Why the study?
Only approximately 10% of patients resuscitated from out-of-hospital cardiac arrest survive to hospital discharge, requiring improved management such as preferential treatment in dedicated cardiac arrest centres.
This consensus document outlines the minimum requirements and structure for cardiac arrest centres to improve outcomes for patients resuscitated from out-of-hospital cardiac arrest.
Approximately 10% of patients resuscitated from out-of-hospital cardiac arrest (OHCA) survive to hospital discharge. Improved management to improve outcomes are required, and it is proposed that such patients should be preferentially treated in cardiac arrest centres (CACs). The minimum requirements of therapy modalities for the CAC are 24/7 availability of an on-site coronary angiography laboratory, an emergency department, an intensive care unit, imaging facilities, such as echocardiography, computed tomography, and magnetic resonance imaging, and a protocol outlining transfer of selected patients to CACs with additional resources (OHCA hub hospitals). These hub hospitals are regularly treating a high volume of patients and offer further treatment modalities. This consensus document describes the aims, the minimal requirements for therapeutic modalities and expertise, and the structure, of a CAC. It represents a consensus among the major European medical associations and societies involved in the treatment of OHCA patients.
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Sinning et al. (2020) studied this question.
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