EditorialCardiac arrest centres make sense
Section snippets
Conflicts of interest
The authors have no relevant conflicts of interest.
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Cited by (23)
Cardiac Arrest Centers: Joint statement of Czech Professional Societies: Czech Acute Cardiac Care Association of the Czech Society of Cardiology, Czech Resuscitation Council, Czech Society of Intensive Care Medicine ČLS JEP, Czech Society of Anesthesiology, Resuscitation and Intensive Care Medicine ČLS JEP, and Society for Emergency and Disaster Medicine ČLS JEP
2017, Cor et VasaCitation Excerpt :However, despite the lack of data from large prospective studies, there has been recently consensus (particularly based on retrospective studies) that a number of out-of-hospital cardiac arrest survivors do benefit from specialized care including diagnostic and therapeutic strategies currently available only in major healthcare facilities [7–16]. This is the reason behind the recently launched initiative to create specialized Cardiac Arrest Centers (Cardiac Arrest Receiving Centers) to admit cardiac arrest survivors and provide comprehensive dedicated post-resuscitation care [17–26]. The Czech Republic is no exception in this respect and it is most likely that improving of the logistics of care for cardiac arrest survivors may help improve the outcomes of these patients.
Admission of out-of-hospital cardiac arrest victims to a high volume cardiac arrest center is linked to improved outcome
2016, ResuscitationCitation Excerpt :It has been shown, similar to our own experience with intensive care units (ICUs), that the frequency of post-resuscitation care in an emergency department seems to have a positive effect on patients outcome.21,22 Therefore the implementation of cardiac arrest centers providing a high level of specialization and a high volume of post-resuscitation-care-patients, guaranteeing a sufficient treatment frequency for the interdisciplinary team, seems to be a reasonable measure to improve patient care.23–26 The implementation of such specialized centers has been undergone earlier in acute coronary care, stroke units, trauma- and burn injuries and consecutively in post-cardiac arrest treatment.23,27
European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015. Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015.
2015, ResuscitationCitation Excerpt :There is indirect evidence that regional cardiac resuscitation systems of care improve outcome after ST elevation myocardial infarction (STEMI).407,419–442 The implication from all these data is that specialist cardiac arrest centres and systems of care may be effective.443–446 Despite the lack of high quality data to support implementation of cardiac arrest centres, it seems likely that regionalisation of post-cardiac arrest care will be adopted in most countries.
European Resuscitation Council Guidelines for Resuscitation 2010 Section 4. Adult advanced life support
2010, ResuscitationCitation Excerpt :The implication from all these data is that specialist cardiac arrest centres and systems of care may be effective but, as yet, there is no direct evidence to support this hypothesis.851–853
European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary
2010, ResuscitationCitation Excerpt :There is indirect evidence that regional cardiac resuscitation systems of care improve outcome ST elevation myocardial infarction (STEMI).382–404 The implication from all these data is that specialist cardiac arrest centres and systems of care may be effective but, as yet, there is no direct evidence to support this hypothesis.405–407 The incidence of acute STEMI is decreasing in many European countries408; however, the incidence of non-STEMI acute coronary syndrome (non-STEMI-ACS) is increasing.409,410
Mild therapeutic hypothermia after cardiac arrest: Keep on chilling
2011, Critical Care Medicine