VACAR Annual Report 2011/12 - Ambulance Victoria

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Proportion Proportion SURVIVAL OUTCOMES Paediatric survival from cardiac arrest The annual incidence of paediatric OHCA is low, and survival factors vary significantly from those observed in adults, including precipitating events and the presenting cardiac rhythm on arrival of EMS. The result is a highly variable trend in survival over 10 years. In 2011/12, survival to hospital was 23% and survival to hospital discharge was 5% in paediatric OHCA of all aetiologies. Figure 51: Survival from paediatric OHCA from all aetiologies. 1,3 25% 20% 23% 15% 10% 5% 5% 0% 2002/03 2005/06 2008/09 2011/12 Survival to hospital Survival to discharge A survival benefit in EMS witnessed events is also observed for the paediatric population. The proportion of paediatric patients surviving to hospital discharge was 9% higher when witnessed by EMS personnel. In addition, 57% of paediatrics who suffer a cardiac arrest in the presence of paramedics survive to hospital admission. Figure 52: Survival from EMS witnessed paediatric OHCA from all aetiologies, 2011/12. 2,3 14 60% 40% 20% 0% 57% 23% Survival to hospital 14% 5% Survival to discharge % of paediatric EMS witnessed OHCA survive to hospital discharge 2 EMS Witnessed Not EMS Witnessed 1. Paediatrics < 16 years, who received EMS attempted resuscitation. Excludes EMS witnessed events. Data should be interpreted with caution due to the small number of events. 2. Paediatrics < 16 years, who received EMS attempted resuscitation. Data should be interpreted with caution due to the small number of events. 3. Seasonal variation in survival outcomes are observed due to small sample sizes. Interpret with caution. VACAR Annual Report 2011/12 Page 48
QUALITY OF LIFE Discharge direction following survival The VACAR records details of the patients discharge direction following survival from OHCA. Trends in discharge direction for all survivors have remained consistent over the past 10 years, observing only a slight improvement in the rate of patients being discharged home. In 2011/12, 85% of all OHCA survivors were discharged home. In 13% of patients, discharge from hospital led to rehabilitation, while 2% of patients were discharged to a nursing home. Figure 53: Discharge direction of all survivors to hospital discharge. 1 2011/12 85% 2008/09 87% 2005/06 82% 2002/03 80% 0% 20% 40% 60% 80% 100% Home Rehabilitation Nursing Home Unknown 1. All ages, who received EMS attempted resuscitation, and survived to hospital discharge. VACAR Annual Report 2011/12 Page 49
Page 1 and 2: [Cover Page] VACAR Annual Report 20
Page 3 and 4: Victorian Ambulance Cardiac Arrest
Page 5 and 6: This document has been prepared by
Page 7 and 8: Contents List of tables Page 9 List
Page 9 and 10: List of tables Table 1: VACAR inclu
Page 11 and 12: Figure 27: Direction of first bysta
Page 13 and 14: Victorian Ambulance Cardiac Arrest
Page 15 and 16: About this report While cardiovascu
Page 17 and 18: Data capture Ambulance Victoria’s
Page 19 and 20: Executive summary 1. There were 5,1
Page 21 and 22: VACAR Annual Report 2011/12 Page 21
Page 23 and 24: Frequency INCIDENCE Incidence of ad
Page 25 and 26: Age Category (Years) DEMOGRAPHICS D
Page 27 and 28: Age Category DEMOGRAPHICS Demograph
Page 29 and 30: PRECIPITATING EVENTS Paediatric pre
Page 31 and 32: Proportion LOCATION OF ARREST Arres
Page 35 and 36: Time (Minutes) EARLY ACCESS Emergen
Page 37 and 38: Time (Minutes) Survival EARLY DEFIB
Page 39 and 40: [This page is blank] VACAR Annual R
Page 43 and 44: Proportion SCENE OUTCOMES Return of
Page 45 and 46: Proportion Survival SURVIVAL OUTCOM
Page 47: SURVIVAL OUTCOMES Risk-adjusted odd
Page 51 and 52: Glossary of terms Table 6: Glossary
Page 53 and 54: The VACAR group Table 8: Members of
Page 55 and 56: [This page is blank] VACAR Annual R

VACAR Annual Report 2011/12 - Ambulance Victoria

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