PMID- 30562597
OWN - NLM
STAT- MEDLINE
DCOM- 20200313
LR  - 20200313
IS  - 1873-1570 (Electronic)
IS  - 0300-9572 (Linking)
VI  - 135
DP  - 2019 Feb
TI  - Maternal out-of-hospital cardiac arrest: A retrospective observational study.
PG  - 205-211
LID - S0300-9572(18)31079-7 [pii]
LID - 10.1016/j.resuscitation.2018.11.001 [doi]
AB  - AIM: Out-of-hospital cardiac arrests (OHCAs) in pregnant women are rare events. 
      In this study, we aimed to describe a cohort of pregnant women who experienced 
      OHCAs in a large urban area, and received treatment by the prehospital teams in a 
      two-tiered emergency response system. METHODS: This retrospective study included 
      pregnant women over 18 years of age who experienced OHCAs. The analysed variables 
      included maternal age, gestational age, variables specific to the rescue system, 
      number of shocks delivered by an automatic external defibrillator, and rates of 
      maternal and neonatal survival. RESULTS: Over the 5-year study period, 19,515 
      OHCAs occurred, 16 of which were in pregnant women. These 16 patients had a 
      median age of 31 years [interquartile range (IQR): 28-35] and a median 
      gestational age of 20 weeks [IQR: 10-33]. Three patients (18.8%) had an initial 
      rhythm of ventricular fibrillation. Only one patient underwent thrombolysis. Of 
      the 16 patients, 6 (38%) died after resuscitation on the scene. The remaining 10 
      were transported to the hospital, of whom 5 achieved circulation through a 
      mechanical CPR device. Only 2 patients were alive 30days after OHCA. CONCLUSIONS: 
      Over half of the pregnant women who experienced OHCA were at least 20 weeks 
      pregnant. Analysis of the prehospital medical data suggests that the current 
      recommendations are difficult to apply in an out-of-hospital environment. 
      Specific recommendations for this situation must be developed.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Maurin, Olga
AU  - Maurin O
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France.
FAU - Lemoine, Sabine
AU  - Lemoine S
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France. Electronic 
      address: sabine.lemoine@pompiersparis.fr.
FAU - Jost, Daniel
AU  - Jost D
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France; Sudden Death 
      Expertise Center (SDEC), INSERM U970, Paris, France.
FAU - Lanoe, Vincent
AU  - Lanoe V
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France.
FAU - Renard, Aurelien
AU  - Renard A
AD  - Military Teaching Hospital, HIA Sainte Anne, Emergency Department, Toulon, 
      France.
FAU - Travers, Stephane
AU  - Travers S
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France.
FAU - The Paris Fire Brigade Cardiac Arrest Work Group
AU  - The Paris Fire Brigade Cardiac Arrest Work Group
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France.
FAU - Lapostolle, Frederic
AU  - Lapostolle F
AD  - AP-HP, Emergency Medical Service Department (SAMU) 93, Avicenne Hospital, INSERM 
      U942, Bobigny, France.
FAU - Tourtier, Jean Pierre
AU  - Tourtier JP
AD  - Paris Fire Brigade Medical Emergency Department, Paris, France.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20181216
PL  - Ireland
TA  - Resuscitation
JT  - Resuscitation
JID - 0332173
SB  - IM
CIN - Resuscitation. 2019 Feb;135:224-225. PMID: 30599181
MH  - Adult
MH  - *Cardiopulmonary Resuscitation/methods/statistics & numerical data
MH  - *Emergency Medical Services/methods/statistics & numerical data
MH  - Female
MH  - France/epidemiology
MH  - Gestational Age
MH  - Humans
MH  - Infant, Newborn
MH  - Male
MH  - Maternal Age
MH  - *Out-of-Hospital Cardiac Arrest/etiology/mortality/therapy
MH  - Outcome and Process Assessment, Health Care
MH  - Pregnancy
MH  - *Pregnancy Complications/diagnosis/mortality/therapy
MH  - Retrospective Studies
MH  - Survival Analysis
MH  - *Ventricular Fibrillation/complications/diagnosis/mortality/therapy
OTO - NOTNLM
OT  - Extracorporeal membrane oxygenation
OT  - Maternofoetal outcomes
OT  - Out-of-hospital cardiac arrest
OT  - Perimortem caesarean section
OT  - Pregnancy
OT  - Thrombolysis
EDAT- 2018/12/19 06:00
MHDA- 2020/03/14 06:00
CRDT- 2018/12/19 06:00
PHST- 2018/05/14 00:00 [received]
PHST- 2018/10/31 00:00 [revised]
PHST- 2018/11/02 00:00 [accepted]
PHST- 2018/12/19 06:00 [pubmed]
PHST- 2020/03/14 06:00 [medline]
PHST- 2018/12/19 06:00 [entrez]
AID - S0300-9572(18)31079-7 [pii]
AID - 10.1016/j.resuscitation.2018.11.001 [doi]
PST - ppublish
SO  - Resuscitation. 2019 Feb;135:205-211. doi: 10.1016/j.resuscitation.2018.11.001. 
      Epub 2018 Dec 16.