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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 15, Issue.: 8

Original-research-article

Epidemiology of Cardiac Arrests in Airports: Four Years Results of the French National Cardiac Arrest Registry

 

Joséphine Escutnaire1, Philippe Bargain2, Evgéniya Babykina1, Karim Tazarourte3, Carlos El Khoury4, Christian Vilhelm1, Jean-Baptiste Marc5, Eric Wiel1,5, Nicolas Segal6, Pierre-Yves Gueugniaud3, Hervé Hubert1* and On Behalf GR-RéAC7

1Public Health Department EA 2694, University of Lille, Lille, France.

2Roissy-Charles de Gaulle international Airport (ADP) SMUR, Roissy, France.

3SAMU 69, Lyon University Hospital, University of Claude Bernard-Lyon 1, Lyon, France.

4RESCUE (Réseau Cardiologie Médecine d’Urgence) Network, Hussel Hospital, Vienne, France.

5SAMU 59 and Emergency Department, Lille University Hospital, Lille, France.

6Assistance Publique des Hôpitaux de Paris (APHP), Lariboisière Hospital, Paris, France.

7Research Group on the French National Out-of-Hospital Cardiac Arrest Registry, RéAC, Lille, France.

Article Information
Editor(s):
(1) Rui Yu, Environmental Sciences & Engineering, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, USA.
Reviewers:
(1) Neslihan Lok, Selcuk University, Turkey.
(2) Vaishali Kapoor, Washington University in St. Louis School of Medicine, USA.
(3) Kwok Wo Oi, Chinese University of Hong Kong, China.
(4) Molobe Ikenna Daniel, International Institute of Risk and Safety Management (IIRSM), Nigeria.
(5) Valery Piacherski, Mogilev Regional Hospital, Belarus.
Complete Peer review History: http://sciencedomain.org/review-history/14505

Abstracts

Aims: To describe and analyse cardiac arrests occurring in airports, all chain of survival steps and their survival including a neurological outcome assessment at day 30 and to compare these results between airports staffed with on-site medical teams and those without.

Study Design: National multicentre cohort study on cardiac arrests occurring in airports. Subgroup comparative study between airports staffed with on-site medical teams and those without.

Place and Duration of Study: All cardiac arrests occurring in French airports, extracted from the French national cardiac arrest registry, recorded between July 2011 and September 2015 (50 months).

Methodology: 109 cardiac arrests occurring in 19 French airports were collected. The population characteristics were described by medians and interquartile ranges or frequencies. Comparison of variables between airports staffed with on-site mobile medical team and others were handled using chi-square or Fisher’s exact tests and the Mann-Whitney U test. Survival differences were also compared and explained using odds-ratio.

Results: We recorded 71.4% immediate basic life support if cardiac arrest was witnessed (76.2%) and 52.4% automatic external defibrillator connexion by witnesses. First aid provider response was prompt and mobile medical teams provided an advanced cardiopulmonary resuscitation to a large majority of patients (91.4%). More than 4 victims of cardiac arrests occurring in airports on 10 were alive at hospital admission. Among them, 17.7% (17) survived at day 30. No survival difference between subgroups.

Conclusion: Cardiac arrests occurring in airports are rare events. The survival rates of cardiac arrests occurring in airports are superior to what we found in previous works and literature on general populations. These are related to the first steps of the chain of survival which are particularly strong in airports.

Keywords :

Cardiac arrest; airport; emergency; registry; care organisation.

Full Article - PDF    Page 1-8 Article Metrics

DOI : 10.9734/BJMMR/2016/25817

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