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dc.contributor.authorIrfan, Furqan B.
dc.contributor.authorBhutta, Zain Ali
dc.contributor.authorCastren, Maaret
dc.contributor.authorStraney, Lahn
dc.contributor.authorDjarv, Therese
dc.contributor.authorTariq, Tooba
dc.contributor.authorThomas, Stephen Hodges
dc.contributor.authorAlinier, Guillaume
dc.contributor.authorAl Shaikh, Loua
dc.contributor.authorOwen, Robert Campbell
dc.contributor.authorAl Suwaidi, Jassim
dc.contributor.authorShuaib, Ashfaq
dc.contributor.authorSingh, Rajvir
dc.contributor.authorCameron, Peter Alistair
dc.date.accessioned2016-12-13T18:23:07Z
dc.date.available2016-12-13T18:23:07Z
dc.date.issued2016-11-15
dc.identifier.citationIrfan , F B , Bhutta , Z A , Castren , M , Straney , L , Djarv , T , Tariq , T , Thomas , S H , Alinier , G , Al Shaikh , L , Owen , R C , Al Suwaidi , J , Shuaib , A , Singh , R & Cameron , P A 2016 , ' Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar : A nationwide observational study ' , International Journal of Cardiology , vol. 223 , pp. 1007-1013 . https://doi.org/10.1016/j.ijcard.2016.08.299
dc.identifier.issn0167-5273
dc.identifier.otherPURE: 10616961
dc.identifier.otherPURE UUID: e3832690-01d1-4953-8320-4905fa5a8159
dc.identifier.otherScopus: 84985914225
dc.identifier.urihttp://hdl.handle.net/2299/17426
dc.descriptionThis is a pre-copyedited, author-produced pdf of an article accepted for publication in International Journal of Cardiology following peer review. The version of record, 'Epidemiology and outcomes of out-of-hospital cardiac arrest in Qatar: A nationwide observational study', F. B. Irfan, et.a., International Journal of Cardiology, Vol 223, pp 1007-1013, November 2016, first published on line on August 24, 2016, is available on line via doi: http;//dx.doi.org/10.1016/j.ijcard.2016.08.299 © 2016 Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.description.abstractBackground Out-of-hospital cardiac arrest (OHCA) studies from the Middle East and Asian region are limited. This study describes the epidemiology, emergency health services, and outcomes of OHCA in Qatar. Methods This was a prospective nationwide population-based observational study on OHCA patients in Qatar according to Utstein style guidelines, from June 2012 to May 2013. Data was collected from various sources; the national emergency medical service, 4 emergency departments, and 8 public hospitals. Results The annual crude incidence of presumed cardiac OHCA attended by EMS was 23.5 per 100,000. The age-sex standardized incidence was 87.8 per 100,000 population. Of the 447 OHCA patients included in the final analysis, most were male (n = 360, 80.5%) with median age of 51 years (IQR = 39–66). Frequently observed nationalities were Qatari (n = 89, 19.9%), Indian (n = 74, 16.6%) and Nepalese (n = 52, 11.6%). Bystander cardiopulmonary resuscitation (CPR) was carried out in 92 (20.6%) OHCA patients. Survival rate was 8.1% (n = 36) and multivariable logistic regression indicated that initial shockable rhythm (OR 13.4, 95% CI 5.4–33.3, p = 0.001) was associated with higher odds of survival while male gender (OR 0.27, 95% CI 0.1–0.8, p = 0.01) and advanced cardiac life support (ACLS) (OR 0.15, 95% CI 0.04–0.5, p = 0.02) were associated with lower odds of survival. Conclusions Standardized incidence and survival rates were comparable to Western countries. Although expatriates comprise more than 80% of the population, Qataris contributed 20% of the total cardiac arrests observed. There are significant opportunities to improve outcomes, including community-based CPR and defibrillation training.en
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofInternational Journal of Cardiology
dc.rights/dk/atira/pure/core/openaccesspermission/embargoed
dc.subjectAsia
dc.subjectCardiac arrest
dc.subjectCardiopulmonary resuscitation
dc.subjectEmergency Medical Services
dc.subjectEpidemiology
dc.subjectMiddle East
dc.subjectMedicine(all)
dc.subjectCardiology and Cardiovascular Medicine
dc.titleEpidemiology and outcomes of out-of-hospital cardiac arrest in Qatar : A nationwide observational studyen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionUniversity of Hertfordshire
dc.description.statusPeer reviewed
dc.date.embargoedUntil2017-08-24
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84985914225&partnerID=8YFLogxK
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2016-08-19
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.ijcard.2016.08.299
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2017-08-24+01:00
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.date.embargo2017-08-24+01:00
herts.rights.accesstypeopenAccess


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