Outcomes of sudden cardiac arrest in a state-wide integrated resuscitation program: Results from the Minnesota Resuscitation Consortium

Selcuk Adabag, Lucinda Hodgson, Santiago Garcia, Vidhu Anand, Ralph Frascone, Marc Conterato, Charles Lick, Keith Wesley, Brian Mahoney, Demetris Yannopoulos

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Background Despite many advances in resuscitation science the outcomes of sudden cardiac arrest (SCA) remain poor. The Minnesota Resuscitation Consortium (MRC) is a statewide integrated resuscitation program, established in 2011, to provide standardized, evidence-based resuscitation and post-resuscitation care. The objective of this study is to assess the outcomes of a state-wide integrated resuscitation program. Methods We examined the trends in resuscitation metrics and outcomes in Minnesota since 2011 and compared these to the results from the national Cardiac Arrest Registry to Enhance Survival (CARES) program. Since 2011 MRC has expanded significantly providing service to >75% of Minnesota's population. Results A total of 5192 SCA occurred in counties covered by MRC from 2011 to 2014. In this period, bystander cardiopulmonary resuscitation (CPR) and use of hypothermia, automatic CPR device and impedance threshold device increased significantly (p < 0.0001 for all). Compared to CARES, SCA cases in Minnesota were more likely to be ventricular fibrillation (31% vs. 23%, p < 0.0001) but less likely to receive bystander CPR (33% vs. 39%, p < 0.0001). Survival to hospital discharge with good or moderate cerebral performance (12% vs. 8%, p < 0.0001), survival in SCA with a shockable rhythm (Utstein survival) (38% vs. 33%, p = 0.0003) and Utstein survival with bystander CPR (44% vs. 37%, p = 0.003) were greater in Minnesota than CARES. Conclusions State-wide integration of resuscitation services in Minnesota was feasible. Survival rate after cardiac arrest is greater in Minnesota compared to the mean survival rate in CARES.

Original languageEnglish (US)
Pages (from-to)95-100
Number of pages6
JournalResuscitation
Volume110
DOIs
StatePublished - Jan 1 2017

Bibliographical note

Funding Information:
Dr. Adabag is the recipient of an investigator initiated research grant from Medtronic.

Funding Information:
Dr. Garcia is the recipient of a career development award (1IK2CX000699-01) from the VA Office of Research and Development. Dr. Garcia is a consultant for Surmodics.

Funding Information:
Minnesota Resuscitation Consortium has been funded by the Medtronic Foundation .

Publisher Copyright:
© 2016

Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.

Keywords

  • Cardiac Arrest Registry to Enhance Survival program
  • Minnesota Resuscitation Consortium
  • Sudden cardiac arrest

Fingerprint

Dive into the research topics of 'Outcomes of sudden cardiac arrest in a state-wide integrated resuscitation program: Results from the Minnesota Resuscitation Consortium'. Together they form a unique fingerprint.

Cite this