Guidelines Improve Outcomes in Nonshockable Cardiac Arrest

Latest AHA CPR guidelines save lives and improve outcomes in out-of-hospital cardiac arrest

MONDAY, April 2 (HealthDay News) -- Implementation of the latest American Heart Association (AHA) resuscitation guidelines, which eliminate "stacked" shocks and emphasize chest compressions, results in significantly improved outcomes for patients experiencing nonshockable out-of-hospital cardiac arrest (OHCA), according to a study published online April 2 in Circulation.

To investigate the utility of the AHA guidelines in OHCA with nonshockable rhythms, Peter J. Kudenchuk, M.D., of the University of Washington in Seattle, and colleagues conducted a study involving 3,960 patients with nontraumatic OHCA from nonshockable initial rhythms over a five-year historical control period (1,774 patients) and a five-year intervention period (2,186 patients).

The researchers found that 34 percent of patients achieved return of spontaneous circulation in the intervention period, compared with 27 percent in the control period. Compared with the historical control period, in the intervention group there were significantly improved outcomes: hospital discharge (6.8 versus 4.6 percent); favorable neurological outcome (5.1 versus 3.4 percent); one-month survival (6.2 versus 4.1 percent); and one-year survival (4.9 versus 2.7 percent) (all P ≤ 0.005). After adjustment for confounding factors, individuals treated during the intervention period had increased odds for return of spontaneous circulation (odds ratio [OR], 1.50), survival to hospital discharge (OR, 1.53), favorable neurological status (OR, 1.56), survival for one month (OR, 1.54), and survival for one year (OR, 1.85).

"Outcomes from OHCA resulting from nonshockable rhythms, although poor by comparison with shockable rhythm presentations, improved significantly after implementation of resuscitation guideline changes, suggesting their potential to benefit all presentations of OHCA," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95

Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95

Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events