دورية أكاديمية
Epidemiology and survival outcomes of out-of-hospital cardiac arrest following volatile substance use in Queensland, Australia
| العنوان: | Epidemiology and survival outcomes of out-of-hospital cardiac arrest following volatile substance use in Queensland, Australia |
|---|---|
| المؤلفون: | Schultz, Brendan V., Rolley, Adam, Doan, Tan N., Bodnar, Daniel, Isoardi, Katherine Z. |
| المصدر: | Clinical Toxicology |
| بيانات النشر: | Taylor & Frances |
| سنة النشر: | 2023 |
| المجموعة: | Queensland University of Technology: QUT ePrints |
| مصطلحات موضوعية: | Out-of-hospital, Cardiac arrest, Volatile substance use, Toxicology, Cardiopulmonary resuscitation |
| الوصف: | Introduction: The deliberate inhalation of volatile substances for their psychotropic properties is a recognised public health issue that can precipitate sudden death. This study aimed to describe the epidemiological characteristics and survival outcomes of patients with out-of-hospital cardiac arrests following volatile substance use. Methods: We conducted a retrospective cohort analysis of all out-of-hospital cardiac arrest attended by the Queensland Ambulance Service over a ten-year period (2012-2021). Incidents were extracted from the Queensland Ambulance Service cardiac arrest registry, which collects clinical information using the Utstein-style guidelines and linked hospital data. Results: During the study period, 52,102 out-of-hospital cardiac arrests were attended, with 22 (0.04%) occurring following volatile substance use. The incidence rate was 0.04 per 100,000 population, with no temporal trends identified. The most commonly used product was deodorant cans (19/22), followed by butane canisters (2/22), and nitrous oxide canisters (1/22). The median age of patients was 15 years (interquartile range 13–23), with 14/22 male and 8/22 Indigenous Australians. Overall, 16/22 patients received a resuscitation attempt by paramedics. Of these, 12/16 were bystander witnessed, 10/16 presented in an initial shockable rhythm, and 9/16 received bystander chest compressions. The rates of event survival, survival to hospital discharge, and survival with good neurological outcome (Cerebral Performance Category 1–2) were 69% (11/16, 95% CI 41–89%), 38% (6/16, 95% CI 15–65%) and 31% (5/16, 11–59%), respectively. Eight patients in the paramedic-treated cohort that used hydrocarbon-based products were administered epinephrine during resuscitation. Of these, none subsequently survived to hospital discharge. In contrast, all six patients that did not receive epinephrine survived to hospital discharge, with 5/6 having a good neurological outcome. Conclusion: Out-of-hospital cardiac arrest following volatile substance use is ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| العلاقة: | Schultz, Brendan V., Rolley, Adam, Doan, Tan N., Bodnar, Daniel, & Isoardi, Katherine Z. (2023) Epidemiology and survival outcomes of out-of-hospital cardiac arrest following volatile substance use in Queensland, Australia. Clinical Toxicology, 61(9), pp. 649-655.; https://eprints.qut.edu.au/244686Test/; Faculty of Health; School of Clinical Sciences |
| الإتاحة: | https://doi.org/10.1080/15563650.2023.2267172Test https://eprints.qut.edu.au/244686Test/ |
| رقم الانضمام: | edsbas.78F01D2 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |