Delayed Defibrillation Common in Hospitals: Study

A study of 6,789 hospitalized patients whose cardiac arrest was caused by ventricular fibrillation or pulseless ventricular tachycardia found that delayed defibrillation, which occurred in 30.1 percent of the cases, significantly lowered those patients' likelihood of surviving to hospital discharge. The results was published online today by the New England Journal of Medicine.

The study's authors, headed by Dr. Paul S. Chan of the Saint Luke's Mid-America Heart Institute in Kansas City, Mo., examined cases from 369 hospitals participating in the American Heart Association's National Registry of Cardiopulmonary Resuscitation. They examined the association between delayed defibrillation (more than 2 minutes) and survival to discharge after adjusting for differences in patient and hospital characteristics.

The overall median time to defibrillation was one minute. Characteristics associated with delayed defibrillation included black race, non-cardiac admitting diagnosis, and that the cardiac arrest occurred at a hospital with fewer than 250 beds, in an unmonitored hospital unit, and after hours (5 p.m. to 8 a.m. or weekends). The probability of surviving to hospital discharge was 22.2 percent for delayed patients versus 39.3 percent for those whose defibrillation was not delayed. Each minute of delay reduced survival rates, and delayed defibrillation is common, they concluded.

Separately, a randomized controlled trial reported in AHA's Hypertension journal in December showed that patients who self-measured their blood pressure at home used less anti-hypertension medication and thus cost less to treat than those given office pressure (OP) measurement without causing significant differences in systolic or diastolic OP values or target organ damage. The lead investigator was Willem J. Verberk of the Department of Internal Medicine, University Hospital Maastricht, in the Netherlands (willem.verberk@intmed.unimaas.nl).

Download Center

HTML - No Current Item Deck
  • Free Safety Management Software Demo

    IndustrySafe Safety Management Software helps organizations to improve safety by providing a comprehensive toolset of software modules to help businesses identify trouble spots; reduce claims, lost days, OSHA fines; and more.

  • Track Key Safety Performance Indicators

    IndustrySafe’s Dashboard Module allows organizations to easily track safety KPIs and metrics. Gain increased visibility into your business’ operations and safety data.

  • Analyze Incident Data

    Collect relevant incident data, analyze trends, and generate accurate regulatory reports, including OSHA 300, 300A, and 301 logs, through IndustrySafe’s extensive incident reporting and investigation module.

  • Safety Training 101

    When it comes to safety training, no matter the industry, there are always questions regarding requirements and certifications. We’ve put together a guide on key safety training topics, requirements for certifications, and answers to common training questions.

  • Conduct EHS Inspections and Audits

    Record and manage your organization’s inspection data with IndustrySafe’s Inspections module. IndustrySafe’s pre-built forms and checklists may be used as is, or can be customized to better suit the needs of your organization.

  • Industry Safe
comments powered by Disqus

OH&S Digital Edition

  • OHS Magazine Digital Edition - April 2019

    April 2019

    Featuring:

    • ELECTRICAL SAFETY
      Taking the Guesswork Out of De-Energizing Industrial Equipment 
    • VISION PROTECTION
      Four Simple and Effective Ways to Avoid Digital Eye Strain
    • FOOT PROTECTION
      PPE the Automotive Industry Needs to Invest In
    • FIRE SAFETY
      Eliminate 10 Fire Hazards That May Be in Plain Sight
    View This Issue