Early Access to the Cardiac Catheterization Laboratory for Patients Resuscitated From Cardiac Arrest Due to a Shockable Rhythm: The Minnesota Resuscitation Consortium Twin Cities Unified Protocol

Background In 2013 the Minnesota Resuscitation Consortium developed an organized approach for the management of patients resuscitated from shockable rhythms to gain early access to the cardiac catheterization laboratory (CCL) in the metro area of Minneapolis‐St. Paul. Methods and Results Eleven hosp...

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Bibliographic Details
Published in:Journal of the American Heart Association 2016-01, Vol.5 (1), p.n/a
Main Authors: Garcia, Santiago, Drexel, Todd, Bekwelem, Wobo, Raveendran, Ganesh, Caldwell, Emily, Hodgson, Lucinda, Wang, Qi, Adabag, Selcuk, Mahoney, Brian, Frascone, Ralph, Helmer, Gregory, Lick, Charles, Conterato, Marc, Baran, Kenneth, Bart, Bradley, Bachour, Fouad, Roh, Steven, Panetta, Carmelo, Stark, Randall, Haugland, Mark, Mooney, Michael, Wesley, Keith, Yannopoulos, Demetris
Format: Article
Language:English
Subjects:
Adult
Aged
cardiac arrest
cardiac catheterization
Cardiac Catheterization - adverse effects
Cardiac Catheterization - mortality
Cardiopulmonary Resuscitation - adverse effects
Cardiopulmonary Resuscitation - mortality
Chi-Square Distribution
Clinical Protocols
Coronary Angiography
Coronary Artery Bypass
Electric Countershock - adverse effects
Electric Countershock - mortality
Electrocardiography
Feasibility Studies
Female
Health Services Accessibility
Heart Arrest - diagnosis
Heart Arrest - etiology
Heart Arrest - mortality
Heart Arrest - physiopathology
Heart Arrest - therapy
Humans
Logistic Models
Male
Middle Aged
Minnesota
Multivariate Analysis
Neurologic Examination
Odds Ratio
Original Research
Patient Discharge
Patient Selection
Percutaneous Coronary Intervention
prognosis
Program Evaluation
Registries
revascularization
Risk Assessment
Risk Factors
Survival Analysis
Time Factors
Time-to-Treatment
Treatment Outcome
Urban Health Services
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Summary:Background In 2013 the Minnesota Resuscitation Consortium developed an organized approach for the management of patients resuscitated from shockable rhythms to gain early access to the cardiac catheterization laboratory (CCL) in the metro area of Minneapolis‐St. Paul. Methods and Results Eleven hospitals with 24/7 percutaneous coronary intervention capabilities agreed to provide early (within 6 hours of arrival at the Emergency Department) access to the CCL with the intention to perform coronary revascularization for outpatients who were successfully resuscitated from ventricular fibrillation/ventricular tachycardia arrest. Other inclusion criteria were age >18 and
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.115.002670