RT Journal Article
T1 Influence of the type of physician on survival from emergency-medical-service-witnessed cardiac arrest: an observational study
A1 Freire-Tellado, Miguel
A1 Navarro Patón, Rubén
A1 Mateos Lorenzo, Javier
A1 Pérez-López, Gabina
A1 Pavón-Prieto, María del Pilar
A1 Mecías Calvo, Marcos
K1 OHCA
K1 Emergency-medical-service-witnessed cardiac arrest
K1 Prehospital physicians
AB Out-of-hospital cardiac arrest resuscitation by non-emergency dedicated physicians may not be positively associated with survival, as these physicians have less experience and exposure than specialised dedicated personnel. The aim of this study was to compare the survival results of the teams led by emergency dedicated physicians (EDPhy) with those of the teams led by non-emergency dedicated physicians (N-EDPhy) and with a team of basic life support (BLS) emergency technicians (EMTs) used as the control group. A retrospective, multicentre study of emergency-medical-servicewitnessed cardiac arrest from medical causes in adults was performed. The records from 2006 to 2016 in a database of a regional emergency system were analysed and updated up to 31 December 2021. Two groups were studied: initial shockable and non-shockable rhythms. In total, 1359 resuscitation attempts were analysed, 281 of which belonged to the shockable group, and 1077 belonged to the non-shockable rhythm group. Any onsite return of spontaneous circulation, patients admitted to the hospital alive, global survival, and survival with a cerebral performance category (CPC) of 1-2 (good and moderate cerebral performance) were studied, with both of the latter categories considered at 30 days, 1 year (primary outcome), and 5 years. The shockable and non-shockable rhythm group (and CPC 1-2) survivals at 1 year were, respectively, as follows: EDPhy, 66.7 % (63.4%) and 14.0% (12.3%); N-EDPhy, 16.0% (16.0%) and 1.96 % (1.47%); and EMTs 32.0% (29.7%) and 1.3% (0.84%). The crude ORs were EDPhy vs. N-EDPhy, 10.50 (5.67) and 8.16 (4.63) (all p < 0.05); EDPhy vs. EMTs, 4.25 (2.65) and 12.86 (7.80) (p < 0.05); and N-EDPhy vs. EMTs, 0.50 (0.76) (p < 0.05) and 1.56 (1.32) (p > 0.05). The presence of an EDPhy was positively related to all the survival and CPC rates.
PB MDPI
YR 2022
FD 2022
LK http://hdl.handle.net/10347/29616
UL http://hdl.handle.net/10347/29616
LA eng
NO Freire-Tellado, M.; Navarro-Patón, R.; Mateos-Lorenzo, J.; Pérez-López, G.; Pavón-Prieto, M.d.P.; Mecías-Calvo, M. Influence of the Type of Physician on Survival from Emergency-Medical-Service- Witnessed Cardiac Arrest: An Observational Study. Healthcare 2022, 10, 1841
DS Minerva
RD 24 abr 2026