Auswirkung struktureller Unterschiede in den Krankenhäusern auf das Überleben von Patienten mit außerklinischem Herzkreislaufstillstand im Rettungsdienstbereich München zwischen 2007-2009
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vor 13 Jahren
Aims: Survival to out-of-hospital (OHCA) cardiac arrest is due to
many prehospital and inhospital variables. While many studies have
identified positive prehospital variables, there is still great
variability regarding postresuscitation care in hospitals. We
examined basic hospital variables in order to detect differences
among hospitals. Methods: Between 2007 and 2009, 30-day survival in
949 admitted ROSC-patients after OHCA was retrospectively
identified. 18 hospitals were included in our analysis. We created
two groups regarding hospital volume and level of medical
structure. Results: A total of 298 (31,4%) out of 949 ROSC-patients
survived. Survival of each hospital ranged from 14,3% to 60,5%.
Hospital volume in terms of the number of treated ROSC-patients per
year, had no positive effect on survival whereas the level of
medical structure mattered significantly (p
many prehospital and inhospital variables. While many studies have
identified positive prehospital variables, there is still great
variability regarding postresuscitation care in hospitals. We
examined basic hospital variables in order to detect differences
among hospitals. Methods: Between 2007 and 2009, 30-day survival in
949 admitted ROSC-patients after OHCA was retrospectively
identified. 18 hospitals were included in our analysis. We created
two groups regarding hospital volume and level of medical
structure. Results: A total of 298 (31,4%) out of 949 ROSC-patients
survived. Survival of each hospital ranged from 14,3% to 60,5%.
Hospital volume in terms of the number of treated ROSC-patients per
year, had no positive effect on survival whereas the level of
medical structure mattered significantly (p
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