Localized Care Improves Cardiac Arrest Outcomes

From MedPage Today:

Better regional systems of postresuscitation care for out-of-hospital cardiac arrest appeared to improve outcomes, a Japanese study showed.

A program to transport patients directly to centers for advanced care or move them there once the heart restarts boosted the proportion who survived with good neurological status at 1 month from 0.5% to 3.0% (P<0.001), Takashi Tagami, MD, PhD, of Nippon Medical School in Tokyo, and colleagues found.

Survivors were 10 times more likely to recover with minimal neurological impairment after the postresuscitation care program went into effect when adjusted for other factors (rate 51% versus 19%, P<0.001), they reported online inCirculation: Journal of the American Heart Association.

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