Skip to Main content Skip to Navigation
Master Thesis

Analyse des arrêts cardiaques extra-hospitaliers pris en charge par les médecins correspondants SAMU sur le territoire nord alpin au cours de la période 2007-2019

Abstract : Introduction: Survival following OHCA is correlated to the rapidity of cardiopulmonary resuscitation (CPR) and defibrillation. The intervention of the PCP, trained and equipped for the prehospital management of OHCA, reduces the time to medicalization. We are studying the effect of PCP intervention on the survival of OHCA victims in the remote areas of the north Alpine Arc. Material and method: We are studying the data from the cardiac arrest registry of the Northern French Alps Emergency Network (RENAU) collected prospectively from 2007 to 2019. All non-traumatic OHCA, located more than 30 minutes from an MICU center, and managed by emergency medical services (EMS) are included in the study. We analyze the 30-day survival with good neurological status (CPC 1-2 score) in patients treated by PCP initially versus those treated by mobile intensive care units (MICU) only. Results: 430 OHCA were supported by the PCP against 2421 by the MICU. The victims treated by PCP are younger (64 [55-78] years vs 67 [51-75] years), more often with a shockable initial rhythm (37.4% vs 26.6%, p <0.001) and away from home (53% vs. 31.7%, p <0.001). The time to CPR was shorter (3 min vs 7 min, p <0.001), as was the time to the first external electric shock (13 min vs 17 min, p <0.001). The 30-day survival with a CPC 1-2 score is higher (11.9% vs 7.7%, p = 0.004), but in multivariate analysis, this survival is not significantly associated with the intervention of a PCP (OR = 1.10; 95% CI [0.72-1.67]). Conclusion: The intervention of a PCP does not appear to be an independent factor of survival with a good neurological outcome, but their interventions concern patients with the best prognosis, and for whom it is all the more important to optimize the whole chain of survival. The generalization of training in emergency care and access to defibrillators in the public space remains the major challenge for improving survival.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [129 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02959346
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, October 6, 2020 - 5:18:56 PM
Last modification on : Wednesday, October 14, 2020 - 4:21:37 AM

Identifiers

  • HAL Id : dumas-02959346, version 1

Citation

Vincent Bernard. Analyse des arrêts cardiaques extra-hospitaliers pris en charge par les médecins correspondants SAMU sur le territoire nord alpin au cours de la période 2007-2019. Médecine humaine et pathologie. 2020. ⟨dumas-02959346⟩

Share

Metrics

Record views

13

Files downloads

11