L. and Bernard, S. and Cameron, P. 2011. Out-of-hospital cardiac arrests in young adults in Melbourne, Australia-Adding coronial data to a cardiac arrest registry. Resuscitation. 82 (10): pp. 1302-1306.
    Source Title
    Resuscitation
    DOI
    10.1016/j.resuscitation.2011.05.031
    ISSN
    0300-9572
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/8197
    Collection
    • Curtin Research Publications
    Abstract

    Aim: We aim to describe the coronial findings of young adults where the out-of-hospital cardiac arrest (OHCA) aetiology was 'presumed cardiac'. Methods: Presumed cardiac aetiology OHCAs occurring in young adults aged 16-39 years were identified using the Victorian Ambulance Cardiac Arrest Registry (VACAR) and available coronial findings reviewed. Results: We identified 841 young adult OHCAs where the Utstein aetiology was 'presumed cardiac'. Of these 740 died and 572 (77%) OHCAs were matched to coroner's findings. On review of the coroner's cause of death, 230 (40.2%) had a 'confirmed cardiac' aetiology, 221 (38.6%) were proven 'non-cardiac', 97 (17%) were inconclusive and 24 (4.2%) cases remained 'open'.'Confirmed cardiac' causes of OHCA were ischemic heart disease (n=126, 55%), cardiomegaly (n=26, 11.3%), cardiomyopathy (n=25, 11%), congenital heart disease (n=15, 6.5%), cardiac tamponade due to dissecting thoracic aorta aneurysm (n=10, 4.3%), myocarditis (n=8, 3.5%), arrhythmia (n=7, 3%), others (n=13, 5.7%).'Non-cardiac' causes of OHCA were epilepsy/sudden unexplained death in epilepsy (SUDEP) (n=56, 25%), pulmonary embolism (n=29, 13%), subarachnoid haemorrhage (n=17, 7.7%), other intracranial bleed (n=7, 3.2%), pneumonia (n=17, 7.7%), DKA (n=16, 7.2%), other complications of diabetes mellitus (n=8, 3.6%), complications of obesity (n=9, 4%), haemorrhage (n=12, 5.4%), sepsis (n=8, 3.6%), peritonitis (n=6, 2.7%), aspiration (n=6, 2.7%), renal failure (n=5, 2.3%), asthma (n=5, 2.3%), complications of anorexia (n=3) and alcohol abuse (n=2), thyrotoxicosis (n=2), meningitis (n=1) and others (n=12).Compared with coroner's diagnosed 'non-cardiac' OHCAs, 'confirmed cardiac' were more likely to be witnessed (41% vs 23%, p=. 0.01), receive bystander CPR (35% vs 20%, p=. 0.001), have a shockable rhythm (27% vs 6.3%, p<0.001) and have EMS attempted resuscitation (62% vs 44%, p<0.001). Discussion: Linking OHCA registries with coronial databases for aetiology of the arrest will improve the quality of the data and should be considered by all OHCA registries, particularly for young adult OHCA. © 2011 Elsevier Ireland Ltd.

    Related items

    Showing items related by title, author, creator and subject.

    • Paediatric traumatic out-of-hospital cardiac arrests in Melbourne, Australia
      Deasy, C.; Bray, Janet; Smith, K.; Hall, D.; Morrison, C.; Bernard, S.; Cameron, P. (2012)
      Introduction: Many consider attempted resuscitation for traumatic out-of-hospital cardiac arrest (OHCA) futile. This study aims to describe the characteristics and profile of paediatric traumatic OHCA. Methods: The Victorian ...
    • Out-of-hospital cardiac arrests in young adults in Melbourne, Australia
      Deasy, C.; Bray, Janet; Smith, K.; Harriss, L.; Bernard, S.; Cameron, P. (2011)
      Background: Characteristics and outcomes of out-of-hospital cardiac arrest (OHCA) in young adults are not well described in Australia. Methods: A 10-year retrospective case review of all OHCA in young adults (aged 16-39) ...
    • Paediatric out-of-hospital cardiac arrests in Melbourne, Australia: Improved reporting by adding coronial data to a cardiac arrest registry
      Deasy, C.; Hall, D.; Bray, Janet; Smith, K.; Bernard, S.; Cameron, P. (2013)
      Aim We describe improved reporting of paediatric out-of-hospital cardiac arrest (OHCA) by adding coronial findings to a cardiac arrest registry. Methods Non-traumatic OHCA occurring in paediatric patients aged less than ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.