Survival of cardiac arrest patients on ski slopes: A 10-year analysis of the Northern French Alps Emergency Network.

Details

Serval ID
serval:BIB_4E78FCE6018B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Survival of cardiac arrest patients on ski slopes: A 10-year analysis of the Northern French Alps Emergency Network.
Journal
Resuscitation
Author(s)
Viglino D., Maignan M., Michalon A., Turk J., Buse S.K., Blancher M., Aufderheide T.P., Belle L., Savary D., Ageron F.X., Debaty G.
Working group(s)
Northern French Alps Emergency Network RENAU group
ISSN
1873-1570 (Electronic)
ISSN-L
0300-9572
Publication state
Published
Issued date
10/2017
Peer-reviewed
Oui
Volume
119
Pages
43-47
Language
english
Notes
Publication types: Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Intense physical activity, cold and altitude make mountain sports a cause of increased risk of out-of-hospital cardiac arrest (OHCA). The difficulties of pre-hospital management related to this challenging environment could be mitigated by the presence of ski-patrollers in ski areas and use of helicopters for medical rescue. We assess whether this particular situation positively impacts the chain of survival compared to the general population.
Analysis of prospectively collected data from the cardiac arrest registry of the Northern French Alps Emergency Network (RENAU) from 2004 to 2014.
19,341 OHCAs were recorded during the period, including 136 on-slope events. Compared to other OHCAs, on-slope patients were younger (56 [40-65] vs. 66 [52-79] years, p<0.001) and more often in shockable initial rhythm (41.2% vs 20.1%, p<0.001). Resuscitation was more frequently started by a witness (43.4% vs 26.8%, p<0.001) and the time to the first electric shock was shorter (7.5min vs 14min, p<0.001), whereas time to the advanced life support (ALS) rescue arrival did not differ. The 30-day survival rate was higher for on-slope arrests (21.3% vs 5.9%, p<0.001, RR=3.61). In multivariate analysis, on-slope CA remained a positive 30-day survival factor with a 2.6 odds ratio (95% confidence interval, 1.42-4.81, p=0.002).
Despite difficult access and management conditions, patients undergoing OHCAs on ski slopes presented a higher survival rate, possibly explained by a healthier population, the efficiency of resuscitation by ski-patrols and similar time to ALS facilities compared to other cardiac arrests.
Keywords
Adult, Aged, Cardiopulmonary Resuscitation/mortality, Case-Control Studies, Emergency Medical Services/statistics & numerical data, Female, France/epidemiology, Humans, Male, Middle Aged, Out-of-Hospital Cardiac Arrest/mortality, Prospective Studies, Registries, Skiing/statistics & numerical data, Survival Rate, Time-to-Treatment, Treatment Outcome, Altitude, Cardiac, Cardiac arrest, Death, Emergency medical services, Skiing, Sudden
Pubmed
Web of science
Create date
09/03/2021 11:53
Last modification date
02/03/2022 7:35
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