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Implementation of a national 5‐year plan for prehospital emergency care in Singapore and impact on out‐of‐hospital cardiac arrest outcomes from 2011 to 2016

Journal of the American Heart Association Oct 31, 2020

Ho AFW, De Souza NNA, Blewer AL, et al. - Because of differences in prehospital systems of emergency care, there are wide variations in outcomes of patients from out‐of‐hospital cardiac arrest (OHCA) globally. Researchers sought to describe how the implementation of a national 5‐year Plan for prehospital emergency care in Singapore affected OHCA outcomes from 2011 to 2016. From the Pan‐Asian Resuscitation Outcomes Study cohort, they obtained prospective, population‐based data of OHCA brought to Emergency Departments. They analyzed a total of 11,465 cases. Findings revealed doubled OHCA survival in Singapore from 2011 to 2016 in correlation with implementation of a national prehospital strategy, along with corresponding increases in bystander cardiopulmonary resuscitation and bystander automated external defibrillation. Improved survival was observed in independent correlation with age ≤ 65 years, nonresidential location, witnessed arrest, shockable rhythm, bystander automated external defibrillation, and year 2016. Based on outcomes, they suggest considering this as an implementation model for other systems attempting to improve OHCA outcomes.

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