Medico-economic Evaluation of Out-of-hospital Cardiac Arrest Patient Management

Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)


Each year, about 360,000 adult people in the United States suffer an out‐of‐hospital cardiac arrest (OHCA) [1]. The OHCA incidence rate varies from 35 up to 84.0 per 100,000 population in European and North‐American countries [2]. While survival has increased in the past years, global outcome remains poor due to both neurological damage and post‐cardiac arrest organ failure.

The management of OHCA patients requires the coordination of prehospital, in‐hospital and post‐discharge teams. In most health systems, Emergency Medical Services (EMS) personnel, including firefighters and paramedics, are involved in the prehospital assessment and treatment of these patients [3, 4], while interventions, such as targeted temperature management (TTM) or percutaneous coronary angiography, are delivered by in‐hospital clinicians [5, 6, 7, 8]. Although increased coordination of care is widely believed to have led to significant improvements in the survival of cardiac arrest patients,...


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Medical Intensive Care Unit, Assistance Publique Hôpitaux de ParisAmbroise Paré HospitalBoulogne-BillancourtFrance
  2. 2.Renal and Cardiovascular Epidemiology TeamCentre de recherché en Epidémiologie et Santé des Populations, INSERM U1018VillejuifFrance
  3. 3.Versailles Saint Quentin UniversityVersaillesFrance

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