Do RATs save lives? A retrospective analysis of out-of-hospital cardiac arrest in an English Ambulance Service

Irish Journal of Paramedicine

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Field Value
 
Title Do RATs save lives? A retrospective analysis of out-of-hospital cardiac arrest in an English Ambulance Service
 
Creator Pilbery, Richard
Teare, M. Dawn
 
Subject Paramedic
Out-of-hospital; cardiac arrest; paramedic
 
Description Study aimThis study aims to determine the impact of the red arrest teams (RATs) on survival to 30 days and return of spontaneous circulation (ROSC) at hospital.MethodsA retrospective cohort study analysing routinely collected data was undertaken. All adult (≥18 years) OHCAs entered onto the YAS computer aided dispatch (CAD) system between the 1st October, 2015 and 30th September, 2017 were included if the patient was resuscitated, and the cause of the arrest was considered to be medical in origin. Multivariable logistic regression models were created to enable adjustment for common predictors of survival and ROSC.ResultsDuring the 2-year data collection period, 15,151 cardiac arrests that were attended by Yorkshire Ambulance Service. After removing ineligible cases, 5,868 cardiac arrests remained. RATs attended 2,000/5,868 (34.1%) incidents, with each RAT attending a median of 13 cardiac arrests (IQR 7–23, minimum 1, maximum 78).The adjusted odds ratios suggest that a RAT on scene is associated with a slight increase in the odds of survival to 30 days (OR 1.01, 95%CI 0.74–1.38) and odds of ROSC on arrival at hospital (OR 1.13, 95%CI 0.99–1.29), compared to the odds of not having a RAT present, although neither results are statistically significant.ConclusionThe presence of a RAT paramedic was associated with a small increase in survival to 30 days and ROSC on arrival at hospital, although neither were statistically significant. Larger prospective studies are required to determine the effect of roles such as RAT on outcomes from OHCA
 
Publisher Irish College of Paramedics
 
Contributor
 
Date 2018-10-11
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Conference Abstracts

 
Format application/pdf
 
Identifier http://irishparamedicine.com/index.php/ijp/article/view/165
10.32378/ijp.v3i2.165
 
Source Irish Journal of Paramedicine; Vol 3, No 2 (2018)
2009-938X
 
Language eng
 
Relation http://irishparamedicine.com/index.php/ijp/article/view/165/199
 
Coverage United Kingdom


 
Rights Copyright (c) 2018 Richard Pilbery, M. Dawn Teare
http://creativecommons.org/licenses/by-nc-sa/4.0
 

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